Does Anthem cover medevac?
Comprehensive coverage that includes hospitalization, doctor visits, and prescriptions. Mobile app to help you find care, make appointments, receive travel alerts, and more. Emergency medical evacuation for urgent, unexpected care. 24/7/365 concierge service and online support.
Does Anthem cover durable medical equipment?
Anthem allows reimbursement for durable medical equipment (DME) under specific guidelines unless otherwise noted by provider, state, federal or CMS contracts and/or requirements.
Are hospital beds considered DME?
covers hospital beds as durable medical equipment (DME) that your doctor prescribes for use in your home.
Does Anthem Blue Cross cover nebulizers?
An unfilled disposable large volume nebulizer is non-covered. All other uses of a large volume nebulizer, with compressor, or a nebulizer with compressor and heater are considered not medically necessary.
Does anthem cover ambulance?
Anthem allows reimbursement for ambulance transport, and the services and supplies associated with the transportation, to the nearest facility equipped to treat the member.
Does Anthem Blue Cross cover in Mexico?
Yes, Anthem individual plans include the BlueCard® Program so you can get care anywhere in the U.S. or abroad!
What is considered a hospital bed?
A hospital bed or hospital cot is a bed specially designed for hospitalized patients or others in need of some form of health care. These beds have special features both for the comfort and well-being of the patient and for the convenience of health care workers.
Is nebulizer better than inhaler?
Both devices are equally effective, though there are advantages and disadvantages to each. For example, inhalers leave more room for user error, but they allow you to act quickly. 1 Nebulizers can’t be easily accessed on the go, but can be used for longer durations.
Will my doctor give me a nebulizer?
Typically, a nebulizer and the medicine it uses require a prescription from a doctor or another healthcare provider. It is possible to purchase a nebulizer machine online without a prescription, though a doctor will probably still need to prescribe the medication.
What is durable medical equipment (DME)?
Description of Procedure or Service Durable Medical Equipment (DME) is any equipment that provides therapeutic benefits to a patient in need because of certain medical conditions and/or illnesses. Durable Medical Equipment (DME) consists of items which: • are primarily and customarily used to serve a medical purpose;
What is included in the DME program?
DME includes, but is not limited to, wheelchairs (manual and electric), hospital beds, traction equipment, canes, crutches, walkers, kidney machines, ventilators, oxygen, monitors, pressure mattresses, lifts, nebulizers, bili blankets and bili lights.
When to use DME for restoration of function?
When restoration of function is cited as a reason for use of DME, the exact nature of the deformity or medical problem should be clear from the medical evidence submitted. Also, the manner in which the equipment or device will restore or improve the bodily function should be explained.
What are the frequency limits for durable medical equipment billing codes?
‹‹Frequency Limits for Durable Medical Equipment (DME) Billing Codes›› HCPCS Code Frequency Limit A4226 1 per week A4281 2 in 12 months A4282 2 in 12 months A4283 2 in 12 months A4284 2 in 12 months A4285 2 in 12 months A4286 2 in 12 months A4555 2 per month A4556 4 pair per month A4557 1 pair in 12 months A4566 1 in 5 years