FAQ
Medical equipment, insurance and supply questions
Coverage and documentation vary by item, insurance plan, prescription and location. These answers explain the usual process and where to verify the details for your situation.
Answers
Insurance & getting started
Coverage depends on the item, medical need, prescription or order, insurance plan and supplier rules. Original Medicare, Medicare Advantage, Medicaid and commercial plans do not all use the same criteria. We can help identify the information your plan may require, but coverage is confirmed by the plan.
Source: Medicare DME coverage
Some equipment and supplies require a prescription, written order or supporting medical records for insurance coverage. Other items may be available without one. The exact requirement depends on the item and your plan.
Sources: Medicare DME coverage; CMS documentation requirements
For coverage, a plan may require the item to be reasonable and necessary for the condition and to meet that plan's rules. A prescription alone does not guarantee coverage. Documentation, diagnosis, supplier and authorization requirements may also apply.
Sources: Medicare DME coverage; CMS documentation requirements
We review your request, text or call you, and get started. We work with your provider and insurance plan on coverage. On the welcome call, we confirm your order details and demographics.
Leave your name, phone and email in the secure contact form. No insurance or clinical details are collected in the form. We will follow up.
Answers
Ordering & service
Medically Modern DME is at 161 E Main St, Mount Kisco, NY 10549. Call (347) 817-1037 if you have a question before visiting.
Call (347) 817-1037. Ask about the item and delivery - we'll check your benefits for it.
The form asks for contact details: name, phone and email. It does not collect insurance or clinical details.
Refill and replacement timing depends on the item, current need and insurance rules. The supplier may need to confirm usage, quantity, documentation or eligibility before providing a refill.
Answers
Incontinence
Original Medicare generally does not cover disposable incontinence supplies such as adult diapers. A Medicare Advantage plan may offer additional benefits - ask us about that plan's current documents.
New York Medicaid may cover disposable diapers and liners when its medical-need and documentation requirements are met. Eligibility, product and quantity rules must be checked against current program guidance for the member. For more detail, see our guide to New York Medicaid incontinence supply coverage, including quantity limits and documentation requirements.
Sources: New York State Medicaid guidance; eMedNY 2026 product update
Compare how much urine you lose, comfort, cost, durability, ease of use, odor control and how often leakage happens during the day and night. A health care provider can provide a list of incontinence care products.
Adult diapers usually come in sizes such as small, medium, large and extra-large, and they should fit snugly. Compare available sizes and choose a comfortable fit. If you are unsure, ask a health care provider for help choosing an incontinence product.
Answers
Compression
Compression stockings come in different pressure levels and lengths, including knee-high and thigh-high. Ask your health care provider which kind is right for you.
Compression stockings come in different pressure levels, from light to strong. Ask your health care provider which pressure and stocking type are right for you.
Compression stockings gently squeeze the legs to help move blood upward and can help with leg swelling and aching or heavy feelings. A health care provider can tell you what kind of compression stocking is right for you. Medicare also has a benefit for certain lymphedema compression treatment items when its requirements are met.
Sources: MedlinePlus compression stockings; CMS lymphedema compression treatment items
Medicare covers certain lymphedema compression treatment items when its requirements are met. This does not mean every compression garment or reason for use is covered. Check the diagnosis, item, order, supplier and current plan rules.
Answers
CPAP & sleep
Coverage rules vary by plan. Original Medicare may cover a 12-week CPAP trial after an obstructive sleep apnea diagnosis. Continued coverage may require an in-person meeting with the provider and documentation that Medicare's conditions are met and the therapy is helping. A provider must prescribe the equipment for home use.
Source: Medicare CPAP coverage
Coverage requirements vary by plan. For Original Medicare, check the diagnosis and prescription requirements, the 12-week trial, and the in-person follow-up and medical-record documentation needed for continued coverage.
Source: Medicare CPAP coverage
Medicare may cover CPAP accessories when its requirements are met. Other plans may use different rules - ask us about your plan's current policy.
Source: Medicare CPAP coverage
A CPAP mask may fit over the nose or over the nose and mouth. Getting used to a mask can take time. Your health care provider can help you find a comfortable mask that works for you.
Source: NHLBI CPAP guide
Dry mouth and mask irritation can occur with CPAP. Ask your health care provider for help relieving these symptoms, finding a comfortable mask, using the humidifier chamber or adjusting pressure settings. Clean the mask and tube every day.
Source: NHLBI CPAP guide
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