|Other pages: Dialysis Konnections and our Australian Dialysis Unit Guide
ON DIALYSIS, THINKING OF TRAVEL IN AUSTRALIA?
If well enough, with careful planning, a holiday can boost your confidence and well being. However, when you live with chronic disease there are major road blocks to negotiate before you can travel sensibly.
Home dialysis on the road
- Ensure you have enough funds to cover costs for health emergencies, treatment and medicine cost. Dialysis treatment can be expensive!
- Ask your health care team how travel may affect your health - ensure they support your travel.
A quick reference guide has been developed to help you if you are planning your dialysis ‘on the road’ which includes real-life stories and many practical tips. Download print version of this new booklet here Home dialysis on the road
Read more on why it is important to take a break on dialysis - and how health professionals help you!
Travel & dialysis: How can nurses help? Black, K (2009) Educational Supplement Ren Soc Aust J 5(3) 152-154
Capacity pressure - Dialysis Units
With increasing demand for dialysis - sessions should be booked well in advance. Dialysis Units support kidney patients wanting to travel where possible, but often don't have spare sessions.
Booking travel dialysis arrangements in Australia
Do not do try to organise dialysis without talking with your health team! When arrangements are made, confirm dialysis session times in advance - you must be flexible with plans.
Private dialysis in Australia may offer temporary dialysis but charge a fee for treatment
Capacity is still a problem, even with private units. You must still inquire with the private unit staff to find out if a space is available. Approximate cost from $450 to $650 per treatment in South Australia. In eastern states from $800 to $900 per treatment, depending on location. Ensure you book in advance, receive a firm quote and confirmation of treatment dates. Minimum 1 month notice essential.
Medically required medications
Work out expected medical costs before making travel plans including medication. Many countries including Australia only allow medically required medication to cover a maximum of 3 months (maximum dosage). Ensure your doctor writes an up to date treatment letter setting out your health conditions and medication. Your Dialysis Unit will also need to provide an introduction letter noting your individual treatment information - Travel overseas with PBS medications.
For Aussies with kidney disease - travelling
Australian Dialysis Unit Guide (DUG) Use our DUG to locate a Dialysis Unit in Australia
BigDandMe - Holiday Dialysis Blog Aussie stories of Holiday Dialysis adventures
Dialysis Escape Line: Australia PD & haemo on ship, dialysis nurses on all cruises. Also land tours and social events. Call 08 8227 0181 or Wayne Cooper 0448 588 880.
Dalysis Abroad International escorted tours for Aussies on dialysis 08 8362 6657
NephroCare Australia - Fresenius Medical Care and Fresenius Holiday Dialysis Units - global
Private Health Australian Government resource 1300 737 299 9-5 M-F
Private Health Insurance Ombudsman 1800 640 695
Renal Info Support & resources - all countries inc Australia (Baxter)
The Travel Doctor Australian Traveler's Medical & Vaccination Centre Travel Kits Medical
Medicare 132 011 - or locate Medicare office
TTY 1800 552152 for hearing/speech impaired - 131 450 interpreting service
Australia's Reciprocal Health Agreements Medicare information
Medicare - Australians traveling overseas and Medicare - Visitors to Australia
Health Insurance Consultants - overview of Australian Reciprocal Health Agreements
AUSTRALIAN DIALYSIS UNITS - WHO OFFER TRAVEL ON DIALYSIS PLACES
| Booking ahead is essential - no guarantee space will be available - click links in red below
New South Wales
EnableNSW - The Away From Home Haemodialysis Program>
Eligible haemodialysis patients living in NSW can access dialysis services at no cost when traveling away from home for education, work, holidays. Subject to availability & funding, you can receive up to 3 sessions a year at a unit listed (none in Tasmania) away from your usual place of residence. Register for this program if you are a NSW Resident - you and your family may be able to enjoy a well earned break.
