Frequently Asked Questions (FAQs)
Below you’ll find Frequently Asked Questions regarding home medical equipment. If you can’t find an answer to your question or need more assistance, please contact our customer service team.
How will I know if my item is covered?
If your supplier is a Medicare-enrolled supplier, they’ll know if Medicare covers your item. Medicare only buys inexpensive or routinely bought items, like canes, walkers, and, in rare cases, items that must be made specifically for you, like power wheelchairs.
If you own Medicare-covered equipment, Medicare may also cover repairs and replacement parts. Medicare will pay 80% of the Medicare-approved amount for repairs. Your costs may be higher if the supplier doesn’t accept assignment.
Note: The equipment you buy may be replaced if it’s lost, stolen, damaged beyond repair, or used for more than the reasonable useful lifetime of the equipment, generally five years from the date you received the item.
If you rent equipment, Medicare makes monthly payments for the equipment. The rules for how long monthly payments continue vary based on the equipment. Total rental payments for items are limited to the fee Medicare sets to buy the item. If you need these items for more than a few months, you may buy these items rather than rent them. Monthly payments for frequently serviced items are made as long as the equipment is medically necessary. Medicare pays the other 80%, you pay 20% after you pay your Medicare Part B deductible for the year. The supplier will pick up the equipment when you no longer need it. Any costs for repairs or replacement parts for the rented equipment are the supplier’s responsibility. The supplier will also pick up the rented equipment if it needs repairs.
If I have Medicare, how do I get the equipment I need?
If you need equipment in your home, your doctor or treating practitioner must prescribe the equipment you need by filling out an order. For some equipment, Medicare may also require your doctor to provide documentation of your medical need for the equipment. Your supplier will make sure your doctor submits all required information. If your needs and/or condition changes, your doctor must complete and submit an updated order.
Medicare only covers equipment if you get it from a supplier enrolled in Medicare.
To find a supplier that’s enrolled in Medicare, visit Medicare.gov/ supplier directory. Or, call 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
A supplier enrolled in Medicare must meet strict standards to qualify for a Medicare supplier number. If your supplier doesn’t have a supplier number, Medicare won’t pay your claim, even if your supplier is a large chain or department store that sells more than just DME.
How long will it take to receive my equipment?
Once you have placed your order and it has been processed, our dispatch department will contact you to confirm your order details and provide shipping and delivery information.
How to file a complaint?
If you believe you’ve been subjected to discrimination in a CMS program or activity, there are 3 ways to file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights:
1. Online at hhs.gov/civil-rights/filing-a-complaint/complaint-process/index.html.
2. By phone – Call 1-800-368-1019. TDD user can call 1-800-537-7697.
3. In writing – Send information about your complaint to:
Office for Civil Rights U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201
How long has Med-Care DME been in busness?
Med-Care DME has been in Business since 1988.
Do you move and/or haul away old equipment?
Our technicians are not allowed to move any existing furniture or equipment. We also do not haul away any old equipment.
Can you help move patients?
Our technicians specialized in setting up our equipment. Because of their focus on the delivery and installation of equipment, our technicians cannot assist with moving patients.
Do you provide electric wheelchairs and scooters?
We do offer a full selection of mobility items. Please contact us for a complete list of available mobility products. Please note that insurance coverage of these items varies and is dependent upon the specific policy.
Can I rent equipment by the day or week?
Because we bill rental equipment on a month-to-month basis, we cannot prorate charges or bill for shorter increments.
What types of business line does Med-Care DME accept?
Our inventory of home medical equipment and healthcare supplies are selected to best meet your health and lifestyle needs. All of then covered by Medicare and most other insurance companies.
What patients demographics do you serve?
Med-Care DME serves all ages, pediatrics and adults.
What equipment and supplies are you able to supply?
Med-Care DME is licensed to serve patients in all DME categories including Clinical Respiratory, Patient Monitoring Devices, Oxygen, Custom mobility, Standard DME, Medical Supplies, Incontinence, Wound Care Supplies and other Patient ADL Devices.
What licenses and certificates does Med-Care DME obtain?
Med-Care is CHAP Accredited and possesses a Florida DME license and Retail Oxygen Permit, Medicare Certified, Medicaid certified.
Does Med-Care have a licensed staff?
Med-Care DME’s employees are Licensed and Certified Respiratory Therapists.
What area in Florida does Med-Care DME provide DME service?
Servicing Miami-Dade, Broward, Monroe and Palm Beach counties.
What does Medicare Cover [DME]?
DURABLE MEDICAL EQUIPMENT
- Pressure reducing beds, mattresses, and mattress overlays used to prevent bed sores
- Blood sugar monitors
- Blood sugar (glucose) test strips
- Canes (however, white canes for the blind aren’t covered)
- Commode chairs
- Continuous passive motion (CPM) machines
- Hospital beds
- Infusion pumps and supplies (when necessary to administer certain drugs)
- Manual wheelchairs and power mobility devices (power wheelchairs or scooters needed for use inside the home)
- Nebulizers and some nebulizer medications (if reasonable and necessary)
- Oxygen equipment and accessories
- Patient lifts (a medical device used to lift you from a bed or wheelchair)
- Sleep apnea and Continuous Positive Airway Pressure (CPAP) devices and accessories
- Suction pumps
- Traction equipment
What do I pay?
Generally, you pay 20% of the Medicare-approved amount after you pay your Medicare Part B deductible for the year. Medicare pays the other 80%. The Medicare-approved amount is the lower of the actual charge for the item or the fee Medicare sets for the item.
