Number of End-Stage Renal Disease patients statewide: 9,240

In 2023, the Kentucky General Assembly passed legislation that provides access to Medigap insurance for dialysis patients under age 65.  All plans are available and have a premium protection formula in place to ensure premiums are affordable. The legislation stipulates applications will be available on or before January 1, 2024.

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.

Kentucky Dialysis Patient Resources

Patient Support and Financial Resources

National Kidney Foundation Serving Ohio and Kentucky
Offers emergency financial assistance to patients with limited funds living in Ohio and Kentucky.

ESRD Network

#9 ESRD Network “The Renal Network”
911 E. 86th Street, Suite 202
Indianapolis, IN  46420

State-Run Programs

Kentucky Cabinet for Health and Family Services

  • Adult Programs: Provides quality health care and related services for eligible individuals and families
  • Programs for Children: Kentucky Children’s Health Insurance Program is a free or low-cost health insurance program for Kentucky’s youth whose families do not make more than 200% of federal poverty level.  Kentucky Commission For Children With Special Health Care Needs Provides assistance with medical care and medications.

Health Reform Status:

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

Medicaid: Medicaid expansion in Kentucky was effective as of Jan. 1, 2014. In 2022, the program was expanded further to include extended benefits of dental, hearing and vision.

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