Newcastle: Wansey Dialysis Centre - John Hunter Hospital NSW>
Call Team Leader in High Dependency on 02 4943 9635 or send request to:
Wansey Dialysis Centre, 1A Dudley Road Charlestown NSW 2290
Alice Springs Dialysis Unit
Staff try to keep a shift for travelers - advance notice essential. Visit MacDonnell Ranges or Standley Chasm. Call the Dialysis Unit on 08 8951 650.
Townsville Renal Unit Call dialysis unit on 07 4433 2650.
In Queensland, both private and public dialysis units, have capacity problems. Book in advance.
Kyabram & District Health Services
Holiday dialysis: Tuesday, Thursday, Saturday (morning) call Natalie Sheehan 03 5857 0217.
Lorne Satellite Dialysis Unit M-W-F AM
For weekend break or busy holiday times, staff try to fulfill requests. From Xmas week to February dialysis unit will be open for 2 morning sessions, Monday to Saturday. Lorne Dialysis Unit is a Satellite Unit of Geelong Hospital (Barwon Health) no Renal Physician is on site. Enquiries firstname.lastname@example.org or call 03 5289 4300 - important to read travel brochure first.
Dialysis and Transplant Association of Victoria D.A.T.A. Victoria
A patient self-help group made up of people with kidney failure and their families, carers and friends. DATA supports members with access to low cost holiday homes to enable a family holiday with dialysis access.
Two D.A.T.A holiday homes offer dialysis options. Brochure holiday homes: Rosebud, Yarrawonga, Blackburn>
Launceston Community Health Centre Renal Unit
22 McHugh Street, Kings Meadows( near Launceston) Tasmania - call 03 6336 5132
Renal Units provide dialysis session to those from North/ Nth West Tasmania - advance notice
Royal Perth Hospital - permanent holiday spots - but no guarantees as capacity varies.
KIDNEY HEALTH AUSTRALIA - DIALYSIS AND TRAVEL PROGRAMS
Have questions - call our KIDNEY HEALTH INFORMATION SERVICE 1800 454 363
The Wade family from Gold Coast made initial start up donation of $50,000, and every extra dollar raised will help put a fleet on the road. Media>
DONATE ONLINE HERE>
Simply note your donation is for our Travel on Dialysis - Campervan Program. Or simply call us on 1800 454 363 and our staff will make your donation via credit card easy.
To raise further funds for this important project, Rod Wade - the Vintage Adventurer accompanied by his navigator John Bell, drove Rod's 1930 Model ‘A’ Ford through remote locations competing in the Peking to Paris Car Rally in just 33 days in May. This intrepid team is currently travelling across America, from East to West on Route 66. Find out more at the Vintage Adventurer's Everyday Hero Fundraising page - more info>
Subscribe for free copy of Kidney Community News
Email: email@example.com and include your full contact details, or simply call 1800 454 363 - our friendly staff with take down your details.
We would all love to hear about your path with kidney disease, particularly any travel adventures. Email Cassandra Bradshaw, the Editor of Kidney Community News at firstname.lastname@example.org with suggestions for articles.
INTERNATIONAL TRAVEL ON DIALYSIS AND POST TRANSPLANT
If you travel overseas you can get help with the cost of essential medical treatment in some countries under the Australian Government’s Reciprocal Health Care Agreements.
The Australian Government has agreements with New Zealand, the United Kingdom, the Republic of Ireland, Sweden, the Netherlands, Finland, Italy, Belgium, Malta, Slovenia and Norway. These agreements mean:
- Australian residents can get help with the cost of essential medical treatment when visiting these countries
- residents of these countries can get some essential medical treatments while visiting Australia.
Students from Norway, Finland, Malta and the Republic of Ireland are not covered by agreements with those countries.
Each agreement is different and varies in benefits for medically necessary treatment, duration and eligibility. A complex area of travel health cover especially if you have multiple chronic health conditions.Reciprocal Health Care Agreements are not designed to replace private travel health insurance for overseas travel.
Not all treatment is covered under an RHCA
Exceptions are pre-arranged or elective treatment not immediately necessary, ambulance cover and paramedical services, dental care, medical evacuation to a home country, funerals, treatment in private hospital, or as a private patient in a public hospital.
