FAQ: Medical Insurance

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Insurance Question A

Answer A
How do I qualify with my insurance for a pneumatic compression pump?

Pneumatic compression pumps are covered by most insurance companies if the patient suffers from lymphedema or chronic venous insufficiency with venous stasis ulcers.
What insurances do you accept?

We accept most insurances, including, Medicare and Blue Cross Blue Shield.
What insurances do you accept?

We accept most insurances, including, Medicare and Blue Cross Blue Shield.
How do I find out what my insurance will pay for the pneumatic compression pump?

Our billing staff will contact your insurance company to find out how much your insurance carrier will cover for the pump.
What is co-insurance?

Co-insurance is a provision by which the insured individual shares in the cost of certain expenses. For example: If your insurance company pays 80% of such expense your responsibility would be the remaining 20% of the cost.
I have a secondary insurance, will I still have to pay my co-insurance?

Most likely your secondary insurance will pick up the co-insurance costs.
Do you have a payment plan for co-insurance?

We prefer to collect the co-insurance at the time of set up, but we will allow a 3 month payment plan for qualified individuals.
Do insurance companies cover compression garments?

Most private insurance companies (BCBS) cover compression garments, but unfortunately Medicare does not cover compression garments.
Do you have a payment plan for patient's that do not have insurance?

We would require half of the amount down and the remaining will be billed to you for no longer then 6 months.
Am I able to walk around with the leg or arm sleeves that come with the pump?

No.
Can I let a family member or friend use my compression pump?

This equipment is prescribed strictly for single patient use and can only be used with a prescription.
If I no longer want to use my compression pump will you pick up the equipment and reimburse my insurance?

Yes.  We will pick up the equipment and reimburse the patients insurance but we will charge the patient or the patient’s insurance for the purchase price of the pneumatic compression sleeves as we are not able to bill for these sleeves once a patient has used them.
Can I wear my pneumatic compression pump sleeves without wearing something else to cover my leg(s) or arm(s)?

No.  A stockinet should be worn over the affected limb while pumping to absorb any perspiration or fluid weeping.  Your skin is susceptible to infection and we should cover your limbs as best we can.  If a stockinet is not available normal clothing will be sufficient as long as there isn’t an elastic band along the ankle or wrist that might restrict circulation.
Will using a compression therapy pump cause me to go to the bathroom more frequently?

Usually during the first couple of months patients will see an increase in urination but it will taper off after extended use and as the swelling decreases.
What do I do if I need to increase or decrease the compression? Will an Absolute Medical, Inc. representative come to the house to increase or decrease the compression?

At the time of your initial delivery an Absolute Medical, Inc. representative will demonstrate to the patient or a caregiver on how to properly increase and decrease the compression in case the ordering physician’s prescribed compression needs to be increased or decreased.  If for some reason the patient or caregiver is unable to perform this task an Absolute Medical, Inc. representative will come out to the patient’s home to demonstrate a second time.  If an Absolute Medical representative needs to be dispatched to a patients home for further demonstration the patient could be charged $50.00 for service call fee.
What happens if my pneumatic compression device malfunctions and the warranty has expired?

Please call us immediately so that we may deliver to you a replacement pump to borrow while your pump is sent back to the manufacturer for repairs.  If the malfunction occurs after the warranty has expired the patient will be charged for all repairs and shipping costs.
When am I qualified to receive a new pump if my first pump was paid for by Medicare?

Medicare will accept a claim for a new pneumatic compression pump after five years but it must be documented by the patient’s ordering physician why the newer compression pump is needed.
Can I use my compression pump if I have active cellulitis?

No.  Please ask your doctor.  In most cases a patient with cellulitis must be on antibiotics for a minimum of 24 hours prior to using his/her compression pump again.
How many hours should I wait between treatments.

Every patient is different so please ask your doctor for specific instructions on when he/she wants you to use your compression pump.  Most patients start off using the compression pump for 1-2 hours in the morning and 1-2 hours at night before bedtime.
Should I stop using the compression pump once my lymphedema decreases.

No.  Lymphedema currently requires lifetime treatment.  Once a patient has reached maximum reduction the patient might be able to maintain that reduction by only using his or her pump a few times a week.  Every patient is different and this decision should be made with a doctor or lymphedema therapist.
Is it okay to use my compression pump over my unna boot?

Please ask your doctor or nurse.
Can I use my compression pump over my compression stockings or arm sleeves?

It is not recommended.  Please ask your physician.
What is the recommended daily treatment time?

Treatment time is dictated by the patient’s physician.  Usually a minimum of 45 minutes is required per session with a maximum of 4 hours per session.  Your physician will instruct you on how long to use your pump for each session.
What happens if I fall asleep while I am using my compression therapy pump?

It is recommended to follow your physicians orders when using your compression pump.  Your pump should be set at the prescribed pressure.  Some compression pumps do not have automatic shut off systems so it is recommended that the patient use an alarm clock in case the patient falls asleep.
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