However, the amount you pay may vary because Medicare pays for different kinds of DME in different ways. You may be able to rent or buy the equipment.
What if I need DME and I’m in a Medicare Advantage Plan?
Medicare Advantage Plans (like an HMO or PPO) must cover the same items and services as Original Medicare. Your costs will depend on which plan you choose. If you’re in a Medicare Advantage Plan and you need DME, call your plan to find out if the equipment is covered and how much you’ll have to pay.
If you’re getting home care or using medical equipment and you choose to join a new Medicare Advantage Plan, you should call the new plan as soon as possible and ask for “utilization management.” They can tell you if your equipment is covered and how much it will cost. If you return to Original Medicare, you should tell your supplier to bill Medicare directly after the date your coverage in the Medicare Advantage Plan ends.
Note: If your plan leaves Medicare and you’re using medical equipment like oxygen or a wheelchair, call the phone number on your Medicare Advantage Plan card. Ask for “utilization management”. They can tell you how you can get care under Original Medicare or a new Medicare Advantage Plan V.
What does Medicare Cover [Prosthetic & Orthotic Items]?
Our technicians are not allowed to move any existing furniture or equipment. We also do not haul away any old equipment.
How does Medicare pay the supplier for the oxygen equipment and related supplies?
If you have Medicare and use oxygen, you can rent oxygen equipment from a supplier for as long as you have a medical need, but payments for the equipment stop after 36 months of continuous use. After 36 months, your supplier must continue to provide oxygen equipment and related supplies for an additional 24 months. Your supplier must provide equipment and supplies for up to a total of 5 years, as long as you have a medical need for oxygen.
How do I pay the supplier? What does the rental payment cover?
The monthly rental payments to the supplier cover your oxygen equipment, and any supplies and accessories, like tubing or a mouthpiece, oxygen contents, maintenance, servicing, and repairs. If you use portable oxygen equipment, there is a separate monthly payment made in addition to the general monthly payment, which also ends after 36 months. In both cases, you pay 20% of the Medicare-approved amount after you pay your Medicare Part B deductible for the year. Medicare pays the other 80%.
What happens with my oxygen equipment and related services after the 36 months of rental payments?
Your supplier must continue to maintain the oxygen equipment (in good working order) and furnish the equipment and any necessary supplies and accessories, as long as you need it until the 5-year period ends. The supplier can’t charge you for performing these services.
If you use oxygen tanks or cylinders that need delivery of gaseous or liquid oxygen contents, Medicare will continue to pay each month for the delivery of contents after the 36-month rental period. The supplier that delivers this equipment to you in the last month of the 36-month rental period must provide these items, as long as you medically need them, up to 5 years.
The supplier owns the equipment during the entire 5-year period. If you use either an oxygen concentrator or equipment used to fill portable tanks in your home, you may have to pay a maintenance and servicing payment every 6 months if the supplier comes to your house to inspect and service the equipment. The supplier can’t charge you for this service unless they come to your home to inspect and service the equipment.
What happens if the equipment I have is no longer effective for me?
If your doctor decides that your oxygen equipment is no longer effective for you, he or she may notify the oxygen supplier with a new letter of medical necessity for different equipment. The oxygen supplier must give you equipment that fits your needs.
What if my oxygen supplier tells me they’ll no longer provide liquid oxygen?
If your supplier tells you they’ll no longer provide your prescribed therapy, and you haven’t completed your 5-year contract, you should:
- Get the oxygen supplier to put their intentions in writing.
- Call 1-800-MEDICARE (1-800-633-4227) to file a complaint. TTY users can call 1-877-486-2048.
If I travel my plane, is my oxygen supplier required to provide a portable oxygen concentrator?
Your oxygen supplier isn’t required to give you an airline-approved portable oxygen concentrator, and Medicare won’t pay for any oxygen related to air travel. You may be able to rent a portable oxygen concentrator from your supplier. Also, rentals are available through online companies that work with most airlines. These companies can give the documentation needed for your travel.
What if I’m away from home for an extended period or I move to another area during the 36-month period?
If you travel away from home for an extended period of time (several weeks or months) or permanently move to another area during the 36-month rental period, ask your current supplier if they can help you find a supplier in the new area. If your supplier can’t help you find an oxygen supplier in the area where you’re visiting or moving to, visit Medicare.gov/supplier directory or call 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
Reimbursement Assistance Programs
As a patient, navigating your way through the ever-changing healthcare world can be overwhelming, frustrating and confusing at times.
At Med-Care, we have an entire Reimbursement Team whose role is to make sure you’re getting the most out of your insurance and associated benefits.
We will even assist you in enrolling in assistance programs.
- Med-care’s reimbursement representatives are available during regular business hours for questions about your coverage or insurance concerns.
- Med-Care accepts most prescription drug plans and will enroll in any new plan to help service our patients.
- We will bill your plan directly.
- Med-Care accepts most state Medicaid and funding programs.
- Med-Care bills Medicare directly for any Medicare covered medications.
- Med-Care accepts payment directly from insurance companies eliminating the need for patients to pay for prescriptions up front. Patients pay only their copay and/or deductible amounts.
- Med-Care will help enroll the patient in any available copay or patient assistance program if the patient qualifies.
Patient Assistance Resources
- Partnership for Prescription Assistance
- Patient Advocate Foundation
- Patient Access Network Foundation
- Patient Assistance Services
- Patient Assistance Program Search
- PSI, Patient Services Incorporated
Med-Care will help identify available copay or patient assistance program if the patient qualifies.