Medicare Insurance guide
Many home medical products are covered by Medicare. Often, what Medicare does not cover a secondary insurance may. Use the table below as a guide. Generally you pay 20 percent of the Medicare-approved amount. The amount you pay may vary because Medicare pays differently on different items. In some cases, you may be able to rent the equipment. Be aware that all private health insurance plans vary and the specific rules of an individual's plan may differ from what is listed below.
Please reference the Competive Bid Forms Below so you are informed of what DME vendor you can work with inside the Council Bluffs & Omaha areas. We have also included a PDF form on repairs. Call us today if you need help.
Please reference the Competive Bid Forms Below so you are informed of what DME vendor you can work with inside the Council Bluffs & Omaha areas. We have also included a PDF form on repairs. Call us today if you need help.
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Equipment/Item
Bathroom Safety
BiPAP
Breast Prothesis
Canes & Walkers
Cervical Traction
Commode
Compression Stockings
CPAP
Diabetic Supplies
Emergency Communicators
Enteral or Parental Nutrition
Grab Bars
Hospital Beds
Incontinence/Adult Diapers
Lift Chairs (Recliners)
Lymphedema Pumps
Manual Wheelchairs
Mobility Equipment
Nebulizer
Orthopedic Shoes
Ostomy Supplies
Oxygen
Patient Lifts
Power Wheelchairs
Raised Toilet Seats
Scooters
Stair Lifts
Support Surfaces
TENS Unit
Therapeutic Shoes
Urological Supplies
Van Lifts & Ramps
Wound Care
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Covered
No
Yes
Yes
Yes
Yes
Rarely
Sometimes
Yes
Yes
No
Yes
No
Yes
No
Rarely
Yes
Yes
Yes
Yes
Sometimes
Yes
Yes
Sometimes
Often
No
Sometimes
No
Usually
Yes
Yes
Yes
No
Yes
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normal coverage requirements
No Coverage
Testing & Physician documentation of sleep disorder
Breast Prosthesis (1 per 2 yrs), mastectomy forms (1 per 6 mo.'s) & mastectomy bras are covered.
Mobility limitations, please call Mobilis for specifics.
Patient has impairment and home traction has proven effective.
Only if the patient is confined to an area with no toilet facility.
Covered when used to treat open venous ulcers. Otherwise not covered.
Covered upon sleep study results and physician order.
Covers glucose monitor, lancets, test strips, control solution and replacement batteries. Does not cover insulin injections or pills (except as may be covered under Part D)
No Coverage
Enteral covered for patients unable to swallow, delivered via tube. Not covered for those taken orally.
Bathroom safety equipment is not covered.
Covered if 1 of these conditions is met: 1) medical condition requires body positioning not feasible in ordinary bed, 2) patient requires head of bed elevated more than 30 degrees most of thee time due to a medical condition, or 3) patient requires traction equipment.
No Coverage
Only covered if patient is unable to stand up from any chair, but once standing, he/she can walk. Medicare pays only for the lift mechanism, not the chair portion.
Covered for treatment of true lymphedema and chronic venous insufficiency.
Usually covered. Call Mobilis to help assess the patient's needs.
Covers the least level of equipment needed to help patient be mobile within his/her home and accomplish daily activities. Canes and crutches are the lowest level, followed by walkers, followed by manual wheelchairs, followed by scooters, followed by power wheelchairs. All items mention above requires a face-to-face evaluation by physician and a home evaluation.
Covered for patients with medical need, as are some medications and accessories.
Paid when needed to attach shoe to leg brace.
Covered for patients with colostomy, ileostomy or urostomy.
Covered for patients with significant hypoxemia when blood gas or oxygen levels indicate a need. Equipment rental paid for a limited time.
Covered if transfer between bed and chair requires assistance of more than one person and patient would otherwise be confined to bed. Electric lift mechanisms are not covered.
Several specific criteria. Mobilis can help assess patient's needs.
Bathroom safety equipment is not covered.
Mobilis can help determine coverage.
No Coverage
Many coverage criteria. All based on medical necessity.
For certain chronic pain lasting more than three months.
Shoes, inserts and modification are covered for diabetic patients with specific foot conditions.
Covered for permanent urinary incontinence.
No Coverage
Covers primary and secondary dressings. Must have surgery/debridement.
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The appearance of any equipment item above does not guarantee the item is available through your insurance carrier. All customers are encouraged to call Mobilis to verify insurance coverage on any item above.