HIPP is a “last resort” source of assistance to dialysis patients. It is restricted to patients who have no means of paying health insurance premiums and who would forego coverage without the benefit of HIPP. The following restrictions apply:

• Applicants must be dialyzed in the U.S. or its territories and referred to AKF by their renal social worker and/or nephrologist.
• Applicants must demonstrate that they can’t afford health coverage and meet the program's financial eligibility criteria. 
• Primary and secondary assistance is available only. HIPP does not assist with tertiary coverage of any kind.
• Transplant patients are not eligible for HIPP.  HIPP enrollees will no longer be eligible for premium assistance after they receive a kidney transplant.