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Obtaining Insurance Payments, Including Medicare and Medicaid, for Infrex Plus or Tens Units and Supplies Print E-mail


  
 

  Generally speaking the Infrex Plus unit is classified as "durable medical equipment" which is the same as a hospital bed, toilet seat, wheelchair, etc. and if your policy has coverage for "DME" then you probably have coverage for the rental and purchase of the unit as well as all needed supplies.

 

   If you are part of a PPO, HMO, or similar set up you may hear that the supplier has to be "part of the network" in order for the equipment to be covered.  The Infrex Plus is the only unit in the U.S. of it's kind so there is no one in any network that has it.  In almost all cases the insurance company will pay for the unit since no "network provider" has it and they will purchase "out of network".  Our office works with your insurance company to provide you with the unit whenever possible.

   In some situations if the insurance company does not cover the cost of the Infrex Plus unit we will work with you and them to make sure you receive a simpler tens unit.  We find the interferential mode of the Infrex Plus to be the most effective for most of our patients so we always try to make sure you are getting the pain relief, and if the simple tens does not provide it, then we work harder to get you the Infrex Plus unit!!!

 

   If you are a Medicare eligible patient then we bill Medicare for a tens unit since the Infrex Plus has the tens mode along with the interferential mode.  As stated in our standing policy we will make sure we can help get you a unit.

  It's also important if you have insurance to get a purchase in your records of the Infrex Plus unit, or minimally a tens unit, so your topical pain products, electrodes, batteries, cables etc. will be covered for as long as you own the unit and have pain.  This is why we discourage patients from paying "out of pocket" for supplies etc. when we know they are generally covered by insurance and we want to minimize your out of pocket costs.

 

   For most other insurance companies including liability cases, worker's comp. etc. we are very familiar with working with them and will do so. 

 

   We want to work with you and your insurance company to make sure you are better off after using the Infrex Plus unit than you were before you ever discovered it.   All we want you to do is concentrate on minimizing or getting rid of your pain and we strive to help you. 


 

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