FAQ of Durable Medical Equipment

Frequently Asked Questions

Durable medical equipment is any medical equipment used to aid in a better quality of life. The DME we specialize in is in “off the shelf” orthotic bracing, which is becoming an excellent alternative to other treatments available. DME is typically a one time cost, if any, and the patient does not have to concern themselves with the potential and harmful side effects often associated with opiates, surgery and addictive treatments or prescriptions. DME is an effective painless way to reduce pain and improve the quality of your life. DME is used to provide additional support and care to patients outside of the hospital environment and is designed to support both temporary and permanent conditions.

Once we have verified your individual insurance, which will determine your coverage, received your approval and receipt of the necessary documentation, About You Medical will file a claim with your insurance provider for reimbursement. Claims filed and approved by Medicare cover up to 80% of product cost (less any deductible). The remaining 20% is potentially paid by your secondary provider, if you have secondary coverage. Ultimately, you are responsible for the 20%. Plans vary based on your individual coverage and it is recommended you contact us before considering an order. Private insurance programs and benefits vary and are specific to each individual plan. Reimbursements are dependent on the type of program, deductibles and eligibility.

All information is held confidentially and not released to any third party. About You Medical will ONLY use this information, with your approval to check to see if your insurance qualifies you for your product of interest.

You are not obligated in any way. Your call is confidential and we understand many patients simply want to see if they are eligible and if their insurance will cover the cost of their order. There is no obligation of any kind and it is entirely up to you if you want to order a product or not.

About You Medical has a “no questions asked” return policy. We encourage you to inspect the product(s), try them on to ensure comfort and fit. If for any reason you are not satisfied or wish to return the product(s), simply contact us within 5 days after your delivery and we will pick the product(s) up at our expense. All we ask is to ensure all the pieces and everything that came in the package are put back in the box. THAT’S IT!

Ordering is easy. Simply call our toll free number and have your insurance information handy. We can verify your insurance over the phone to see if you are covered. Then you can decide if you would like to order.

As a valued patient of Horizon Medical Care, we will assist you in verifying your insurance coverage for that product and ensure all the necessary paperwork is received so your claim can be processed efficiently and smoothly.

 

Eligibility for orthotic equipment will vary based on the type of equipment required. Typically braces can be replaced every 2-5 years depending on the product. It is recommended to contact us so we determine eligibility under your insurance plan.

All our products have been reviewed by Medicare and approved by Medicare for potential reimbursement but are subject to reimbursement based on your individual plan. All orders can be submitted for potential reimbursement by Medicare and/or private insurance when accompanied with the necessary documentation. Ultimately, approval will be determined by Medicare and/or your private insurance provider. Horizon Medical Care will work with you to ensure all appropriate documentation is completed and correct before submitting your claim on your behalf.