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Insurance Coverage for Dialysis at Dialyze Direct

Managing kidney health through dialysis is vital, but understanding the financial aspects can feel overwhelming. That’s where we come in at Dialyze Direct. Our goal is to simplify the process for you, making dialysis treatments more accessible and affordable. We work with various insurance providers and guide you every step of the way to help manage costs effectively.

Who Is Covered Under Dialysis Insurance?

We cater to patients needing dialysis in Skilled Nursing Facilities (SNF) or at home. Our services are tailored to include a broad range of patients, whether you’re covered by Medicare, Medicaid, private insurance, or even VA benefits.

If you’ve been wondering, “Does insurance cover dialysis?” The answer is yes! Most health insurance plans, including Medicare and Medicaid, provide significant coverage for dialysis services.

You might also ask, “How much does dialysis cost with insurance?” Here’s the good news. With insurance, your out-of-pocket expenses are greatly reduced, making dialysis more manageable for you and your family. For instance, Medicare Part B covers 80% of dialysis costs, leaving you responsible for 20%—which can often be covered by supplemental insurance like a Medigap plan.

We collaborate closely with insurers to simplify the claims process, minimize costs, and ensure you can focus on your health without financial stress.

Accepted Dialysis Insurance Plans

To ensure that you get the care you need, we partner with the majority of insurance providers. Here’s an overview!!

Medicare and medicaid for dialysis

Government Insurance Providers

  • Medicare covers up to 80% of dialysis costs, including those in SNFs or at home. Supplemental plans (like Medigap) can help cover the remaining 20%.
  • Medicaid provides comprehensive coverage for eligible individuals, often paying for the full cost of treatment.
  • VA Benefits offers affordable care for veterans requiring dialysis.

Private Insurance Providers

We also work with major private insurance providers like

  • Blue Cross Blue Shield
  • Aetna
  • Humana

Regional Insurance Plans

Health Plans Table

Name

Type

Region

State

Avmed Medicare

Medicare

State

FL

Care Plus

Medicaid/Medicare

State

FL

Florida Community Care Plan

Medicaid/Medicare

State

FL

Coventry Summit/Aetna Medicare

Medicare

State

FL

Health Sun HealthPlans, Inc.(Anthem)

Medicaid/Medicare

State

FL

Humana

Medicaid/Medicare

National

National

Simply Healthcare Amerigroup

Medicaid

State

FL

Staywell Health Plan of FL(Wellcare)

Medicaid

State

FL

Sunshine Health Plan

Medicaid

State

FL

Veterans Administration

VA

National

FL

Wellcare Health Plan

Medicaid/Medicare/Commercial

National

National

Excellus dba Univera

Medicaid/Medicare/Commercial

Regional

NY

BCBS NY Empire (Anthem)Health Plus

Medicaid/Medicare/Commercial

National

NY

BCBS of Western NY (Health Now)

Medicare

State

NY

Centers

ISNIP

State

NY

Hoosier Healthwise/ Healthy Indiana Plan (Centene)

Medicaid

National

IN

NY-Fidelis Care of NY (Centene)

Medicaid/Medicare/Commercial

State

NY

Independent Health

HMO

State

NY

Health Plus Empire

Medicaid/Medicare/Commercial

State

NY

Amerihealth Caritas PA Community Healthchoices

Medicare/Commercial

State

PA

Capitol BCBS

Medicare

State

PA

Keystone First Community HealthChoices

Medicaid

State

PA

Keystone First Community HealthChoices

Medicare

State

PA

UPMC Community Healthchoices

Medicare/Commercial

State

PA

Gateway Health

Medicaid/Medicare

State

PA

VIBRA

Commercial

State

PA

Provider Partner Health plan

ISNIP

National

PA

PA Health and Wellness (Centene)

Medicaid/Medicare/Commercial

State

PA

Celtic (Ambetter/Centene)

Commercial

State

TX

BCBS of TX

Medicaid/Medicare

State

TX

Care N’ Care

Medicaid/Medicare/Commercial

State

TX

Christus Health Plan

Medicare

State

TX

Cigna health spring

Medicare

State

TX

Community Health Choice

Medicaid/Medicare/Commercial

State

TX

Molina Healthcare MCD

Medicare/Commercial

State

TX

Provider Partner Health plan

ISNIP

National

TX

Provider Partner Health plan

ISNIP

National

MD

Provider Partner Health plan

ISNIP

National

IL

Superior Health Plan

Medicaid/Medicare

State

TX

TX-Amerigroup (Anthem)

