Gold Kidney is a specialized Medicare Advantage organization offering a range of Medicare Advantage plans, including Special Needs Plans. These plans are designed to cater specifically to individuals with unique healthcare needs.
- Chronic ailments like diabetes, heart failure, and cardiovascular conditions that result in kidney failure.
- Kidney failure or End Stage Renal Disease (ESRD)
Gold Kidney Health Plan collaborates with trusted primary care doctors, nephrologists, medical facilities, pharmacies, and other healthcare providers to ensure their members receive appropriate and timely care with the necessary resources.
The Advantages of Gold Kidney plans
Benefits vary by plan
- Many plans offering medical and prescription drug coverage
- $0 premium plans with Part B givebacks
- $0 Insulin copay and T3 diabetic drugs covered through the coverage gap
- HMO-POS plans: In- and Out of network covered at the same costs
- Limited prior authorizations needed
- Personal care management
- Flex Allowance: Dental, Vision and Hearing with no network restrictions
- Non-emergency transportation to and from appointments
- Gym Membership or in-home training program
- Worldwide Travel Benefits for Emergency and Urgent Care
- Year round selling opportunity
2024 Gold Kidney Supplemental Benefits*
Dental, Vision & Hearing
Flex Card Allowance; Members may use their allowance with any provider up to the allowance per quarter. (Alivi Health)
Transportation
Non-emergency transportation to and from appointments; Unlimited for Dialysis Plans. (Alivi Health)
OTC
Quarterly allowance to buy the medical supplies and protein supplements(Alivi Health)
Healthy Groceries Allowance and Fuel Allowance
Monthly allowance; Special supplemental benefits for the chronically ill. A chronic condition is required to qualify (must meet have 1 of 16 chronic conditions and participate in case management). Not all members will qualify. (Alivi Health)
Wellness Rewards
Mastercard Allowance added with the completion of each preventive service up to a maximum of $300. (Alivi Health)
Fitness
Gym Membership or in-home training program (Silver&Fit)
PERS
24/7 Emergency and Concierge Services at the Press of a Button. (Connect America)
Remote Patient Monitoring
Powered by 100Plus, enables providers to deliver better care for patients in the comfort of their homes while remotely managing their chronic conditions.(Connect America)
Companionship and assistance
Companionship and assistance with in-home services such as light housework, light yardwork, technology assistance and companionship. (PAPA Pals)
Companionship and Transplant Networks
Access to additional transplant Centers of Excellence. Optum assists Gold Kidney in understanding a member’s condition and coordinating care with outstanding providers to ensure the best opportunities for success. (Optum)
Nurse Advice Line
A dedicated service staffed by a team of qualified and experienced nurses who are available 24/7 around the clock, providing assistance, guidance, and medical expertise to members whenever they need it. (Optum)
Meals (Post-Surgery/In-Patient)
Healthy meals post-surgery or inpatient stay. (Mom’s Meals/Farmbox)
Plan Service Areas
