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Dealing with insurance & Medicare

650 bytes added, 03:50, 17 December 2023
Insurance and Medicare FAQs
</strong>The EOB provides you documentation of billed services, reimbursement by the insurance company, and your out-of-pocket expenses. Be sure to pay close attention to what the company billed your insurance company and what services were provided. It is a good idea to keep all of your EOBs on file for your future reference. Be sure to cross-reference this EOB to any bill you may receive from the DME company.<br />
 
<strong>My DME sent me a notice that my CPAP is a "Capped Rental". What does this mean?<br />
 
<strong>Medicare will pay a monthly rental fee for a period not to exceed 13 months. Original Medicare covers 80% of the cost of the monthly rental fee and the beneficiary or Advantage Plan will pay the 20% coinsurance. After the rental term ownership of the equipment is transferred to the Medicare beneficiary. During the rental period, copays and deductibles may apply. After ownership of the equipment is transferred to the Medicare beneficiary, it is the beneficiary’s responsibility to arrange for any required equipment service or repair.<br/>
<strong>My spouse is on CPAP and we have Medicare as our insurance provider. I received a letter from the DME requesting that I complete a patient statement regarding compliance and use of the equipment. Why does the DME need this information?</strong><br />
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