Arch Care Partners™
Medicare plan guidance for people living with stage 3–5 chronic kidney disease or receiving dialysis, and the clinic teams who support them.
A personal coverage review from Arch Care Partners is available at no cost or obligation.
A D-SNP is designed for eligible people who have both programs. The right comparison starts with your Medicaid eligibility category and how the Medicare plan coordinates with your Medicaid coverage.
Already enrolled in a D-SNP? It can still be useful to check next year’s network, drug coverage and coordination arrangements. A different plan is not automatically a better fit.
You may still have options. Certain C-SNPs serve people with qualifying chronic conditions, including some kidney conditions. Availability depends on where you live and the plan’s specific eligibility requirements.
Stage 3–5 CKD alone does not guarantee eligibility for every C-SNP. We help you identify which options to review and what clinical verification is needed.
With Original Medicare, outpatient dialysis generally has 20% coinsurance of the Medicare-approved amount after the Part B deductible. Your actual responsibility may differ if you have Medicaid, Medigap, employer coverage or other insurance. Medicare Advantage plans have their own cost-sharing rules.
A careful review considers treatment costs and access to care together. Ask about dialysis and specialist cost sharing, transportation, prescription coverage and any dental, vision, hearing or other supplemental benefits. Benefits and limits vary by plan, county, eligibility and year; they are not available to everyone.
Before making a change: Confirm your current care team’s participation and any effect on employer, retiree, Medigap or other coverage. Continue paying applicable Medicare premiums.
A short educational overview for Florida patients, families and dialysis clinic teams.
AI-generated educational video with reviewed narration and captions. Benefits, eligibility, costs and networks vary by plan and service area.
Opening: ACP animated logo introduction.
Are you confused about how you will pay for dialysis treatments, medications, and doctor appointments? I'm here to help you navigate this. Arch Care Partners can help explain your insurance options, answer coverage questions, and guide you through the review process. Dual special needs plans are for people with Medicare and qualifying Medicaid coverage. Some chronic condition plans serve kidney conditions. You may qualify even without Medicaid. Plan rules apply. Both need Medicare Parts A and B. Your location and the plan eligibility rules matter. Both include prescription coverage. Medicines, costs, networks, and approval rules vary by plan. Before changing, check with your kidney doctor, dialysis center, medications, and pharmacy. It's important to ask about any effects on your other coverage. Use the form below to request a no-obligation insurance review. A licensed Arch Care Partners broker can guide your next steps.
On-screen plan labels: D-SNP means Dual Eligible Special Needs Plan. C-SNP means Chronic Condition Special Needs Plan.
Silent closing slide: This video is for educational purposes only and is not affiliated with or endorsed by Medicare or any government agency. No plan-specific benefits, premiums, or enrollment information are discussed. AI-generated presenters.
Give patients a clear place to begin their Medicare and Medicaid coverage questions. Arch Care Partners offers no-obligation educational support and patient-requested plan reviews, with attention to continuity of dialysis care and specialist access.
Clinic teams: Call (727) 871-5494 or request a clinic education conversation. Please do not email patient lists, Medicare numbers or medical records. Patients or authorized representatives can request their own private review below.
Not necessarily. C-SNP and D-SNP eligibility are different. A C-SNP requires a qualifying condition under that plan’s rules; a D-SNP requires Medicare and qualifying Medicaid eligibility.
That must be checked for the exact plan, provider location and year. Do not assume a familiar insurer’s name means every clinic or specialist participates.
No such promise can be made. We review available options and explain their costs, limits and eligibility requirements. A particular benefit or savings amount is not guaranteed.
Enrollment requires an applicable enrollment period. An agent can explain the periods that may apply to your circumstances; a diagnosis alone does not guarantee immediate enrollment into any plan.
Your county, current coverage, clinic and doctor names, medications and questions. Share sensitive identifiers or medical information only through the appropriate private process when requested.
Medicare.gov: Dialysis services and supplies · Medicare.gov: End-Stage Renal Disease · Florida transportation planning guide
Educational information only. Plan availability, benefits, eligibility, cost sharing and networks vary. This page does not provide medical advice or a coverage determination.
Request a no-obligation review of your available Medicare coverage options. Individuals and authorized representatives may use the form below; the guardian fields are optional.
REQUEST A PRIVATE COVERAGE REVIEW
Please enter contact details only. Do not enter Medicare or Medicaid IDs, diagnoses or medical records in this initial request.