Australians overseas - entitlements for treatment under RHCA> Countries under Australian RHCAs which cover medically necessary treatment INCLUDING dialysis: Netherlands - New Zealand - United Kingdom may provide access to dialysis for Australians as RHCA eligible visitors, but there are limits.
To receive medically necessary treatment for any ill-health or injury whilst visiting an RHCA country, provide local health authorities with:
For more information on Reciprocal Health Care Agreements, call the Traveling with PBS medicine inquiry line on 1800 500 147 or call Department of Human Services general inquiry line on 132 290.
- Australian passport or other passport which shows you are a permanent Australian resident
- valid Medicare card - check date to ensure you will be covered until you return to Australia
- if known treatment is expected, advise medical staff you wish to be treated under an RHCA with Australia, to establish dialysis capacity. Be aware co-payments apply - there are limits.
Visitors to Australia - entitlements for treatment under RHCA>
As a resident of an overseas RHCA country you are entitled to medically necessary treatment for ill-health or injury whilst in Australia. This does not include treatment considered ongoing, elective or treatment in a private hospital, but you are entitled to:
- free treatment as a public in-patient or outpatient in a public hospital
- subsidised medicines under the Pharmaceutical Benefits Scheme (PBS)
- Medicare benefits for out-of-hospital medical treatment provided by doctors through private surgeries and community health centres
RHCA eligible visitors to Australia are entitled to use dialysis services in Australia as a public patient
The number of dialysis treatments depends on availability of resources of a treating hospital. Australia has agreed to provide RHCA visitors with free dialysis for the lesser of either a maximum period of 4 weeks (covering all service sites) or maximum of 12 sessions, within12 month period from the date of first treatment.
Dialysis in Medicare funded dialysis units for eligible patients is based on clinical need!
The ability of the Australian health system to fund eligible overseas patients must not interfere with physical, clinical and/or financial capacity of any Area Health Service to meet clinical priorities of Australian residents. In reality you may have difficulty in finding spare capacity in public Australian Dialysis Units.
If traveling on a Student Visa - in any RHCA country you must take out Overseas Student Health Cover so be sure to confirm that should you need dialysis or treatment if transplanted, that you will be covered. Students from Norway, Finland, Malta and the Republic of Ireland are not covered by RHCA agreements with those countries.
Australian Capacity Guidelines
Dialysis is limited to one RHCA patient at each site, subject to staffing and resources. No eligible Australian patient will be disadvantaged due to this decision. Each state may impose limits on free treatments offered.
VISITORS TO AUSTRALIA - ON DIALYSIS OR POST TRANSPLANT
Most temporary visitors to Australia are not covered under an RHCA
Overseas visitors on temporary visas are not eligible for Australian Medicare benefits for emergency treatment unless from a country with which Australia has a 'Reciprocal Health Care Agreement. Medicare benefits are not an option for general medical care. It is strongly recommended travelers with a chronic disease try to acquire some level of travel and private health insurance. If no cover is possible ensure funds are available to cover medications and treatment.
Dialysis is NOT covered under these RHCA agreements - it covers emergency treatment only
If traveling on a Student Visa - in any RHCA country you must take out Overseas Student Health Cover so be sure to confirm that should you need dialysis or treatment if transplanted, to ensure that you will be covered.
Visitors from New Zealand and Republic of Ireland should present their passport to Australian hospital clerical staff to be eligible for cover under Medicare. Access to public health care in Australia for visitors under an RHCA, is restricted to a person ordinarily resident in the Republic of Ireland and temporarily in Australia. Such visitors will not be issued with Medicare cards.
Visitors from Finland - Norway - Sweden must take your passport and travel visa to a Medicare office to be registered and be given a Medicare number. This card and number must be presented to hospital clerical staff to prove Medicare eligibility. Registration may be done during or after your hospital stay. If you do not register you may be liable for the costs of treatment.
