IMPORTANT MEDICARE / MEDICAID INFORMATION

Please read the following:

Many families and individuals do not have adequate medical insurance and/or Medicare / Medicaid coverage for durable medical products and/or health care products and supplies. Often the cost of products and supplies are only partially paid for or totally excluded. Check the list below before ordering. If the item(s) you want to purchase are on the excluded list, you will need to pay for them personally. You can submit receipts for reimbursement, however, we can make no guarantee as to whether your Supplemental Insurance Carrier or HMO will reimburse your expenses.

That's another reason why we are here... to fill your need for durable medical goods at prices you can afford. We can compare costs for you by calling your local Home Health Retail Store and pricing the item you want to purchase and then giving you a substantial discount over their best price. It's our way, at R&D Medical, to help cut the high cost of medical and health care.

Items Required for Medicare/Medicaid Assistance

Prescription

Required Documentation: A Certificate of Medical Necessity (CMN) completed, signed and dated by the patient's physician, must be kept on file by the supplier.

Note: The CMN certificate for manual wheelchairs is HCFA Form 844.

(CLICK HERE FOR HAFA FORM 844)

For you to receive Medicare / Medicaid Assistance you must have your doctor's prescription for the items(s) you want to purchase. Not all items are Medical and Home Health Products are covered by Medicare / Medicaid or your HMO. Read the listing of items below that are excluded from Medicare / Medicaid coverage. If Medicare / Medicaid do not cover the item, your Supplemental Insurance or HMO will probably not cover the item either.

For items excluded from Medicare / Medicaid Coverage:

(CLICK HERE TO GO TO THE MEDICARE SITE)

IF YOU HAVE DETERMINED COVERAGE CAN BE EXTENDED START THE APPLICAION PROCESS WITH R&D MEDICAL.

CLICK HERE TO START APPLICATION PROCESS

Please click the above link and provide the information requested completely. One of our Home Health Products Professionals will contact you and complete the Medicare / Medicaid processing over the telephone.

IF YOU NEED MORE INFORMATION ABOUT:

MEDICARE COVERAGE CRITERIA CLICK HERE

FREQUENT MEDICARE COVERAGE CRITERIA ANSWERS

Wheelchairs and Medicare Coverage Criteria...

Will Medicare pay for your manual wheelchair?

No. Manual wheelchairs are a capped rental item. Which means Medicare will pay 80% of the monthly rental on a wheelchair as long as you qualify.

A standard wheelchair is covered only when:
The patient's condition is such that he/she requires the use of a wheelchair to move around their residence.

A lightweight wheelchair is only covered when:
The patient cannot adequately self-propel themselves (without being pushed by a care giver) in a standard weight wheelchair.

A high strength lightweight wheelchair is only covered when:
1. The patient is self-propelled while in the wheelchair and engaging in frequent activities that can not be performed in a standard or lighter weight wheelchair, and/or
2. The patient requires a seat width, depth or height that is not available in a standard, lightweight or hemi-wheelchair, and the patient sits a minimum of at least two hours per day in the wheelchair.

NOTE:A heavy duty wheelchair is only covered if the patient weighs in excess of 250 pounds or if the patient has a severe level of spasticity.

An extra heavy-duty wheelchair is covered only if the patient weighs in excess of 300 pounds.

A custom wheelchair base is covered by Medicare only if the feature is not available as an option to a standard manufactured base.