Protect Dialysis Patients’ Coverage

2022-12-20T17:27:43+00:00December 18th, 2022|Categories: Patient Stories in the News, Private Insurance Coverage|

I have been on dialysis treatments for almost 13 years due to end-stage renal disease (ESRD). Kidney disease can be a lot to handle with frequent dialysis treatments, doctor's appointments, and medications. On top of the medical responsibilities, I must ensure I have the proper insurance coverage. Initially after my diagnosis, I was fortunate to be covered by my wife’s employer-sponsored insurance. However, after 30 months, I had to switch to Medicare as my primary coverage, with my wife’s plan as my secondary coverage. This was often confusing in billing situations and created a hassle for me to explain to [...]

Dialysis patients across America are counting on Congress

2022-11-18T17:10:01+00:00November 15th, 2022|Categories: Medigap Coverage, Patient Stories in the News|

In October 2016, kidney disease forced me to start dialysis and retire from my career as a firefighter paramedic. This disease runs in my family, with my brother and mother also suffering. I currently require dialysis treatment three times a week and have to travel 72 miles round trip to the center for five-hour-long treatments. Dialysis costs me both time and money. Transporting myself to the center is costly, but it is my only out-of-pocket expense. My treatments are completely covered through both my private insurance and Medicare. However, many patients, such as my brother, are not as fortunate. Medicare [...]

Texas dialysis patients under 65 need help getting coverage

2022-11-07T19:38:16+00:00November 3rd, 2022|Categories: Medigap Coverage, Patient Stories in the News|

I've had a progressive kidney disease for several years and my doctor eventually referred me to a nephrologist to help manage my kidney health. Fifteen months ago I needed to start dialysis and I am fortunate because the treatments have gone very well. I’ve largely been able to get the coverage I need through Medicare and my supplemental Medigap coverage which pays for what Medicare won’t, outside of three medications that Medicare Part B and Part D doesn’t cover.Sadly, for many patients under 65 this isn’t the case, as they don’t have affordable access to Medigap plans. Lawmakers could help [...]

CA Dialysis Patients Need Lawmakers’ Help

2022-11-02T13:36:08+00:00October 31st, 2022|Categories: Medigap Coverage, Patient Stories in the News|

Finding out I needed to start dialysis two years ago was tough to accept. I’d always been an athlete, so I felt like this wasn’t something I’d have to face. But after low kidney counts for more than 5 years, I had to start treatments. Beyond difficult treatments, the financial burden they come with is enormous. I’m fortunate, however, to have a job at Life Alert Emergency Response that lets me tailor my schedule so I can stay employed and still receive health coverage. However, even between that plan and the secondary coverage I receive through Medicare, my monthly costs [...]

Dialysis patients need better insurance coverage

2023-05-25T16:44:19+00:00October 27th, 2022|Categories: Medigap Coverage, Patient Stories in the News, Spotlight|

Editor: I have seen firsthand the hardships kidney patients face through both my daughter’s and father’s diagnoses. My daughter’s kidneys failed at age 23, and for over two decades, I was her caregiver while she was in and out of the hospitals and on dialysis. This wasn’t an easy task, but thankfully she received a kidney transplant almost two years ago. Kidney disease is not only hard on the body and makes it hard to live a normal life while tending to doctor’s appointments, dialysis treatments, and medical procedures that accompany the disease. On top of the health battles is [...]

Time is running out: Dialysis patients need Congress to act

2022-10-27T16:37:39+00:00October 26th, 2022|Categories: Patient Stories in the News, Private Insurance Coverage|

“Life, Liberty, and the Pursuit of Happiness” are the inalienable rights which our government was created to secure. Thomas Jefferson famously penned these words when authoring the Declaration of Independence, but nearly 250 years later, those rights are at risk for dialysis patients thanks to a recent Supreme Court ruling. This June, in Marietta Memorial Hospital Employee Health Benefit Plan v. DaVita Inc., the high court sided with a private insurer that was being sued for limiting its coverage of dialysis to 30 treatments. The court ruled the plan wasn’t discriminating against kidney disease patients, as the 30 treatment threshold applied to [...]

Send lifeline to kidney dialysis patients

2022-10-11T13:07:20+00:00October 11th, 2022|Categories: Patient Stories in the News, Private Insurance Coverage|

At 21, I was diagnosed with end-stage renal disease, which meant my kidneys were failing. Until my diagnosis, I was completely healthy, in the middle of nursing school and working full time. The onset of this disease was the beginning of a series of hospitalizations, surgeries and dialysis treatments. I began dialysis while I waited for my kidney transplant. I needed these treatments not only to live, but so I could finish nursing school and eventually return to full-time work. One of the biggest challenges beyond my health issues was insurance coverage. This problem could potentially worsen for dialysis patients with [...]

Equal Justice Remains Elusive for Kidney Patients. Congress Can Help.

2022-10-04T15:04:41+00:00October 4th, 2022|Categories: Patient Stories in the News, Private Insurance Coverage|

Four simple words sit above the entrance to the Supreme Court: “Equal Justice Under Law.” That short phrase, though, carries immense weight. It is a promise to the American people that we will receive fair treatment in our justice system, and serves as a principle to guide people in power. For dialysis patients – who already face massive health disparities – it’s a promise that might go unfulfilled following a Supreme Court decision earlier this year that could open the door for health insurance companies to discriminate against them. In Marietta Memorial Hospital Employee Health Benefit Plan v. DaVita Inc., the Court ruled [...]

DPC Engaging State Policy Makers During Summer Months

2022-09-20T17:40:42+00:00September 20th, 2022|Categories: Article, Medigap Coverage, Promote Financial Security|

While most state legislatures are adjourned during the summer months, DPC’s state advocacy program, under the leadership of Eastern Advocacy Director Elizabeth Lively, is focused on keeping the dialog moving with state legislative policy makers. The critically important issue of affordable access to Medigap coverage for under age 65 individuals with End Stage Renal Disease (ESRD) remains under discussion in a number of states during the summer months. Kentucky DPC is meeting with our legislative champions, the health plans and our coalition partners to prepare for the 2023 re-introduction of comprehensive Medigap legislation that was debated in 2022 (HB 430). This [...]

Kidney patients need Congress’ help

2022-09-09T18:52:59+00:00September 9th, 2022|Categories: Medigap Coverage, Patient Stories in the News|

I know we can count on Congressman Carlos Giménez to support this important legislation. I’ve dealt with health issues my entire life. I was born with Polycystic Kidney Disease (PKD), which has caused me to have multiple organ transplant surgeries and receive life-saving dialysis treatments. And, in addition to a successful liver transplant, I’ve had two kidney transplants that my body rejected, and I am now on a waitlist to receive a third kidney. In between these surgeries, I receive dialysis treatment, allowing my body to function properly and live my life. On top of the dreaded feeling of high patient volume at my [...]

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