Insurance and equipment questions, answered plainly

Nine categories: diabetic supplies including CGMs and insulin pumps, CPAP and respiratory therapy, wheelchairs and mobility scooters, hospital beds and home safety equipment, incontinence supplies, catheters and ostomy supplies, compression and wound care, bracing and mastectomy products, and breast pumps.

We're in-network with Medicare, New York Medicaid and Medicaid managed care, and major commercial carriers including Humana, UnitedHealthcare, Anthem, Aetna, Fidelis Care, and NYSHIP. Submit the coverage form and we'll verify your plan for your specific category.

Yes. Part B covers hospital beds, wheelchairs and scooters, CPAP, CGMs, catheters, ostomy supplies, braces, and more at 80% of the allowable after your deductible when medical necessity is documented. A supplement, Medicare Advantage plan, or Medicaid typically covers the rest.

Incontinence supplies are the big one, Original Medicare doesn't cover adult diapers or pads, while New York Medicaid and managed care plans generally do. Medicaid also frequently covers bath safety equipment Medicare treats as a comfort item.

The five boroughs, Long Island, Westchester County, Putnam County, and Dutchess County, including Poughkeepsie, with our showroom in Mount Kisco. Eligible supplies can be shipped statewide. Items requiring measurement, customization, fitting, or adjustment are handled through an in-person delivery or fitting process.

We verify your current benefits and provide an estimate of your expected out-of-pocket cost before shipment. Benefit information is not a guarantee of payment; final coverage and patient responsibility are determined when your plan processes the claim. After the Part B deductible, patients generally owe 20% of the Medicare-approved amount unless secondary coverage pays it. If your plan doesn't cover an item, we say so and quote a self-pay price instead.

Most covered equipment requires one. If you have a current prescription we can usually work from it; otherwise we contact your prescriber and request what your plan needs, including chart notes.

Submit the coverage form and we coordinate the transition to reduce the risk of a gap. We check five things: the ownership or rental status of your current equipment, your current supplier's last date of service, your same-or-similar equipment history, whether your prescription and chart notes are still valid, and our network and authorization status with your plan.

We track when you may be eligible for a refill and contact you before each cycle. Nothing ships until you or your representative confirms that it is needed. Eligibility cycles are commonly monthly for incontinence, catheter, ostomy, and wound supplies, and every 30 to 90 days for CGM sensors and CPAP supplies.

Many preventable delays involve missing documentation, prior authorization, quantity limits, or supplier participation; some denials reflect true exclusions or unmet criteria. We support or submit an appeal where permitted and authorized.

Simple items often ship in a few days. Equipment requiring prior authorization, such as power mobility, typically takes two to four weeks depending on how quickly documentation arrives.

We use your information to verify benefits and, if you choose to proceed, to coordinate documentation, fulfillment, billing, and support. See our Privacy Policy and Notice of Privacy Practices. Shipments arrive in discreet packaging.