Helping You Understand Your Medical Equipment Coverage
Insurance & Medicare Coverage
Navigating insurance coverage for medical equipment can feel complicated. At Coranova, we help patients understand the requirements for prescribed orthopedic braces and mobility equipment, coordinate necessary documentation, and review applicable insurance coverage.
Understanding Your Insurance Coverage
Medicare and other health insurance plans may cover certain types of durable medical equipment when medical necessity and applicable coverage requirements are met. Coverage depends on the equipment requested, supporting medical documentation, insurance benefits, and plan-specific guidelines.
Coverage verification does not guarantee approval or payment. Final coverage decisions are determined by the applicable insurance program or health plan.
Medicare Part B
Original Medicare Part B may help cover eligible durable medical equipment, including certain orthopedic braces and mobility devices, when applicable requirements are satisfied.
Medicare Advantage
Medicare Advantage plans may provide coverage for medically necessary equipment, but provider networks, prior authorization, and cost-sharing requirements can differ by plan.
Private Insurance
Private insurance coverage varies by policy. Equipment eligibility, required documentation, deductibles, and authorization requirements may differ between insurers.
Medical Equipment Coverage
Insurance coverage requirements vary depending on the type of medical equipment prescribed. Explore the equipment categories Coranova supports and learn more about their coverage considerations.
What Is Required for Insurance Coverage?
Insurance coverage for medical equipment generally depends on medical necessity, appropriate provider documentation, and applicable plan requirements. The exact requirements vary by equipment type and insurance program.
Meeting documentation requirements does not guarantee insurance approval or payment. Coverage decisions are subject to applicable Medicare or insurance plan rules.
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Medical Necessity
Medical equipment must meet applicable medical necessity criteria. Coverage requirements may consider how a patient's condition affects daily activities and mobility.
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Healthcare Provider Order
Many medical equipment items require a prescription or written order from an authorized healthcare provider. Additional evaluations may be required for certain equipment.
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Supporting Documentation
Medical records and clinical evaluations may be needed to establish medical necessity and support the equipment request.
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Insurance & Authorization Review
Coverage requirements may include eligibility verification, supplier requirements, prior authorization, and plan-specific guidelines.
How Coranova Helps With Insurance Coordination
Understanding insurance requirements can be challenging. Coranova helps simplify the process by guiding patients through applicable coverage requirements and coordinating with healthcare providers when needed.
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Insurance Benefits Review
Our team helps review available insurance benefits and identify applicable equipment coverage requirements.
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Healthcare Provider Coordination
We work with healthcare providers to help obtain necessary prescriptions and supporting medical documentation.
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Ongoing Communication
We help keep patients informed about their equipment requests, documentation needs, and next steps.
Questions About Your Insurance Coverage?
Not sure what coverage requirements apply to your medical equipment? Our team is here to help you understand the next steps and guide you through the process.