A: Part B only pays 80 percent of the dialysis treatment fee, so you have to pay a 20 percent co-insurance. If you want full insurance coverage, you need additional insurance to cover 20% co-insurance. (ii) make available to the patient and the ESRD local network a 30-day notification of the proposed dismissal; Here is an example of an agreement that dialysis clinics could use with new patients on dialysis. We look forward to your thoughts on how to improve this project, including when the best time is to present it to a patient and how to position them to get the most buy-ins. (iv) contact another facility, attempt to establish the patient there, and document that effort; And this discussion about communication is cross-cutting, the importance of giving patients time to carefully study their options, talk to their families and, if necessary, have further interviews with their nephrologist. This is important, as Miller (8) said about information for patients with ESRD and about dialysis: „To know what the patient wants to know, we simply have to ask, but after doing so, we have to remain silent and listen“ (Table 4). Second, a declaration of consent to dialysis (proposed in Figure 1) should be signed to identify this common decision-making process and to include elements of capacity, volunteerism, provision and understanding of information, including prognosis and alternative treatment without dialysis. .