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Is dialysis covered by insurance?

Kidney dialysis at a center or at home. Here’s how each kind of plan usually handles it.

  • Employer or MarketplaceCovered with conditions

    Yes, dialysis is covered, with cost sharing.

    More details

    Commercial plans cover dialysis. If you have kidney failure, you can also qualify for Medicare; employer coverage is primary for a 30-month coordination period.

    Cost: Expect your deductible, then a copay or coinsurance. Ask the plan for a negotiated estimate before care.

  • Original MedicareUsually covered

    Yes, Medicare covers dialysis, and kidney failure itself can qualify you for Medicare.

    More details

    Medicare covers in-center and home dialysis, supplies, and training.

    Cost: Generally 20% of the Medicare-approved amount after the Part B deductible.

  • Medicare AdvantageUsually covered

    Yes, Medicare covers dialysis, and kidney failure itself can qualify you for Medicare.

    More details

    Medicare covers in-center and home dialysis, supplies, and training. plans must cover this too, but set their own copays and often require providers and prior authorization.

    Cost: Your plan’s copay or coinsurance: check the Evidence of Coverage.

  • MedicaidUsually covered

    Yes, Medicaid covers dialysis.

    More details

    If you have both Medicare and Medicaid, Medicaid may also pay your share of Medicare’s costs.

What usually has to be true

  • Use a certified dialysis facility in network.

Good to know

  • People with end-stage renal disease can enroll in Medicare at any age.

Related

Sources

Typical rules for 2026 plans, checked against these sources on October 20, 2026. Your plan’s own documents decide.

  1. 1
    What Marketplace plans cover

    HealthCare.gov

    Marketplace plans cover outpatient care, hospitalization, mental health care, prescription drugs, rehabilitation, laboratory services, preventive services, and other essential benefit categories.

  2. 2
    Dialysis services and supplies

    Medicare.gov

    Medicare covers inpatient and outpatient dialysis and home dialysis supplies for people with end-stage renal disease.

  3. 3
    Compare Original Medicare and Medicare Advantage

    Medicare.gov

    Medicare Advantage plans cover everything Original Medicare covers (except hospice, which Original Medicare continues to pay), usually use provider networks, often require referrals or prior authorization, and may offer extra benefits such as dental, vision, and hearing.

  4. 4
    Mandatory and optional Medicaid benefits

    Medicaid.gov

    States must cover mandatory benefits such as inpatient and outpatient hospital care, physician services, laboratory and X-ray services, home health, and nursing facility care; many other benefits, including adult dental, vision, and prescription drugs coverage details, are state options.

General information about how coverage usually works, not a decision about your plan. Your plan documents and insurer have the final word.