Kidney Stones

Kidney Stones - Privately Insured

Open Check eligibility and apply

It is estimated that 1 in 10 people will have a kidney stone in their lifetime.  Kidney stones are hard objects that can be formed from different chemicals in the urine.  The four types of kidney stones are: calcium oxalate, uric acid, struvite, and cystine.  Rare conditions such as cystinuria and homocystinuria cause frequent kidney stones.  Kidney stones can be very painful and often require emergency room treatment. 

Assistance Information

Dollar cap is shared across assistance types.

Other Insurance — Up to 500% FPL

Assistance Type Status Max Amount
Copay Open $5,000
Medical Expenses Open $5,000
Travel Expense Open $500

Private Insurance — Up to 500% FPL

Assistance Type Status Max Amount
Copay Open $5,000
Medical Expenses Open $5,000
Premium Open $5,000
Travel Expense Open $500

Diagnosis Codes

  • E72.00 Disorders of amino-acid transport, unspecified
  • E72.01 Cystinuria
  • E72.11 Homocystinuria
  • N13.2 Hydronephrosis with renal and ureteral calculous obstruction
  • N20 Calculus of kidney and ureter
  • N20.0 Calculus of kidney
  • N20.1 Calculus of ureter
  • N20.2 Calculus of kidney with calculus of ureter
  • N20.9 Urinary calculus, unspecified
  • N21 Calculus of lower urinary tract
  • N21.0 Calculus in bladder
  • N21.1 Calculus in urethra
  • N21.8 Other lower urinary tract calculus
  • N21.9 Calculus of lower urinary tract, unspecified
  • N22 Calculus of urinary tract in diseases classified elsewhere
  • Z87.442 Personal history of urinary calculi

Covered Medications

  • Allopurinol
  • Zyloprim
  • Cytra-2
  • Oracit
  • Oral Citrate
  • Sod Citrate-Citric Acid
  • Sodium Citrate-Citric Acid
  • Cytra K Crystals
  • Cytra-K
  • Potassium Citrate-Citric Acid
  • Cytra-3
  • Pot & Sod Cit-Cit Ac
  • Tricitrates
  • Thiola EC
  • Thiola
  • Tiopronin
  • Venxxiva
  • Potassium Citrate ER
  • Potassium Citrate Monohydrate
  • Potassium Citrate
  • Urocit-K 10
  • Urocit-K 15
  • Urocit-K 5
  • Betaine
  • Cystadane
  • Betaine HCl
  • Betaine HCl
  • Cuprimine
  • Depen Titratabs
  • penicillAMINE
  • Citric Ac-Gluconolact-Mg Carb
  • Renacidin

Kidney Stones - Publicly Insured

Open Check eligibility and apply

It is estimated that 1 in 10 people will have a kidney stone in their lifetime.  Kidney stones are hard objects that can be formed from different chemicals in the urine.  The four types of kidney stones are: calcium oxalate, uric acid, struvite, and cystine.  Rare conditions such as cystinuria and homocystinuria cause frequent kidney stones.  Kidney stones can be very painful and often require emergency room treatment. 

Assistance Information

Dollar cap is shared across assistance types.

Public Insurance — Up to 500% FPL

Assistance Type Status Max Amount
Copay Open $5,000
Medical Expenses Open $5,000
Premium Open $5,000
Travel Expense Open $500

Diagnosis Codes

  • E72.00 Disorders of amino-acid transport, unspecified
  • E72.01 Cystinuria
  • E72.11 Homocystinuria
  • N13.2 Hydronephrosis with renal and ureteral calculous obstruction
  • N20 Calculus of kidney and ureter
  • N20.0 Calculus of kidney
  • N20.1 Calculus of ureter
  • N20.2 Calculus of kidney with calculus of ureter
  • N20.9 Urinary calculus, unspecified
  • N21 Calculus of lower urinary tract
  • N21.0 Calculus in bladder
  • N21.1 Calculus in urethra
  • N21.8 Other lower urinary tract calculus
  • N21.9 Calculus of lower urinary tract, unspecified
  • N22 Calculus of urinary tract in diseases classified elsewhere
  • Z87.442 Personal history of urinary calculi

Covered Medications

  • Allopurinol
  • Zyloprim
  • Cytra-2
  • Oracit
  • Oral Citrate
  • Sod Citrate-Citric Acid
  • Sodium Citrate-Citric Acid
  • Cytra K Crystals
  • Cytra-K
  • Potassium Citrate-Citric Acid
  • Cytra-3
  • Pot & Sod Cit-Cit Ac
  • Tricitrates
  • Thiola EC
  • Thiola
  • Tiopronin
  • Venxxiva
  • Potassium Citrate ER
  • Potassium Citrate Monohydrate
  • Potassium Citrate
  • Urocit-K 10
  • Urocit-K 15
  • Urocit-K 5
  • Betaine
  • Cystadane
  • Betaine HCl
  • Betaine HCl
  • Cuprimine
  • Depen Titratabs
  • penicillAMINE
  • Citric Ac-Gluconolact-Mg Carb
  • Renacidin