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Texas State Pharmacy Assistance Programs

Texas Kidney Health Care Program (KHC)

:: Eligiblity Requirements
:: Important Note
:: Contact Information
:: Income Requirements

Eligiblity Requirements

You must meet the following requirements:
  • You must be a Texas Resident.
  • You must have a diagnosis of end-stage renal disease and meet the Medicare criteria for end-stage renal disease.
  • You must have an adjusted gross income less than $60,000 per year.
  • You must not be eligible for full Medicaid benefits.
  • Must submit an application for benefits through a participating facility.
  • Must be receiving a regular course of chronic renal dialysis treatments or have received a kidney transplant.



Important Note

Program recipients must be enrolled in a Medicare Part D plan if Medicare eligible and apply for Low Income Subsidy assistance. Recipients must enroll in a plan of their choice. KHC will not coordinate drug benefits with Medicare Advantage Plans. Recipients may get limited standard program drug benefits prior to getting Medicare Part D drug coverage. KHC will pay up to $35 per month for Part D premiums less any subsidized amount. KHC will provide secondary payment for four program formulary drugs per month during the recipient's deductible, co-insurance, and gap coverage phases. Secondary claims processing is managed at point of sale through participating pharmacies. KHC will cover Medicare excluded drugs. Recipients and providers should call KHC program Customer Service toll-free line at 1-800-222-3986 for specific program benefit limitations. As of 7/28/06 there were 11,500 enrolled program participants.


Contact Information

Phone
(800) 222-3986

Address
1100 W.49th Street
Austin, TX 78756

Income Requirements


  Income Lower Income Upper
Single $0 $60,000 per year
Married $0 $60,000 per year

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Last updated on: 10/23/2013

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