|Cervical Traction Device: Insurance Coverage & How to Get One
If you are on Medicare and have sustained neck pain and other similar injuries, recent injuries, or disability, you might be eligible for a Saunders Cervical Traction Device benefit. The cervical traction device documented in health authorities E0840, E0849, E0850, E0855, and E0860 is covered, unless the requirements for eligibility for coverage are met.
1. The beneficiary has a musculoskeletal or nerve disorder requiring traction devices.
2. The beneficiary has taken positive steps toward the appropriate use of a home cervical traction device and tolerated this solution well.
The Saunders Cervical Traction Device is a Durable Medical Equipment that is covered under your Medicare Part B. Getting your Saunders cervical traction device is never hard, you just need to talk to your doctor and find the right provider.
Medicare supports a variety of home-use durable medical equipment (DME). Traction devices, for example, might bring relaxation to particular regions of your body. It's crucial to make sure that your doctor who is prescribing the traction equipment and your supplier are both enrolled in Medicare, as it is with all other forms of DME. If they aren't, Part B won't assist pay for the gadget, and you'll be on the hook for the entire expense.
Different types of DME are also covered in different ways, so depending on what is available and what Medicare will cover, you may need to rent or buy the device.
If you are interested in acquiring your Saunders Cervical Traction Device, here’s how.
1. Check if the Device is covered by your insurance.
The first thing you need to do is to call your insurance and verify your coverage and eligibility. But here at Pro Therapy Supplies, we offer help to check that for you. It is also important to make sure that your coordination of benefits is updated.
Check to make sure you have met your Part B deductible. Medicare will not pay for the Traction Device until you have met your deductible. In 2022, the deductible is $233. This means you must have paid at least $233 of out-of-pocket medical expenses before the Medicare Part B coverage is applied to your Cervical Traction Device.
Deductibles can vary from year to year, so make sure you keep up to date on the latest information from Medicare through the official paperwork they send you or through their online website: https://www.medicare.gov/your-medicare-costs/index.html.
Know how much you are going to pay. Medicare will help cover your expenses, but it won't make the Traction Device-free in most cases. Assuming you meet the deductible, Medicare Part B will cover 80 percent of the Cervical Traction device cost, meaning you will pay 20 percent. But if you have secondary insurance, they may cover the remaining 20 percent depending on your plan.
2. Ask your doctor for a Prescription Schedule a Doctor’s appointment.
Medicare requires an order or a provider's prescription, along with a signed incepted Certificate of Medical Necessity from a physician, for your Cervical Traction Device. Your Physician needs to provide you with the necessary ruling in order to qualify for Medicare support. A face-to-face encounter or a clinical report is also required to support the medical necessity of the device.
Explain to your doctor why you need a Cervical Traction Device. Explain the specific issues you are having or tasks you cannot perform as a result of your condition. Provide your doctor with as much detail as possible in your answers. You will also want to be sure that a Traction Device will solve your issues.
Your prescribing physician should provide all this paperwork upon request in order to expedite the process:
> Signed Medical Necessity
> Doctor’s Note / Medical Record
> Device setup form containing the traction force and frequency of your home treatment
3. Order the Cervical Traction device from a reputable supplier.
Find a supplier approved by Medicare. Medicare will only pay for expenditures that they authorize, so get your Traction Device from a Medicare-approved medical supply shop. You may either call Medicare directly at 1-800-MEDICARE (1-800-633-4227) or browse their web directory at https://www.medicare.gov/SupplierDirectory/ to discover such businesses. You're looking for a provider of Durable Medical Equipment (DME).
4. Receive and use the Device
Once all coverage and eligibility checking is done, and all necessary paperwork is completed, all you need to do is to wait for your insured item within 2-5 business days. You will need to sign the delivery ticket upon the receipt of the item as this is also required by Medicare when submitting the claim.
Owning your Saunders Cervical Traction Device through your insurance needs not to be a complicated process. You can follow these easy steps and you can have the treatment for your neck pain and other similar disorders in the comfort of your home.
Pro Therapy Supplies provides assistance to those who want to get the Saunders Cervical Traction device through their Medicare and or Commercial / Private Insurance. Click through our website to learn more.