Visitors from Belgium - Slovenia - Netherlands - present your current European Health Card and passport. Residents of Malta and Italy - are only covered for six months from date of arrival.
In Australia and overseas be aware delays can be expected if a bed in a public hospital isn’t available. Even if eligible for free treatment you may prefer to have control over your treatment via some level of private travel health cover.
Medicare 132 011 - or to locate Medicare office
TTY 1800 552152 for hearing/speech impaired - 131 450 interpreting service
Medicare - Australians traveling overseas and Medicare - Visitors to Australia
Australia's Reciprocal Health Agreements - Health Insurance Consultants
Considering skilled work in Australia? Both you and your family must be healthy - strict health criteria!
Overseas Skilled Workers: health requirements: Australian Immigration Refer to Fact Sheet 22
Translated Resources - Australian Department of Immigration
TRAVEL HEALTH INSURANCE WHEN YOU HAVE KIDNEY DISEASE
When you have any chronic disease, be realistic about the likelihood of buying travel insurance for a preexisting condition. Consider locations in Australia - visit city centres - a better option to overseas, remote or long distance travel. Don’t book travel until you are covered by travel health insurance and have budget for any emergency.
Will you qualify for travel health insurance?
If you had private health insurance cover when you developed a chronic condition you may be able to obtain travel cover from your health insurance company. If you had a complex path to kidney failure, are experiencing dialysis issues, or multiple health conditions, you may not find a travel insurer.
Consider basic travel insurance to cover emergencies
Pay for travel with a credit card which offers travel insurance or consider basic travel insurance via a union, bank or even Superannuation. Ask questions about the travel insurance, especially if you have one or multiple preexisting health conditions. Some cover offered may exclude existing chronic conditions. Some level of travel insurance is strongly advised. Travel insurance for preexisting kidney disease varies. We recommend that you use an insurance broker to find suitable travel insurance as they have wider access to conditions which will fit your needs.
As a guide: Travel insurance may be granted if you have kidney disease, have had a transplant at least six months old; there must never have been a rejection or infection and your overall health must be stable. Travel insurance will not usually cover anyone on a transplant waiting list or with a complex health history.
Travel insurance agencies who are known to offer cover to people post transplant
Applicants are assessed on individual health - if health does not meet the company's criteria, you may be refused.
*Cover-More Travel Scene and Australia Post Travel Insurance (extra premium usually charged). Try *Chartis Travel *Columbus Direct *Travel Scene Insurance *Worldcare Travel Insurance. Compare cover and conditions using www.comparethemarket.com.au
Useful reading: Getting help when travelling overseas * Importance of travel Insurance
Australian Department of Foreign Affairs & Trade
Australians traveling overseas 24-hour Consular Emergency Centre - Consular advice for emergency 1300 555 135 within Australia or +61 2 6261 3305 from outside Australia
Important to register with Smart Traveller for up to date travel advice and to receive consular assistance quickly - especially if you have a chronic disease or health problem.
TIPS FOR OVERSEAS TRAVEL WITH KIDNEY DISEASE
Obtaining haemodialysis in other countries is possible - standards of care may differ to Australian standards. Some global holiday dialysis groups specialise in this service and offer quality service guaranteed - but charge for the service. Ask what is covered in the fees.
Travel on Peritoneal Dialysis (PD) is simpler - with careful planning, dialysis supplies can be delivered to a destination but arrange delivery in advance. Ask your health team if they can arrange contacts for back-up medical care, essential in case of ill health. Peritoneal Dialysis Travel 'Tool Box' Nephrology Nursing Journal. Bobbie Knotek, Laurie Biel USA
Travel when waiting for a Kidney Transplant - consult your doctor and Transplant Coordinator to decide if you will be able to return in time if a kidney becomes available. You are unlikely to receive travel insurance whilst on the transplant waiting list, or for up to two years post transplant, and your health must be seen as stable.
Travel anywhere when you have a chronic disease
When making a hotel reservation - remember to request a ground floor room or handicapped-accessible room, if stairs or walking distances are a problem.
