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.
What should I expect from a physical therapy consultation?
At the first appointment with a physical therapist, Expect an overall assessment of your condition, which may include exercises to understand your range of motion, balance, and strength. Based on that information, the therapist can then design a regimen.
Do physical therapists make house calls?
Physical therapists can work in a variety of environments. While many choose to work in a physical therapy clinic, others will operate out of hospitals and are also able to make house calls to help patients who need in-home assistance and rehabilitation.
What are some physical therapy specialties?
Physical therapists can specialize in sports medicine, women's health, geriatric, neurologic, orthopedic, pediatric, and cardiovascular and pulmonary conditions, among others.
When should someone go see a physical therapist?
See a physical therapist following a serious muscle or bone injury, especially if pain doesn't go away within a few days, is recurring and dull, or is frequent and sharp. Book an appointment if medication is not helping or if your doctor recommends it.
Does medical insurance cover physical therapy?
The majority of health insurance plans do include physical therapy treatment, but the amount covered and the co-pay for patients varies person-to-person. Medicare and workers’ compensation both cover physical therapy.