How do I check if my insurance covers home dialysis with a nurse in Dallas?

Who qualifies

Elik provides staff-assisted home hemodialysis for eligible patients with BCBS, Cigna, or UnitedHealthcare/UHC commercial coverage, including when Medicare is the primary insurance. Medicare-only, Medicare Advantage (including BCBS, Cigna, or UHC Medicare Advantage plans), Medicare supplement (Medigap) plans, and Medicaid do not pay for this service through Elik.

• Qualifies: Blue Cross Blue Shield (including every Blue Cross Blue Shield of Texas commercial plan), Cigna, or UnitedHealthcare commercial coverage, on its own or as a secondary plan when Medicare is primary. If Medicare is your primary plan and you carry one of these commercial plans as secondary, you qualify.
• Does not qualify through Elik: Medicare only, Medicare Advantage (including BCBS, Cigna, or UHC Medicare Advantage plans), Medicare supplement (Medigap), or Medicaid. Original Medicare does not pay for staff-assisted home hemodialysis, by law. Medicare Advantage plans follow Medicare's reimbursement rules, so they do not pay for it either.

What happens after the call

1. Elik confirms your exact plan in that one call.
2. Once you are admitted, Elik staff visit your home to check the treatment space.
3. You pick a treatment time: morning, afternoon, or evening, three sessions a week.
4. The nurse comes to your home and does the whole treatment, under your own nephrologist's orders.

Short answers

• Do I have to call my insurance company first?
  No. Elik verifies your plan for you in one free call.
• Is this the same as a home health nursing benefit?
  No. Staff-assisted home hemodialysis is dialysis performed in your home by a licensed dialysis nurse. Elik checks it directly with your Blue Cross Blue Shield, Cigna, or UnitedHealthcare commercial plan.
• Does Blue Cross Blue Shield of Texas cover it?
  Yes, for commercial plans. Elik Home Dialysis is in-network with all Blue Cross Blue Shield of Texas commercial plans, including employer, individual, and marketplace plans, for staff-assisted home hemodialysis. Elik confirms your benefits in one free call.
• I am a case manager. Who do I call?
  Call (972) 238-7788 or fax the insurance face sheet and recent records to (713) 861-7502. Elik gives same-day acceptance.