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Posts tagged: Insurance

Billing: What is “capped rental”? At what point do I actually own my equipment?

Certain medical equipment such as cpap machines, wheelchairs, and nebulizer machines are billed by Medicare using what is called “capped rental”. Capped rental means Medicare pays for the total cost of your equipment over a period of 13 months. During that time the equipment is considered a “rental”. If for some reason you no longer need that piece of equipment before the 13 month period is up, you’ll simply return the equipment to us and no more payments will be collected. After 13 months you own the equipment. 

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Billing: How do I change my address or insurance information?

If you have changed insurance companies, switched plans or coverage or have recently moved please contact our office. You may have received a bill due to this change taking place. If this is the case, as long as your plan’s coverage has not changed, your bill will be waived.

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Billing:  Why am I receiving this bill? 

There are several reasons why you may be receiving a bill for your equipment: You have not yet met the deductible for your plan. Once your deductible is met your insurance will kick in and being to pay for your equipment. Contact your insurance company for an explanation of benefits. ...

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Referrals:  What equipment is covered?

Referrals:  What equipment is covered?

Nearly all of our equipment is covered by insurance with a few exceptions. Some of these exceptions have to do with specific diagnosis restrictions (i.e. oxygen therapy orders with a diagnosis of pleural effusion are only covered when written from a medical office due to most insurance requirement that the...

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