“Will my insurance cover the rental cost?”
This question can best be answered by the patient’s insurance company, but our experience has shown that rental fees can possibly be covered by private insurance companies, at least partially, provided that a pre-certification or prior authorization is approved by the insurance company. Prior authorization approval can take a few weeks, and occasionally requires review by the medical director of your insurance plan. It is not always possible to obtain prior authorization approval before the equipment is needed, but we can ship equipment with guarantee of payment by credit card, or prepayment, and continue the authorization process.
As with all insurance companies, an authorization is not a guarantee of reimbursement.
McFee is an out-of-network provider of durable medical equipment, therefore, the rental is patient’s responsibility. As a courtesy, we can file a paid claim to your insurance plan for possible reimbursement to the member. It is required to sign the Authorization to Release Healthcare Information and Rental Terms.
McFee Technologies has been informed by Medicare that the post-operative Vitrectomy support equipment, which we provide is “Not Reasonable and Necessary” and will not be covered. Medicare will deny all payments for this equipment.
“Will McFee Technologies bill my insurance company?”
Our staff is able to assist with obtaining a preauthorization if requested by the patient. Prior authorization and pre-certification are usually only obtained if the patient requests it. In all cases, in order to obtain preauthorization we must have the following information:
- Patient’s full name and date of birth
- Insured’s full name, insurance company, I.D. number and group number, and date of birth
- The date of surgery and estimated duration of equipment need
- Specific equipment, i.e. the name of the package from the McFee Technologies price list/brochure
- Letter of medical necessity from the ordering physician
- Clinical office notes or medical records from the surgeon’s office.
Insurance Forms
Authorization to Release Healthcare Information
Sample Letter of Medical Necessity (to be Completed by Surgeon’s Office)
DISCLAIMER
The Content is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care professional with any questions you many have regarding a medical condition. Never disregard professional medical advice or delays in seeking it because of something you have read on the McFee Technologies website.
