Last month, DPC spoke with lawmakers at the National Conference of State Legislatures about the importance of having access to a supplemental insurance like Medigap to help pay for the deductibles and co-pays not covered by Medicare. When Medigap plans were first introduced, Congress only guaranteed issue of these plans to traditional Medicare beneficiaries and therefore did not extend this protection to those who gain Medicare coverage prior to age 65, including people with end-stage renal disease.

Map of the United States that identifies states in red that do not guarantee access to Medigap for dialysis patients under age 65.

Currently, only 28 states offer Medigap plans to people on dialysis. People on dialysis face serious financial struggles in areas where Medigap coverage is not available for patients under the age of 65. DPC continues to advocate for every person on dialysis to be able to purchase coverage through Medigap programs, regardless of age.