Staff-assisted home hemodialysis
Insurance and coverage, explained plainly
This page tells you directly who qualifies for home dialysis with us in Houston, and who does not. Plain answers, so you know where you stand before you call. We are in network with Blue Cross Blue Shield and UnitedHealthcare.
Does insurance cover home dialysis?
The answer depends on the kind of insurance you have. Here it is, plainly.
Covered
Commercial insurance does cover staff-assisted home hemodialysis. That includes commercial insurance you hold on your own, such as a plan through an employer or the marketplace. It also includes commercial insurance you hold alongside Medicare or a Medicare Advantage plan as a secondary policy. We are in network with Blue Cross Blue Shield and UnitedHealthcare.
Not covered
By law, Original Medicare does not cover staff-assisted home hemodialysis. Medicare Advantage plans do not cover it either, because they follow Medicare's payment rules. This is true at every provider, not just here. However, if you also have a commercial secondary policy (BCBS or UnitedHealthcare), you may qualify, as the box below explains.
Medicare plus a commercial plan? You likely qualify
If you have Medicare or a Medicare Advantage plan and you also carry a commercial secondary policy from Blue Cross Blue Shield or UnitedHealthcare, that combination is covered. Call 346-388-0656 with both insurance cards, and we verify your coverage before anything starts.
Plans we are in network with
We are in network with Blue Cross Blue Shield and UnitedHealthcare.
If your commercial plan is not one of these two, call us. We check your benefits and tell you plainly whether it qualifies.
A quick self-check
You likely qualify if
- You have a commercial plan (BCBS or UnitedHealthcare) through an employer or the marketplace.
- You have Medicare or a Medicare Advantage plan, plus a commercial secondary policy (BCBS or UnitedHealthcare).
You do not qualify if
- Medicare or Medicare Advantage is your only coverage.
- Medicaid is your only coverage.
Not sure which kind of plan you have? Call us and read your card to us. We tell you what it means.
What we do before your first treatment
We verify your benefits directly with your plan. Then we explain exactly what your plan covers, before you commit to anything.
Keep your insurance card nearby when you call. The plan name and member ID on it help us start the check.