Reimbursement from your health insurance company can be easy if you follow some of our recommendations. Many insurance companies will reimburse you for part or all of the expense of our products. You should check your coverage; look for something that indicates coverage for "DME", or Durable Medical Equipment. Alternatively, call your insurance company and ask for specific details about your coverage, and the procedure for reimbursement. Although we do not get involved directly in this process, please note the information below to help you process your claim:
Print off your receipt from the e-mail confirming your order or from the order confirmation screen you see immediately after placing your order. If you have misplaced this receipt, please write to Customer Service using our contact us form and we will be more than happy to re-send the information. If you do not have e-mail, we will send out a copy of your receipt to your shipping address, upon your request. Please contact us toll-free at (800) 390-1114 to request a printed copy.
When sending the information into your insurance carrier, please include the HCFA code which allows the carrier to identify your brace in clear insurance terminology.
- HCPCS Item
- L1800 Cartilage Knee
- L1815 Playmaker, part 1
- L2435 x 2 Playmaker Liner, part 2
- L1815 Drytex Econ Hinged, part 1
- L2425 x 2 Drytex Hinge Liner, part 2
- L1832 IROM
- L1845 Legend
- L1845 eXtreme/Armor
- L1845 or L2435 x2 OA Everyday
- L1800 Lateral "J" Brace, part 1
- L2795 Lateral "J" Liner, part 2
- E0218 Polar Care Cub, part 1
- A9900 Polar Care Cub Pad, part 2
- E0218 DonJoy Iceman, part 1
- A9900 DonJoy Iceman Pad, part 2
- E1399 Dura*Kold Knee or Shoulder
- L0500 Lumbar Hot/Cold Support
- L1902 Ascend Stabilizer
- L1902 DonJoy Velocity
- L1906 Ankle Sprain Kit
- L3480 Viscoelastic Heel Cups
These are codes which can be submitted to your insurance company for reimbursement. Two codes are given on some braces ("part 1" and "part 2") since some insurance companies reimburse for the liner and the frame separately. Thus, it is suggested that you submit both of the codes to receive the maximum reimbursement.
When you submit your request, it is sometimes helpful to include the name of the clerk (from the insurance company) who is helping with your claim. Always obtain the name, or identification number, of anyone you speak to at the insurance company. This will aid you in the case of any problems or disputes later in time. Please include any policy numbers, group numbers. It is also helpful to include a copy of the front and back of your insurance card.
If there is a delay in your request, please contact same clerk listed on your claim submission and ask for an update on your request. Sometimes a diagnosis code must be submitted and these can be easily obtained from your local physician.
If you are denied, always ask for an appeal. You can not lose by asking for an appeal. If you are persistent, it usually pays off.
We apologize that we cannot get directly involved in the insurance reimbursement process. For this reason, however, we are able to offer you significant discounts on your brace or other product.