When making travel or flight bookings - contact a Disability or Special Assistance Co-ordinator
If booking via a travel agent, advise any special needs - specific diet, accessible rooms and assistance to change planes. An agent can also advise the best method for safe transport of dialysis supplies to foreign countries. If you need assistance boarding a plane or train, inform staff when you check in.
Watch what you eat and drink
Talk to your dietitian about foods to avoid overseas. Don't risk drinking local water, use bottled water only, including water for brushing teeth. Avoid salads and ice cubes unless prepare them yourself using bottled water. Avoid any foods from street vendors, especially ice cream.
TRAVEL HEALTH AND KIDNEY DISEASE Medical and treatment advice
- Ensure your dialysis unit staff confirm dialysis arrangements a few weeks before travel, as capacity can change, especially in a public unit. Travel & dialysis: How can nurses help? Educational Supplement Ren Soc Aust J 5(3) 152-154 Black, K (2009)
- Transfer forms provide personal treatment references - ask your unit to send in advance to your destination unit. Carry copies with you at all times. In an emergency dialysis details can be forwarded by your unit staff, to a unit which accepts your request.
- When on holiday your health care team must be able to contact you, especially if on the transplant waiting list. Give your health team a detailed travel itinerary with contact details. Advise dialysis unit staff of any changes you make to your travel itinerary or plans.
- Be aware, blood tests are compulsory for most units anywhere in the world - allow time to have the tests done and receive results.
- Check if vaccines are needed in countries where you travel - some vaccines are not recommended for dialysis patients. Transplant patients need to be especially careful of vaccines.
- Keep an up to date treatment letter from your doctor with you at all times (and copy in checked luggage) summarising your health, results of recent lab results and medication you take and why. You will need to provide this for Customs - also essential if you need to consult a doctor away from home. Keep scanned electronic copy in an email (Yahoo, Hotmail) for emergencies. Your doctor can provide a copy, but this is not ideal if you need urgent treatment or medication.
- Be careful to check drugs considered illegal in countries you may travel to, especially pain killers or opiates if used. Erythropoietin is banned for sports persons - so ensure if you need this drug, it is noted in your treatment letter - otherwise you may be fined, face lengthy delays in Customs, or worse! Prohibited list; Therapeutic use exemptions World Anti-Doping Agency
- Travel with at least a 3 day reserve of supplies in case of unexpected travel delays - weather, flight delays, unexpected scheduling or shipment delays. Bags can go astray, they may arrive on the next flight, but always pack medications in a carry-on bag, never in checked luggage.
- Planes don't have fridges for personal use - if you have a drug which must be kept cool ask your pharmacist how to pack it for travel. Check if your hotel has a fridge as some do not - they may suggest options. Consider packing medications in a thermo-bag with re-usable freezer packs. A wide-necked thermos chilled in advance also works. Make sure you allow time for transfers and delays when calculating the length of a trip when medication may be unrefrigerated.
- Ensure you arrange a clean space in advance to do exchanges and store supplies. Carry 2 universal connectors, one in personal bag and one in checked luggage, in case one is lost in transit.
- If you bring syringes you must bring the drug you inject, like insulin etc (some countries including Australia require a special license for certain drugs). There is no limit to how many empty syringes you can take as long as you also have the drug with you, with a professionally printed label that clearly identifies it. On your return trip make sure you declare any drugs you were given or prescribed. A treatment letter may be requested by Customs when returning home.
- If you travel by plane or train, make arrangements for special meals (e.g. low-salt, low-fat, diabetic) . If diabetic carry glucose tablets and snacks such as low-potassium juice to treat low blood sugar. Travel with lunch or nutrition supplement in case of delays. Managing diabetes can be simpler by having insulin, syringes and blood glucose monitoring unit in your hand luggage.
- Pack an emergency supply of bandages, pain killers, insect-bite ointment and anti-diarrhoea pills. Ask your health team for names of over-the-counter drugs you may use. Avoid over-exposure to the sun - take a high-factor sunscreen and use it - sun protection is very important for transplant patient.
