A physician must write a prescription for a Durable Medical Equipment (DME) & Supplies. DME equipment items are Wheelchairs, Walkers, Hospital Beds, and Diabetic Supplies etc... The prescription needs a Diagnosis and length of need. A written prescription is required prior to delivery.
Medicare, Medicaid, and Commercial Insurance
Certain insurance polices may pay for your DME Equipment & Supplies, but payment is based on diagnosis, and other information. The information listed below will help you to determine insurance coverage.
Medicare – In addition to a prescription, Medicare requires that your DME Equipment is to be used in hour home. Medicare covers only equipment that is medically necessary. Some equipment is considered convenience items and will not be covered. Our Customer Service Representative will help you with any coverage questions. DME requirements are as follows;
- Complete description of equipment & supplies
- Length of need
- Physicians Signature
Third Party Insurances- All third party insurances require a prescription as described above. Requirements for DME Equipment & supplies are different for each insurance plan. We will contact your insurance company for you and request benefit coverage, and obtain prior authorization if needed.
Mass Health – Some DME Equipment & Supplies need Prior-Authorization. Prescriptions must be within 30 days of the initial date of request, and written on the physicians prescription pad or letterhead. In some instance a letter of medical necessity is also required.
The prescription requirements are very strict and must contain the following information written on the physicians prescription pad;
- The recipients name, address and MassHealth number
- The DME Equipment and/or Supplies requested
- The diagnosis associated with the prescribed item
- Where the equipment is to be used
- The estimated length of time that the equipment will be used
- The prescriber’s address and telephone number
- Signature and date of the prescriber