McLaren’s chronic kidney disease program enrolls adult members with a CKD diagnosis automatically and supports their treatment plan.
McLaren describes a comprehensive program for members with chronic kidney disease that works with the member and their doctors on the treatment plan. Employers should confirm it applies to their group.
What the program is and what members do.
What the program is
McLaren describes a comprehensive program whose goal is to improve the health status of members with chronic kidney disease. The carrier says it will work with the member and their doctors to help them stick to the treatment plan.
How members use it
Enrollment is automatic for members with a CKD diagnosis. Members who want questions answered or want to opt out can contact Customer Service at 1-888-327-0671 (TTY: 711).
What it covers or does not
The page describes treatment plan support. It lists no dialysis, transplant or specific clinical services and states no costs, so employers should not read it as a coverage statement.
Eligibility, funding and plan design.
Who can use it
McLaren says any member who is 18 years old or older with a CKD diagnosis is eligible and is automatically enrolled. The page does not state a line of business (Medicaid, Medicare or commercial). Employers should confirm with McLaren that it applies to their group.
How it is funded or sold
The page states no price or fee. It is presented as a plan program for members.
Where it fits in plan design
It is a support layer for a small, high cost group of members. Kidney disease often involves specialty care and high cost claims, so employers should look at it next to their stop loss and specialty benefit questions, which the page itself does not address.
What to settle before relying on it.
How are members with CKD identified?
The page says members with a diagnosis are enrolled automatically. We would ask what claims trigger that and how fast contact begins.
What does the support look like day to day?
The page says McLaren works with the member and their doctors on the treatment plan. We would ask who does that, how often and by what channel.
Does it apply to our group?
The page does not state a line of business. We would ask McLaren to confirm eligibility for our group in writing.
Common questions about this program.
Who is eligible?
McLaren says any member 18 or older with a diagnosis of chronic kidney disease is eligible and is automatically enrolled, with the option to opt out.
What is the goal of the program?
The carrier says the goal is to improve the health status of members with CKD by working with them and their doctors on the treatment plan.
Does this apply to my employer group?
The page does not state a line of business. Employers should ask McLaren to confirm applicability.
Where these details come from.
This page summarizes what McLaren publishes. Programs change, so confirm current details with the carrier before relying on them.
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