INTERNATIONAL TRAVEL LOCATIONS - ON DIALYSIS
Be aware that the quality, standards & charges may vary greatly in cities overseas
Asia Pacific Nephrocare
Dalysis Abroad Aussie group organises escorted tours with quality dialysis - Japan, Bali & Italy.
Dialysis at Sea - USA Cruise to faraway places - shipboard medical and dialysis needs are handled by trained medical professionals - USA, Alaska, Hawaii, Mexico, Canada, Bermuda.
Diaverum Holiday Dialysis - UK locations
Eurodial Global dialysis group arranges guaranteed sessions with reputable private dialysis centres.
eNeph Clinicfinder for list of global Dialysis Units.
Fresenius Medical Care: Traveling and Dialysis Internatiional Locate a holiday dialysis unit globally.
Holiday Dialysis Book online for global private dialysis sessions.
Global Dialysis Extensive resource for dialysis patients who want to travel overseas.
International Federation of Kidney Foundations - Member Inventory Local groups give valuable information on availability of dialysis, quality of care and relevant charges.
The List: Dialysis & Transplantation Global guide to travel and dialysis - extensive resource.
INTERNATIONAL DIALYSIS PROVIDERS
FOR TRAVEL ON DIALYSIS
Bali Indonesia - Nusa Dua
BIMC Hospital Dialysis Unit
Upgrades to these facilities ensure high Australian standards - stay at 4 star Hotel nearby. Australians report top class luxury dialysis treatment (Oct 2012) Staff speak: Australian English, German, French, Japanese & Indonesian
Fees USD$249 per session.
Contact unit before travel - e-brochure
Jo Skala - Haemodialysis Coordinator
Call +62 361 300 0911 (9-5, 6 days no Sunday & PD supported)
email@example.com * firstname.lastname@example.org or email@example.com
Bulgaria, Croatia, Czech Republic, Egypt, Greece-Crete, Hungary, Italy, Poland, Spain, Tunisia, Turkey
Holiday Dialysis: by Dr Berger for extensive travel service for dialysis patients.
Traveling Dialysis RV Association Rent RV with Formula Belco 2000 dialysis machine and WRO95 water purification system - patient must be trained with this type of unit.
Club Haemodialysis Fresenius Private Travel firstname.lastname@example.org
Cyprus Dialysis via Cyprus Health Service Promotion Board - Cyprus Holiday Dialysis Unit
Greece - Rhodes Helionephro Dialysis (approx 250 euros a treatment) Helionephro Sun Dialysis Unit
Greece and other countries Treatment Abroad: Dialysis holidays
Fresenius in Cemona Holiday Dialysis International - dialysis cruises online booking/query form
Apollo Bramwell Hospital holiday dialysis - get quote and confirm booking before travel.
Kidney Health New Zealand access to holiday Dialysis Units
- Wellington Region Kidney Society's Taupo Holiday Home (minimum charges apply)
- Kidney Society of Auckland - Holidays and Travel
Fiji Islands: Colonial War Memorial Hospital in Suva (east coast - 200 km from west coast holiday spots) Session approx $500 Fiji. Call +679 310 0020 or email@example.com
Western Samoa (Apia): Samoan Kidney Foundation for private holiday dialysis
United Arab Emirates - in Dubai
Zulekha Hospital - Holiday Dialysis Most countries (inc Australia) are offered free Travel Visas
Haemodialysis in Edinburgh Scotland
Dialysis Freedom - dialysis holiday specialists
Private Dialysis UK Find a holiday/ private dialysis clinic - get quote for anticipated treatment
Renal Assocation of UK - Lists over 70 main Dialysis Units Sort by map or postcode
United States of America
Dialysis Units in the USA
Dialysisfinder.com Travel links Book your dialysis sessions early
NKF (USA) Holiday Pages
Traveling on dialysis advice DaVita USA - hints for travel on dialysis and more
WhereDialysis.com Find Dialysis Facilities in the USA
Updated 4 March 2014