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About Medically Modern

A medical equipment company that handles the insurance for you

Most patients don't struggle to find equipment, they struggle to get it covered. We built Medically Modern DME around that problem: real benefits verification, documentation coordinated with your doctor, and refills we confirm with you before each cycle, across all nine categories we serve.

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How it works

Five steps, and we do four of them

  1. 1

    Tell us what you need

    One short form: your name, contact, carrier, and the category you're after. No portal, no fax machine, no hold music.

  2. 2

    We verify your benefits

    Our team runs a real eligibility check, deductible, coinsurance, quantity limits, and preferred brands. 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.

  3. 3

    We gather the documentation

    We identify the payer's documentation requirements, request the existing records, and ask the treating clinician to address any missing clinical elements based on their independent evaluation. We file prior authorization when your plan requires it, and we support or submit an appeal where permitted and authorized.

  4. 4

    Your equipment ships

    Devices arrive set up and ready, with fitting help where it matters, mobility, bracing, compression, and CPAP masks.

  5. 5

    Refills are confirmed, never automatic

    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. Consumables are scheduled to arrive before your current supply is expected to end, and we re-verify coverage each plan year.

Insurance simplified

What “covered” actually means

Coverage isn't a yes or no, it's a set of conditions. Many preventable delays involve missing documentation, prior authorization, quantity limits, or supplier participation; some denials reflect true exclusions or unmet criteria.

  • Medical necessity documentation

    Your plan needs your clinician's notes to show why the equipment is required, not just that it was requested.

  • Prior authorization

    Some categories, power mobility, certain braces, require approval before delivery. We file it and track it.

  • Quantity limits

    Plans cap monthly supplies. We bill the full allowance you qualify for and request increases with documentation.

  • In-network billing

    Using an out-of-network supplier is the most expensive mistake patients make. We're in-network with the major carriers.

Accepted insurances

  • Medicare A&B
  • NY Medicaid
  • Aetna
  • Humana
  • Fidelis
  • NYSHIP Empire
  • Anthem BCBS
  • MagnaCare
  • UnitedHealthcare

Participation varies by plan and product, we verify your specific plan before anything ships.

Let's find out what you're entitled to

No obligation. We verify your current benefits and tell you plainly what we find, including when something isn't covered.

Get started

Takes about 2 minutes.