Medicare & Insurance > Private Insurance Instructions Overview The SOFTEE® Medical Garment | Medicare Reimbursement Instructions | Private Insurance Reimbursement Instructions Steps to Receive Private Insurance Reimbursement Note: If you have an HMO (Health Maintenance Organization), or a PPO (Preferred Provider Organization), you must contact them prior to your purchase to determine if the SOFTEE® is a covered benefit under your health plan and if you are required to pre-authorize. If you fail to do so your insurance carrier may not pay. Private Insurance Reimbursement Documents PDF documents require Adobe's Free Acrobat Reader. Download Acrobat Reader Download Form 1500 & Form Instructions (PDF format, 468K) View & Print a Prescription Form (A new window will open, click on RX form to view & print) When submitting a bill for medical reimbursement you must include: 1. A pre-authorization number if applicable 2. The original invoice or receipt 3. A completed and signed standard medical reimbursement form (#1500 form) 4. A prescription from your physician 5. Submit the original paperwork to your insurance company and always keep a copy of each item for your records About Private Insurance, HMO, PPO and Managed Care The SOFTEE® is covered for medical reimbursement by many private insurance companies and Health Maintenance Organizations. Contact the benefits department of your carrier to clarify coverage, how much they will reimburse, and if you need prior authorization. The industry billing code number for the SOFTEE® is the same as for Medicare, #L8015. The medical item description is also the same "External breast prosthesis garment, with mastectomy form - post mastectomy". At your request, we will include a copy of this standard insurance claim form (#1500) inside your SOFTEE® shipment. You can also download the form using the link above. More Questions? If you have questions please contact our customer care department toll free at 1-866-605-8585. SofteeUSA.com regular business hours are Monday through Friday 8:00am - 5:00pm Pacific Time.

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Softee®USA.com, LLC 1-866-605-8585 | Email Us All SOFTEE® products are manufacturered by Ladies First, Inc. and designed by Breast Cancer Survivor Linda Jackson. SOFTEE® is a registered trademark of Ladies First, Inc., and is used with permission on this site.

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