Number of End-Stage Renal Disease patients statewide: 44,189

This state offers Medigap insurance to dialysis patients under 65.

Medicare, a federal program, pays for dialysis for over 80% of dialysis treatments. However, many issues concerning dialysis patients are actually handled at the state level.Individual states have to provide certain basic services under Medicaid, but they also have flexibility in how they structure their plans and set their reimbursement rates. In addition, some states have the authority to determine the need and location for additional dialysis facilities (this is often referred to as certificate of need). Because dialysis patients’ care can be affected by state officials as well as federal officials, DPC members are becoming more active on state issues—ensuring the patients’ voice is heard locally as well as nationally.

New York Dialysis Patient Resources

ESRD Network

#2 IPRO End Stage Renal Disease Network of New York
1979 Marcus Avenue
Lake Success, NY  11042
1-800-238-3773

State Run Programs

New York State Department of Health
1-718-557-1399

  • Adult Programs: Medical care for eligible residents who can’t afford it.  Family Health Plus is a public health insurance program for adults who are aged 19 to 64 who have income or resources too high to qualify for Medicaid.
  • Programs for Children: Child Health Plus provides health insurance for kids Depending on family income children may be eligible for either Children’s Medicaid or Child Health Plus.
  • Medication Programs: Elderly Pharmaceutical Insurance Coverage (EPIC) Two plans to help pay prescription costs for the elderly: Fee Plan, and the Deductible Plan.
  • Additional Programs: Working People with Disabilities may qualify for a Medicaid buy-in program.

Health Reform Status

Exchange: New York will run its own state-based health insurance exchange.

Medicaid: The state will expand Medicaid eligibility.

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