Does Blue Cross Blue Shield cover durable medical equipment?
BCBSNC will provide coverage for Durable Medical Equipment when it is determined to be medically necessary because the medical criteria and guidelines for its use are met. BCBSNC will provide coverage for Repairs, Maintenance and Replacement of eligible DME when it is necessary to make the equipment usable.
What falls under durable medical equipment?
Durable medical equipment (DME) is equipment that helps you complete your daily activities. It includes a variety of items, such as walkers, wheelchairs, and oxygen tanks.
What is considered a DME?
Equipment and supplies ordered by a health care provider for everyday or extended use. Coverage for DME may include: oxygen equipment, wheelchairs, crutches or blood testing strips for diabetics.
How do I get DME?
How to Become a DME Supplier: The Basic Process
- Apply for a National Provider Identification (NPI) number.
- Verify your compliance with CMS quality standards.
- Apply for accreditation through an approved DME accreditation organization.
- Purchase a DMEPOS surety bond and enroll for Medicare billing privileges through CMS.
Is CPAP considered DME?
There’s some good news right off the bat; CPAP equipment is classified as “durable medical equipment.” Skipping over the boring insurance terminology, what this means for you is: most insurance providers (including Medicaid and Medicare) will not only cover your CPAP machine, but also the mask, filters, tubing, and …
Does insurance pay for durable medical equipment?
Medicare and Medicaid both offer DME coverage. Private health insurance plans are not required to cover DME, but many do, so you’ll need to check with your plan provider. If your coverage does include it, you will typically need to get a prescription from your doctor.
When an equipment can be considered as a DME?
Medicare considers DME as any equipment that can withstand repeated use when used for a medical reason. The equipment must have an expected lifetime of three years and it must not be considered useful to someone who is not sick or injured.
Is DME A medical device?
DME might sound straightforward since you already know what each word means, but it’s actually a specific term used by Medicare, Medicaid, and other insurance companies. In general, durable medical equipment is medically necessary supplies and devices that you can use over and over again.
What is a DME order?
DME Orders. Description. Medically necessary equipment (and the corresponding order) that a physician prescribes for use in a patient’s home, including wheelchairs, walkers, and hospital beds.
What is HME and DME?
HME / DMEPOS Within the US medical and insurance industries, the following acronyms are used to describe home medical equipment: DME: Durable Medical Equipment. HME: Home Medical Equipment. DMEPOS: Durable Medical Equipment, Prosthetics, Orthotics and Supplies.
How do I get a Medicare DME number?
DMEPOS suppliers must obtain their NPI prior to enrolling in the Medicare program. Enrolling in Medicare authorizes you to bill and be paid for services furnished to Medicare beneficiaries. You may apply for an NPI at https://nppes.cms.hhs.gov or by calling the Enumerator at 1-800-465-3203 or TTY 1-800-692-2326.
Do DME suppliers need an NPI?
As mentioned in the paper entitled, “Medicare Expectations on Determination of Subparts by Medicare Organization Health Care Providers Who Are Covered Entities Under HIPAA,” Medicare DME suppliers are required to obtain an NPI for every location.
How many Blue Cross Blue Shield companies are there?
The Blue Cross Blue Shield Association is an association of 36 independent, locally operated Blue Cross and/or Blue Shield companies. © 2019 Blue Cross Blue Shield Association. All Rights Reserved. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies.
How to contact Blue Cross Blue Shield Medicare?
Each Blue Cross Blue Shield company is responsible for the information that it provides. For more information about Medicare including a complete listing of plans available in your service area, please contact the Medicare program at 1-800-MEDICARE (TTY users should call 1-877-486-2048) or visit www.medicare.gov .
Where can I find Blue SM provider directories?
Use the links below for easy access to provider directories and more. For Medicare Advantage Plus Blue SM members, please visit JVHL.org , questdiagnostics.com or Labcorp.com for the most updated laboratory directories.
Who is Blue Cross Blue Shield of Michigan?
*Blue Cross Blue Shield of Michigan and Blue Care Network use leased provider networks offered by United Concordia Companies, Inc. for its dental plans. FEP Standard Option Dental, FEP Basic Option Dental, BCN Advantage SM and Medicare Plus Blue PPO use the DenteMax networks. United Concordia Companies, Inc. and DenteMax are independent companies.