Medicare Coverage of Kidney Dialysis & Transplant Services # 10128
Medicare Coverage of Kidney Dialysis & Transplant Services # 10128

I have been diagnosed with ESRD and will need a transplant.
I haven’t yet applied for Medicare.
Can I get a QHP- Qualified Health Plan – ObamaCare instead?

According to federal guidance, people with ESRD who have not applied for Medicare are eligible for premium tax credits if their income is between 100% and 400% of the federal poverty limit (FPL). This group can buy a Qualified Health Plan (QHP) instead of enrolling in Medicare. This federal guidance does not address the issue of someone with ESRD whose income is above 400% of the FPL and is ineligible for a premium tax credit and whether they can buy a QHP instead of Medicare. It also does not address the issue of whether a person in this situation whose income is between 100% and 250% of the FPL is eligible for any cost-sharing subsidy.

If you are considering a QHP instead of Medicare you should carefully compare all the costs and benefits associated with both a QHP and Medicare before making your decision. Please read the answer to #5 and 6. You should also know that if you do not enroll in Medicare Part A before you have a transplant, you will not be eligible for Medicare’s immunosuppressive medication benefit under Part B, even if you decide to enroll in Medicare later. In addition, you might be charged a late enrollment penalty and have a delay before benefits begin if you apply for Medicare in the future. For more help with this difficult decision, contact your local HICAP for assistance  Copied from ca health

Obamacare PROHIBITS discrimination or different rates based on health!   ‘‘§2701 Page 37  HR 3590 FAIR HEALTH INSURANCE PREMIUMS.

Related Pages in End Stage Renal  Section

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