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Medicare & Insurance> Medicare Reimbursement Instructions |
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 Steps to Receive Medicare Reimbursement
To Receive Medicare Medical Reimbursement, complete and mail the following documents to your Medicare Regional Office for your state:
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A completed and signed #1490S Medicare reimbursement billing form. |
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The original receipt showing item purchased and the price. |
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A copy of the Certificate of Medical Necessity completed and signed by your physician. |
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A prescription from your physician. |
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Contact Medicare at 1-800-633-4227 to find the current mailing address for the regional office for your state. Submit the original paperwork to Medicare and always keep a copy of each item for your records. |
Medicare Reimbursement
Medicare reimburses 80% of the allowable for one SOFTEE® Camisole immediately post surgery, and also additional Camisole if the SOFTEE® is worn as a permanent prosthesis. Reimbursement dollar amounts vary from state to state. After Medicare pays, secondary insurance carriers are usually required to cover a portion of any remaining cost.
Using Form 1490S for Reimbursement
The SOFTEE® benefit is considered Durable Medical Equipment (DME), and falls under the guidelines of Medicare Part B - or after hospital discharge. However, because the SOFTEE® is a sized garment, it may be dispensed prior to surgery to determine an appropriate fit. The SOFTEE® Camisole benefit is one of several DME items that has received approval for independent patient billing using the 1490S Medicare form for reimbursement.
The Medicare unique HCPCS billing code number for the SOFTEE® is #L8015. The Medicare description for the SOFTEE® is "External breast prosthesis garment, with mastectomy form - post mastectomy".
In order to offer our customers the lowest possible price, SofteeUSA.com does not have a Medicare provider number and is not eligible to file a Medicare claim for you. It is a simple process for a Medicare recipient to file their own claim. We provide you with a sample Medicare claim form and step by step instructions to assist you. If you are not able to file a claim we can refer you to a SOFTEE® retailer who is a Medicare provider, if you purchase the product from them they will file for you.
How to Obtain a 1490s Medicare Form
More Questions?
If you have questions, or you would like to locate a local provider, contact our customer care department by calling toll free 1-866-605-8585, we will be happy to assist you. SofteeUSA.com regular business hours are Monday through Friday from 8:00am to 5:00pm Pacific Time.
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