Number of End-Stage Renal Disease patients statewide: 825

This state does not currently offer 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.

ESRD Network

#1 Network of New England
1952 Whitney Avenue, 2nd Floor
Hamden, CT 06517

State Run Programs

Dept. for Families and Children

  • Adult Programs: The State of Vermont offers no or low-cost health insurance programs to Vermonters, under the umbrella of Green Mountain Care.
  • Programs for Children: Dr. Dynasaur is a health insurance program for children, teens under 18 and pregnant women.
  • Additional Programs: A family of health insurance plans offered by the State of Vermont and its partners that includes plans such as Catamount Health, Vermont Health Access Plan (VHAP), Dr. Dynasaur, Medicaid, and a number of pharmacy assistance and premium assistance programs.

Health Reform Status

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

Medicaid: The state will expand Medicaid eligibility.

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