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An Overview of Medigap Coverage

2024-03-29T01:50:33+00:00May 7th, 2015|Categories: Article, Medigap Coverage|

Current Situation Currently, two populations qualify for Medicare: those over the age of 65, and those under the age of 65 who meet certain federal conditions. A diagnosis of End Stage Renal Disease (“ESRD”) satisfies these conditions and makes ESRD patients under age 65 eligible for Medicare. Medicare requires the patient pay deductibles and co-pays. If patients cannot afford these costs, they may become state Medicaid eligible by virtue of income level or after spending down their assets. The Problem Many ESRD Medicare beneficiaries can’t afford to pay Medicare deductibles and co-pays. As a result, many of them spend down their [...]

Permanent Medicare Physician Payment Increase Passes Congress

2024-03-29T01:50:33+00:00April 7th, 2015|Categories: Dialysis Funding, Medigap Coverage|

Congress recently passed the Medicare Access and CHIP Reauthorization Act, also known as the permanent “doc fix” bill. The bill passed the House of Representatives 392-37 and the Senate 92-8, with strong bipartisan support. The White House has announced President Obama’s intent to sign the bill into law. Those who voted in favor of the bill felt it was necessary to permanently replace the current Medicare physician payment formula. In 1997, Congress passed a formula known as the sustainable growth rate (SGR) formula, which unexpectedly dictated regular pay cuts for doctors. In 2003, many in Congress began to fear that the [...]

DPC Thanks Texas for Allowing ESRD Patients to Purchase Medigap Plans

2024-03-29T02:08:07+00:00January 27th, 2014|Categories: Comment Letter, Medigap Coverage, State Advocacy|

Ms. Sara Waitt, General Counsel Texas Department of Insurance P.O. Box 149104 Austin, TX 78714-9104 Re: Minimum Standards for Medicare Supplement Policies Dear Ms. Waitt, As America’s largest patient-led organization representing dialysis patients, Dialysis Patient Citizens (DPC) works to improve the quality of life of all dialysis patients through education and advocacy. Today we are writing on behalf of over 37,000 dialysis patients in Texas, specifically those who use the Texas Health Insurance Pool for supplemental insurance. We would like to express our gratitude for the recent decision to extend an additional two-month guaranteed issue period from the date of [...]

DPC Thanks South Carolina Senator for his Support in Extending Medigap Coverage to Medicare Patients

2024-03-29T02:08:58+00:00April 3rd, 2013|Categories: Comment Letter, Medicaid, Medigap Coverage, State Advocacy|

The Honorable Harvey S. Peeler Jr. 213 Gressette Building Columbia, SC 29201 Dear Senator Peeler, As the nation’s largest patient-led organization representing dialysis patients, Dialysis Patient Citizens (DPC) works to improve the quality of life for all dialysis patients through education and advocacy. On behalf of our membership, and particularly on behalf of the over 7,800 dialysis patients in South Carolina, we are writing today to thank you for introducing legislation to extend Medigap coverage to Medicare patients under the age of 65 with disabilities or end stage renal disease (ESRD). Once enacted, your legislation will help countless patients pay [...]

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