Yes, however, we have to qualify the beneficiary for Medicare coverage for each piece of equipment ordered. Please note that Medicare does not cover full electric equipment. In order to qualify the patient for Medicare coverage, we would need all of the patient’s insurance information, an order from the primary care physician, and a copy of the supporting clinical documentation to begin the qualification process.

If the equipment supplied to the beneficiary qualifies for Medicare coverage, we will set up the delivery and submit the claim to Medicare. Medicare will reimburse us 80% of the Medicare allowable and the remaining 20% will be the beneficiary’s responsibility. Most supplemental plans will cover the remaining 20%

Medicare only covers 80% of the rental fee; the remaining 20% is the beneficiary’s responsibility. Most supplemental (secondary) insurance plans will cover the remaining 20%.

No, but we can bill the nursing home directly for any equipment supplied to their residents.

Yes, but we have to qualify the beneficiary for Medicare coverage before we can arrange any deliveries.

Yes, but we have to qualify the beneficiary for Medicare coverage. The beneficiary must weigh at least 350 lbs, in addition to needing a qualifying diagnosis for each piece of equipment.

Yes, if the beneficiary qualifies. We will need documentation that shows the beneficiary had a face to face visit with the ordering physician no more than 30 days prior to the delivery and the SAT test must have been performed by either the ordering physician, a Part A provider, or a Medicare-approved diagnostic provider.

We accept traditional plans and will have to verify what Advantage plan the beneficiary has to see if we’re in-network.

Yes, but a prior authorization must be obtained before we can set up delivery. This can take up to 30 days to receive unless the beneficiary is being discharged from the hospital.

Most are accepted. However, insurance plans vary per beneficiary so we will have to verify their benefits before we can set up any orders. We are not in-network for United Healthcare, Aetna, Humana, etc.

We have qualified support personnel who can answer any insurance verification questions, weekdays from 7:00 AM to 5:00 PM, CST (Central Standard Time). Call us at 1-888-233-7677 or send an email to medicare@advacaresystems.com