Contact the ESRD NCC: 516-209-5253

New Patient Orientation Packet

New End Stage Renal Disease (ESRD) patients receive a New Patient Orientation Packet (NEPOP) in the mail from the Centers for Medicare & Medicaid Services (CMS) which is distributed by the ESRD National Coordinating Center.

The mailing contains resources to help new dialysis and transplant patients manage their care and understand the benefits available to them.  Materials also are available on this website for download.

Who receives it?

All new ESRD patients receive this packet.

When do new patients receive their packets?

Packets are mailed to new patients the month after their CMS 2728 form is received in the Network office.

What does the NEPOP look like?

Packets are sent to patients via bulk mail. The large manila envelope bears the words “Important Healthcare Information Enclosed” and uses “The National Coordinating Center” in its return address.

Why haven’t I received my packet?

Packets cannot be distributed to patients until a completed CMS 2728 form is received by the Network. Incorrect forms will cause delays in patients receiving their packets. Errors in patient addresses, such as incorrect apartment numbers or zip codes, are common reasons for packets not being received. Packets are re-sent to patients whose original mailing packet is returned and for whom an updated address can be identified. Should you require an additional packet, please contact the National Coordinating Center at (516) 209-5253.

Is the packet available in Spanish?

Yes, New Patient Orientation Packets are available in Spanish. To request the Spanish version of select booklets, please contact the NCC or your local ESRD Network.


In English:

Cover Letter
Medicare Coverage of Kidney Dialysis and Kidney Transplant Services a booklet from CMS describing Medicare services for ESRD patients
Preparing For Emergencies
You Can Live


A cover letter from Medicare describing the content of the mailing: A letter from the patient’s Network Executive Director.
Medicare Coverage of Kidney Dialysis and Kidney Transplant Services: a booklet from CMS describing Medicare services for ESRD patients.
Preparing for Emergencies: A Guide for People on Dialysis, a booklet from CMS to help dialysis patients cope with emergencies that affect their treatment.
You Can Live, a guide for living with kidney failure including making treatments better and living a healthier lifestyle, from CMS.


National Kidney Foundation Postcard
Dialysis Facility Compare
Vascular Access
Medicare for Children with ESRD
National Kidney Foundation Postcard to join the organization and receive free information.
Dialysis Facility Compare, which explains how to use the CMS online Dialysis Facility Compare tool to find a dialysis center that meets your specific needs
Vascular Access, a flyer explaining the different means of accessing your blood for hemodialysis and the advantages and disadvantages of each, from Fistula First.
Medicare for Children with ESRD, a brochure from CMS explaining services for children with permanent kidney failure.

*Not a resource included in the packet, but has been made available for reference for pediatric patients.