WE OFFER TWO METHODS TO GET YOUR INSURANCE TO COVER OUR CHAIRS. YOUR PERCENTAGE OF COVERAGE IS THE SAME FOR EITHER OPTION.
Medical Insurance Claim
TYPICAL TIME FRAME: 8-10 Months
We can bill over 2,500 insurance providers from National providers like Aetna, Cigna, BCBS, Humana, and UHC, to smaller regional providers in local areas. We work with you EVERY step of the way to get our chair covered by your insurance.
Why does an Insurance Claim take 8-10 months to process?
Insurance Providers are trying to determine IF you really need a folding electric wheelchair. Providers may ask you for the following during the lengthy claim process: copy of medical records, doctor’s letter of recommendation, doctor’s prescription, prior authorization, a home evaluation, a physical therapists evaluation, a need’s assessment, or have you try a manual wheelchair for 30-days, etc. Completing all these tasks takes time to schedule, execute and repost back to your insurance, which is why the time frame is months and not days.
Do I need a Doctor's Prescription?
Yes, your Doctor will need to write you a script for a “Folding Electric Wheelchair”. Make sure your Doctor includes ALL your Diagnosis Codes on that script. Some Diagnosis Codes do not qualify for an electric wheelchair. So make sure you list everything that is going on with your condition on that script.
Do I need a Letter from My Doctor?
Maybe, not all insurance policies are the same. Some providers may require a “Letter of Medical Necessity”. This is very simple to get from your Doctor. Just call your Doctor’s office and ask them to write this letter for you, so your insurance understands why it is medically necessary for you to use a folding electric wheelchair.
Do I need Prior-Authorization?
That depends on how your insurance policy is structured. Most policies do not required prior-authorization for claim amounts under $5,000. To be on the safe side, call your insurance provider to ask them if your policy requires it.
What is your NPI?
NPI #: 1316489412
Medical Reimbursement
TYPICAL TIME FRAME: 7-10 Days
As a registered provider for over 2,500 companies we can help you fast track your claim. We create all the claim paperwork for you, so your chair ships tomorrow and your insurance payment arrives in days, not months like a traditional claim.
Why does Medical Reimbursement only take 7-10 days to process?
People DO NOT buy wheelchairs for fun! We purchase certain types of wheelchairs out of necessity. During a traditional claim process your Insurance Provider is trying to decide if you need our wheelchair. Medical Reimbursement tells your insurance provider the exact type of wheelchair you want to help make your life easier.
We will create the Medical Reimbursement Paperwork for you. Then you will submit that paperwork after you purchase to your Insurance. We will also EDI (electronically batch) our side of that paperwork to your Insurance. Once your Insurance has both sides of the paperwork, they will send you a reimbursement check within 7-10 days.
Do I need a Doctor's Prescription?
No, you spending your hard earned dollars on an electric wheelchair proves medical necessity.
Do I need a Letter from My Doctor?
Maybe, not all insurance policies are the same. Some providers may require a “Letter of Medical Necessity”. This is very simple to get from your Doctor. Just call your Doctor’s office and ask them to write this letter for you, so your insurance understands why it is medically necessary for you to use a folding electric wheelchair.
Do I need Prior-Authorization?
That depends on how your insurance policy is structured. Most policies do not required prior-authorization for claim amounts under $5,000. To be on the safe side, call your insurance provider to ask them if your policy requires it.
What is your NPI?
NPI #: 1316489412
Patient Financial Responsibility Insurance Disclaimer:
The Patient’s health insurance company or governmental program policy determines the covered amount available due to the Patient’s policy limitations, and their medical necessity that is determined by the Patient’s Physician. Not all insurance policies are the same, and not all approvals are for the medical durable equipment that FOLD & GO WHEELCHAIRS® provides. Any medical equipment costs not covered by the Patient’s insurance are the responsibility of the Patient, and not the responsibility of FOLD & GO WHEELCHAIRS®. This includes ANY co-pays, deductibles, and non-covered portions. If any uncovered amounts are above and beyond the costs deemed allowable by any insurance or governmental standards or guidelines, the patient accepts full responsibility to cover these overages and FOLD & GO WHEELCHAIRS® cannot be held liable for these pricing differences. All FOLD & GO WHEELCHAIRS® prices are listed upfront and in full view of anyone looking at the website. All FOLD & GO WHEELCHAIRS® pricing is within the industry standards for lightweight, foldable, weatherproof, electric wheelchairs, and may not adhere to the outdated governmental or insurance standards for actual product costs.