Medicaid/Medicare/Commercial

National

TX

Memorial Herman

Medicare

State

TX

Illinicare (sold to Aetna Better Health CVS)

Medicaid/Medicare

State

IL

Health Alliance

Medicare/Commercial

State

IL

BCBS (copy)

Medicare

State

IL

Molina

Medicaid/Medicare/Commercial

State

IL

Molina

Medicaid/Medicare/Commercial

State

OH

County Care

Medicaid/Medicare

State

IL

Aetna Better Health

Medicaid

State

IL,KY

Aetna

Medicare

National

National

Harmony (Wellcare)

Medicaid/Medicare

State

IL

Buckeye (Centene)

Medicaid/Medicare/Commercial

National

OH

Gateway

Medicaid/Medicare

State

OH

Medical Mutual

Medicare

State

OH

Summacare

Medicaid/Medicare

State

OH

Care Source

Medicaid

State

OH

Care Source

Medicare

State

OH

Paramount

Medicare

State

OH

Anthem

Medicare/Commercial

State

OH

Meridian (Wellcare)

Medicaid/Medicare

National

OH

Anthem BCBS

Medicaid/Medicare/Commercial

State

IN

AM Better (Centene)

Medicaid/Medicare/Commercial

National

TX/TN

All Well /Hoosier(Centene)

Medicaid/Medicare

State

IN

Meridian (Wellcare)

Medicaid/Medicare

National

IN

Medstar

Medicaid

State

MD

MD Wise

Medicaid/Medicare/Commercial

State

IN

Amerigroup

Medicaid/Medicare/Commercial

State

NJ

Amerigroup

Medicaid

State

MD

Anthem

Medicaid/Medicare/Commercial

State

KY

Provider Partner Health plan

ISNIP

National

TX

Amerigroup

Medicaid/Medicare/Commercial

State

TN

Longevity

ISNIP

Regional

IL,NY,Fl,PA,NJ

Celtic (Centene owned)

PPO

Regional

IL,MO,OH,TN

SIgnature health plan

ISNIP

State

TN

SIgnature health plan

ISNIP

State

KY

Innovage

PACE

State

PA

Sentara

PACE

State

VA

Peak Health/FIrst Health (Aetna)

Medicare

National

VA

Volunteers of America National Service (VOANS)

PACE

State

VA

BCBS TN

Medicare

State

TN

BCBS TN

Medicaid

State

TN

UPMC Community Healthchoices

Medicaid

State

PA

Communicare

Medicare

Regional

OH,MD,IN

Reid Hospital and Health

PACE

State

IN

Bluegrass MA

PACE

State

KY

Bluegrass ICP

PACE

State

KY

Kaiser Permanente

Medicaid/Medicare/Commercial

State

MD

How Will You Pay for Dialysis?

Even with insurance, there are costs like premiums, deductibles, co-insurance, and copayments to consider. If you’re uninsured or need financial assistance, our team is here to guide you through the available options. We can connect you with charitable organizations, government programs, and other resources to help ease the financial burden.

Dialysis Insurance
Doctor Explaining Dialysis Cost

Financing

Financial Assistance Options

For patients without adequate insurance, dialysis costs can range from $500 to $1,000 per session, with monthly expenses reaching $4,000–$16,000. We offer support to help bridge the gap

#Charitable Programs: Organizations like the American Kidney Fund (AKF) may provide grants for out-of-pocket expenses.

#Government Assistance: Programs like Medicaid and Medicare significantly reduce costs.

Eligibility and Authorization Process

Insurance can be confusing, but let us help explain it simply. Here’s what you need to know

#Check Eligibility: Contact us to confirm your insurance coverage.

#Pre-Authorization: For plans that require prior approval, we handle the paperwork with your insurer.

Common Concerns About Dialysis Costs

Simplifying Dialysis Claims and Billing

Dealing with claims and billing can be a hassle, but we handle it all for you. From filing claims with Medicare and Medicaid to resolving any payment issues, we ensure a smooth experience. Contact our billing team.

At Dialyze Direct, our mission is to make dialysis accessible, affordable, and stress-free for you and your loved ones. Let’s work together to ensure your health and peace of mind.

We Help You Discover a New Kind of Normal.

Patients First, Always. Kidney disease is undeniably challenging, but it doesn’t strip you of your agency. The right care model can transform your experience.

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