Tips & Advice
What is a DME claim?
A durable medical equipment (DME) claim is a form you fill out to get reimbursed for expenses that you paid for and are covered by insurance. If you bought something directly from the supplier, and it qualifies, you can be reimbursed by Medicaid insurance.
Which medical supplies are covered through Medicaid?
Medicaid will cover necessary durable medical equipment that your doctor prescribes for your in-home use. They must be durable, used for a medical reason, not typically useful to someone who isn’t sick or injured (like crutches or a wheelchair), is used in the home, and has a minimum of a three-year life expectancy. If your condition has extenuating circumstances, you can file a claim or speak to a Medicaid rep to discuss your options.
What are consumable medical supplies?
Consumable medical supplies are either disposable, or unable to withstand repeated use. They are items that get used up, and generally fall into the categories of bandages, antiseptics, and skin preparations. These are usually one-off products that cannot be reused.
Are medical supplies covered by insurance?
Most insurance companies and policies cover equipment that is prescribed by a doctor to treat or assist a patient in need. There can be exceptions and coverage might not necessarily be 100%, so the only way to know for sure r is to consult your policy or insurance rep. Most items of real need are covered. Supplemental insurance can offset many costs not covered by a standard policy. The good news is that if a doctor prescribed it, you are likely covered.
What is durable medical equipment?
There are two main types of medical equipment: disposable and durable. Durable medical equipment provides therapeutic benefits to a patient who is in need because of an illness or medical condition. Durables are usually reusable items, including beds, wheelchairs, breathing machines, canes or crutches, and monitors.
How much does a urology appointment cost?
There is no set cost on a urology appointment, and some start at $100 and can go up. Rates vary with each doctor and office and by services rendered. When asking a physician, find out if lab work is included in a quoted cost or is extra.
Prostate cancer is cancer of the male’s prostate gland – the glands associated with reproduction. It is one of the most common cancers in men. If diagnosed early, it is also one of the most treatable.
Is it necessary to get a referral to see a urologist?
Some insurance plans require a referral from a primary doctor if you want them to cover the costs. For other insurance plans, it is not necessary to get a referral to see a urologist.
What tests do urologists provide?
A urologist provides a variety of tests, starting with the testing of blood and urine samples that provide information not available in a physical exam. In men, they test for PSAs (a prostate-specific antigen) in the prostate, blood counts and kidney function. Additional image testing or (sonography) of the kidney, bladder, and prostate might be needed. A cystoscopy is a procedure that allows the doctor to examine and test the lower urinary tract (bladder etc.) for cancer. Organ and prostate biopsies, renal angiograms, and urine flow tests are also common tests readily available.
What does a urology exam entail?
A urology exam will depend on your specific condition. You can expect the standard paperwork plus a questionnaire that asks about your symptoms. You will very likely be giving a urine sample and exam is typical. The rest of the exam will depend on whether you are male or female, and what your specific needs are. Rectal (and prostate exam and/or tests for men), blood tests, imaging of organs, and other tests might be needed based on the diagnosis.