Frequently Asked Questions
Here you will find answers to many commonly asked questions. If you have other questions or need assistance, please contact us.
|Q: Does my insurance pay for my power wheelchair or scooter?|
A: Yes, in most cases most insurance companies have a power mobility provision benefit, provided the beneficiary meets the qualifications. These qualifications are usually based on serving 3 major life functions: toileting, eating, and sleeping. Insurance companies will typically cover the least costly device that will get someone, independently and safely to the bedroom, the kitchen, and the bathroom.
A: This depends on the type of mobility device, the insurance company, and how long your doctor indicates you will need the device. Some insurance companies purchase the device while others will opt to rent it.
A: Our goal is to get the equipment to you as quickly as possible. There are many factors that will speed up or slow down the process, such as how complex your needs are, how quickly paperwork is completed, and promptness of the insurance company. Family Home Medical is noted for being the fastest in the region in providing for these needs. If you would like more information on the process please call our Rehab coordinators.
A: Insurance companies differ, but most will pay for the least costly device that will independently and safely get someone to the bedroom, the bathroom, and the kitchen. This serves the 3 major life functions of eating, sleeping and toileting.
A: Yes, the equipment can be used outside. Most of the insurances look for the equipment to be used inside the home to help with the 3 major life functions of eating, sleeping, and toileting.
A: The ordering process begins with a physician’s order (prescription) for a power mobility device.
|Step 1 – Initial Evaluation: This consists of a team meeting that includes the patient, caregivers, family members, a physical or occupational therapist, and one of Family Home Medicals ATPs (Assistive Technology Provider). This team will identify lifestyle objectives, the patient’s environment, clinical knowledge of the disability, the future prognosis, and the individual patient’s physicality. Armed with this knowledge our ATP will work within the insurance companys’ parameters to identify the best unit and the components that will make up the mobility system.Step 2 - Approx. 15-30 days: Once our ATP has identified the system and the billable items on it, the clinician will create a letter of medical necessity that addresses the need for each of these components. We will then ensure that all of the required information has been received in order for the physician to sign and approve the paperwork.Step 3 - Approx. 10-30 days: We will work with your insurance company to get the approval for your equipment.Step 4 - Approx. 5 days: We will notify you of any out of pocket expenses such as deductibles, co-pays, or financial responsibilities that will need to be paid at time of delivery. Family Home Medical will not order the equipment until we have verbal approval from you.
Step 5 - Approx. 10-25 days: We will order your equipment from the manufacturer(s) and wait until it arrives.
Step 6 - Approx. 5 days: We will receive, assemble, and customize your equipment.
Step 7 - Approx. 5 days: We will call you to schedule delivery. At delivery we will show you how to safely and effectively use your equipment. If there are any problems after delivery we are just a phone call away.
A: Our service department is committed to repairing or servicing all the equipment that we supply. Please call and make an appointment with one of our certified technicians and we will be happy to assist you.
A: Expenses will vary from policy to policy; very often our products are fully covered with the proper medical documentation.
A: We accept most major insurance companies and policies. Our Rehab Coordinators will check with your insurance to make sure that your policy will cover the equipment with the proper medical documentation.
A: The “rule of thumb” to replace power mobility devices used to be every 5 years. However, some insurance companies are rethinking this as more and more cases arise where the cost of repairs would outweigh the cost of replacement. Also, if the patients’ needs have become more demanding and the old mobility device will no longer meet these needs, or if there has been a change in diagnosis, these changes will often satisfy the requirement for replacing your original device.