In most cases, when the bed is either prescribed by a physician or justified as Medically Necessary, health insurance may cover the bed as Durable Medical Equipment.
Your local Durable Medical Equipment (DME) provider can assist you in gathering the necessary documents to submit your health insurance claim. Please call us toll-free at 866-852-2337 if you need help in finding a local dealer near you.
In most cases State funded Medicaid, Medicaid Waiver Programs, Early & Periodic Screening & Diagnostic Treatment (EPSDT) Benefit and other state funded programs can cover a SleepSafe® Bed when justified as Medically Necessary.
Each State governs their own Medicaid program within Federal Guidelines so the requirements will differ from state to state. If your Medicaid claim has been denied, you may want to consider an appeal or to seek the advice of a legal advocate in your area. You can find out more information in “Insurance” section of our website.
It all depends on your health insurance.
Most of the time your insurance company will require prior authorization. What this means is that your dealer will need to submit a claim, a prescription from your doctor and a Letter of Medical Necessity to justify the purchase. After submitting the claim, they must wait for the insurance company to approve the purchase, BEFORE they will move forward and order the bed from us.
On our website, under ‘Letters of Medical Necessity’ you will find useful information including several example letters of medical necessity, guidelines to write your own and a link to help you with the appeals process when needed.
LMNbuilder.com can help your therapist or clinician write a letter for you. This web tool is invaluable when it comes to justifying a SleepSafe® bed and producing a high quality, very detailed Letter of Medical Necessity.
It all depends on your insurance company but most of the time your insurance company will require a prescription from your physician and many times a Letter of Medical Necessity to justify the purchase.
On our website, under ‘Letters of Medical Necessity’ you will find useful information including several example letters of medical necessity, guidelines to write your own and a link to help you with the appeals process when needed.
LMNbuilder.com can help your therapist or clinician write a letter for you. This web tool is invaluable when it comes to justifying a SleepSafe® bed and producing a high quality, very detailed Letter of Medical Necessity.
On our website, under ‘Letters of Medical Necessity’ you will find useful information including several example letters of medical necessity, guidelines to write your own and a link to help you with the appeals process when needed.
Being denied for an insurance claim initially is relatively common. You can find out more information by visiting the insurance section of our website. We have found that perseverance helps. Below are some additional notes you may find helpful.
Exercise your right to the appeals process. Be sure to document everything in detail. Stay within the published timeline for submission dates, deadlines, etc.
Inquire about your eligibility for Medicaid or a Medicaid Waiver Program. If your child is still a minor, you may want to inquire with Medicaid about the Early & Periodic Screening & Diagnostic Treatment (EPSDT) which may cover the cost of a bed when straight Medicaid will not.
Look to additional funding sources in your community such as non-profit organizations.
Being denied for an insurance claim initially is relatively common. You can find out more information by visiting the insurance section of our website. We have found that perseverance helps. Below are some additional notes you may find helpful.