Gold Kidney Health Plan

Creating the gold standard for Medicare Advantage care

Gold Kidney Health Plan sets the benchmark for customer care by providing Medicare Advantage plans and Chronic Special Needs Plans that offer intelligent healthcare and beneficial services to their members.

Get contracted for Gold Kidney

Gold Kidney Health Plan

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.

Why choose Gold Kidney?

Gold Kidney's top priority is the well-being of their patients, to enhance their members' quality of life and slow down the progression of the disease by providing assistance in the following ways:

  • Manage their chronic health conditions
  • Choose the advantages, care environment, and post-care choices that most effectively cater to their personal requirements and preferences.

They offer high quality, low cost, better access to care and better healthcare.

The Advantages of Gold Kidney plans

Benefits and Features*

  • 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

* Benefits vary by plan

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 transportationto 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)

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)

* Benefits vary by plan

2024 MAPD Service Areas

  • Florida Service Areas

  • Arizona Service Areas

2024 MAPD Florida Service Areas

Opt-in to get contracted today.

Call 888-622-9122

Get contracted for Gold Kidney

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