Home Hemodialysis – Commercial and Individual Exchange Medical Policyopen_in_new

UnitedHealthcare covers home hemodialysis (both patient/caregiver‑performed and staff‑assisted) as an alternative to in‑center dialysis for members with end‑stage renal disease who meet criteria, and excludes HHD when complications, significant comorbidity, lack of vascular access, or member‑plan/legal limits make it unsafe or ineligible. Coverage requires documented ESRD diagnosis and clinical stability, evidence of comprehensive training/competence (or documented inability plus medical justification for staff assistance), a well‑functioning vascular access, an attending nephrologist’s treatment plan (staff‑assisted care generally mirroring center protocols), and verification of member‑specific benefits/prior authorization.

"Home hemodialysis (HHD) as an alternative to facility-based hemodialysis for individuals with end-stage renal disease (ESRD) who meet ALL of the following (HHD without skilled care): individual is ..."