|Who is eligible for the State Chronic Renal Disease Program? |
Nebraska residents who have been diagnosed as having chronic renal disease, defined as that stage of renal impairment which is irreversible and requires a regular course of dialysis to maintain life, may apply. Patients must meet income qualifications and be a U. S. citizen or meet certain immigration requirements.
What factors affect eligibility?
Factors that affect eligibility include earned income, family size, payments made for other insurance (including Medicare), other medical expenses, and necessary employment expenses.
What is the cost of the program?
The services provided under the State Chronic Renal Disease Program are available at little or no cost, depending on what insurance the patient has. A five dollar program co-pay for medications is collected if insurance does not cover the medication. Otherwise, the program will pay the insurance co-pay 100% for medications covered under the drug formulary.
What if there is other insurance coverage?
The State Chronic Renal Disease Program will only pay for covered services after all other payment sources, including Medicare, private insurance, or any other health insurance have determined and paid their part. If there are expenses remaining after other payment sources have paid, a patient may still be eligible under the program.
What services are covered?
Medication assistance and limited reimbursement for services that include dialysis treatments received in a dialysis treatment center, dialysis treatments received in the hospital outpatient setting and home dialysis treatments.
How do you apply for the progrram?
Applications are available at the Medicare approved dialysis facility where the dialysis services are provided. The social worker or financial counselor at the facility will help complete the application and answer any questions. All information you provide will remain confidential and will not be used for any other purpose other than to determine eligibility for the program.
|Mary Weatherfield, Program Manager
Chronic Renal Disease Program
Department of Health and Human Services
Division of Public Health
P.O. Box 95026
Lincoln, NE 68509-5026