A Full Service Commitment to Quality Home Health Care Equipment and Supplies
Who qualifies for Medicare benefits?
The Different Benefits of Traditional Medicare
What Can You Expect to Pay for Medicare Part B Services?
Other possible costs:
Purpose of ABN
Durable Medical Equipment (DME) Defined
Understanding Assignment (a claim-by-claim contract)
Mandatory Submission of Claims
The role of the physician with respect to home medical equipment:
Prescriptions before Delivery:
How does Medicare pay for and allow you to use the equipment?
What is competitive bidding?
In many parts of the country, a new program called Competitive Bidding will require you to obtain certain medical equipment from specific, Medicare-contracted suppliers in order for Medicare to pay.
Please note: Due to program reform, there will be a temporary gap in the competitive bidding program for approximately two years beginning January 1, 2019 through December 31, 2020. During the gap you can secure all services from any-willing supplier and will not be limited to designated suppliers. The program is expected to resume in 2021. Your supplier can provide additional information when the program resumes.
Not all products are subject to competitive bidding in the same area. If you are located in a city where the program is in effect, you will need to obtain some or all of the following items from a contracted supplier:
Competitive Bidding areas are designated based on the zip code of your permanent residence on file with Social Security. To find out if your zip code is affected by Competitive Bidding, call 1-800-MEDICARE (1-800-4227). You may also visit Medicare.gov and lookup suppliers in your area by zip code (a notice will appear if your area is subject to Competitive Bidding). If medical equipment is marked with a yellow/orange star, it will need to be provided by a contracted supplier (also marked with an orange star). Throughout this guide, products that are potentially impacted by the competitive bidding program will be designated with a double asterisk **. Your supplier can assist you with answering your questions about competitive bidding and can address whether or not they have been contracted to provide the services you need if subject to competitive bid.
Below is a summary of the standards Medicare requires of home medical equipment suppliers. As an approved Medicare supplier, our company meets or exceeds all of these standards.
Bi-Level Devices/Respiratory Assist Devices**
** Some or all of the products in this category may be subject to competitive bidding depending on where you live. Ask your supplier for details.
Breast Prostheses
Cervical Traction
Commodes**
Compression Stockings
Continuous Positive Airway Pressure Devices (CPAPs and Bi-Level Devices for Obstructive Sleep Apnea)**
Continuous Positive Airway Pressure (CPAP) Devices are covered only if you have Obstructive Sleep Apnea (OSA).
Diabetic Supplies**
Glasses
Hospital Beds**
Lymphedema Pumps or Pneumatic Compression Devices
Medicare-covered drugs (other than Medicare Part D coverage)
Mobility Products: Canes, Walkers, Wheelchairs, and Scooters**
Nebulizers**
Non-covered items (partial listing):
Orthopedic Shoes
Ostomy Supplies
Oxygen**
Parenteral and Enteral therapy**
Patient Lifts**
Seat Lift Mechanisms or Lift Chairs**
Support Surfaces**
TENS Units**
Therapeutic Shoes
Urological Supplies
Additional Prostheses other than those listed below may be covered by Medicare. Talk to your supplier for specific details or questions regarding those items.
Eye Prostheses
Facial Prostheses
Lower Limb Prostheses
Non-covered items (partial listing)
Parenteral and Enteral Therapy**
Vacuum Erection Devices (VEDs)
Orthotics:
Ankle-Foot Orthoses (Braces)
Arm Supports and Slings
Clavicle/Shoulder Orthoses (Braces)
Elbow Orthoses (Braces)
Knee Orthoses (Braces)
Knee-Ankle-Foot Orthoses (Braces)
Cervical Orthoses (Neck Braces)
Spinal Orthoses (Back Braces)
Wrist and Forearm Orthoses (Braces)
In many parts of the country, a new program called Competitive Bidding will require you to obtain certain medical equipment from specific, Medicare-contracted suppliers in order for Medicare to pay. Not all products are subject to competitive bidding in the same area. If you are located in a city where the program is in effect, you will need to obtain some or all of the following items from a contracted supplier:
Competitive Bidding areas are designated based on the zip code of your permanent residence on file with Social Security. To find out if your zip code is affected by Competitive Bidding, call 1-800-MEDICARE (1-800-4227). You may also visit Medicare.gov and lookup suppliers in your area by zip code (a notice will appear if your area is subject to Competitive Bidding). If medical equipment is marked with a yellow/orange star, it will need to be provided by a contracted supplier (also marked with an orange star). Throughout this guide, products that are potentially impacted by the competitive bidding program will be designated with a double asterisk **. Your provider can assist you with answering your questions about competitive bidding and can address whether or not they have been contracted to provide the services you need if subject to competitive bid.
BiLevel Devices/Respiratory Assist Devices**
Positive Airway Pressure Devices (CPAPs and Bi-Level Devices for Obstructive Sleep Apnea)**
Lymphedema Pumps
Seat Lift Mechanisms**
Below is a summary of the standards Medicare requires of home medical equipment suppliers. As an approved Medicare provider, our company meets or exceeds all of these standards.