Number of End-Stage Renal Disease patients statewide: 22,268

This state offers Medigap insurance to dialysis patients under 65.

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.

North Carolina Dialysis Patient Resources

ESRD Network

#6 ESRD Network of the South Atlantic
909 Aviation Parkway, Suite 300
Morrisville, NC 27560
Patient Toll-Free: 800-524-7139
Main: 919-463-4500

State Run Programs

North Carolina Medicaid Division of Health Benefits

  • Adult Programs: Insurance program for low-income individuals, seniors, blind, disabled, and families who cannot afford health care costs.
  • Programs for Children: North Carolina Health Choice (NCHC) for Children is a free or reduced price comprehensive health care program for children.

Health Reform Status

Exchange: North Carolina will run its health insurance exchange in partnership with the federal government.

Medicaid: It is not known at this time whether the state will expand Medicaid eligibility.

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