We understand that insurance coverage for durable medical equipment can feel confusing. Below are answers to common questions about Medicare and coverage. Our team is always available if you need additional guidance.
Medicare Accepted: We accept Original Medicare (Part B) for services that meet Medicare’s coverage requirements.
Medical Necessity: Medicare covers equipment that is medically necessary and properly documented by a healthcare provider.
Medicare Advantage Plans: Coverage under Medicare Advantage (Part C) depends on your specific plan. Referrals or prior authorization may be required.
Supplemental Insurance: If you have a Medigap policy, it may help cover deductibles or coinsurance not fully covered by Medicare.
Out-of-Pocket Costs: You may be responsible for deductibles, coinsurance, or items that are not covered by your insurance plan.
Non-Covered Services: If a service is not covered, you will be informed before receiving equipment and offered self-pay options.
Coverage decisions are made by Medicare or your insurance provider, not by our office.
Do you accept Medicare?
Yes. We accept Original Medicare (Part B) for covered services.
We also work with certain Medicare Advantage plans.
What does Medicare pay for?
Medicare pays for equipment that is medically necessary
and meets its guidelines. Coverage depends on diagnosis,
documentation, and frequency of use.
Will I have to pay anything?
You may have costs such as deductibles or coinsurance,
depending on your coverage and supplemental insurance.
Do I need a doctor’s order?
Yes. Most equipment requires a physician’s order
to meet Medicare requirements.
What if Medicare does not cover my equipment?
If an item is not covered, you may choose to
receive it as a self-pay patient.
Can you tell me exactly what Medicare will pay?
We can explain general coverage rules, but the final
decision is made by Medicare or your insurance provider.
Who can I contact with more questions?
You can contact our office directly, or speak with
Medicare or your insurance provider for detailed
benefit information.
If you have questions about documentation, coverage, or equipment options, our team is here to help.
Contact Our Team