Insurance Guide
Health insurance is commonly used to describe any program that helps pay for medical expenses. There are many different forms of health insurance and numerous plan types, most of which offer coverage for complex rehab technology and other wound care products Rehab Medical provides.
Medicare
The federal health insurance program for qualified individuals provides coverage based on medical necessity. Medicare covers 80% of the cost once Rehab Medical obtains the required medical documents from your physician. We will work with your physician to obtain these documents and to ensure your eligibility. Patients must have PART B benefits.
Medicaid
Each state-run Medicaid program has the freedom to set unique eligibility and coverage criteria for medical benefits. The process and medical criteria varies for each state, but coverage is generally provided for those with medical need. When it is provided, it is provided at 100%.
Commercial Health Plans
As one of the nation’s largest power wheelchair providers, Rehab Medical has become an in-network provider for most commercial health plans. Coverage and Criteria vary by plan and Rehab Medical’s Insurance experts work with physicians and patients to gather the necessary documentation to coordinate authorizations of medical equipment.
Rehab Medical has partnered with CareCredit to offer customers a solution for any out-of-pocket expenses. CareCredit offers promotional financing for transactions greater than or equal to $200 that includes no interest if paid in-full within 12 months, or an additional option for reduced APR with equal monthly payments for up to 24 months.
The application process is easy and customers can apply by clicking the button below or with a live agent, Monday through Friday from 9:00 a.m. - 9:00 p.m. (ET) at 800-677-0718.
Understanding the Insurance Process
Rehab Medical’s process to obtaining mobility equipment revolves around the patient’s insurance coverage as the majority of our products can be covered by insurance. Throughout the process of obtaining equipment, our insurance team is involved in every step, evaluation, medical documentation, authorizations, final fitting, and delivery. Once we receive a referral for equipment, our insurance team takes it through a three-step process:
Verification
This is where we check insurance benefits, insurance eligibility status, as well as equipment eligibility and qualification.
Prior Authorization
This stage involves our insurance team submitting your request to your insurance, getting approvals, reviewing documents, and creating your mobility equipment prescription. Depending on your insurance provider the approval process can take anywhere from 15 to 60 days. So, it’s important to make sure you have all the necessary paperwork up front to not delay the process.
Follow Up
In this stage, we check in on existing submissions then process approvals. If a submission gets denied, we will initiate an appeal process for approval.
Insurance Tips
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Providing both primary and secondary insurance information upfront helps to avoid unnecessary delays during the insurance process.
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Medicare covers the cost of one wheelchair within a 5-year period unless there is a change in your condition.
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If you have standard Medicare, we need your Medicare Beneficiary Identifier (MBI) to verify insurance coverage.
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Always contact your sales representative with questions regarding the insurance process.
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If you’re using insurance to cover the cost of rental equipment, please let us know if there are any changes to insurance coverage during the rental period so as not to disrupt coverage.