Catheter Insurance Coverage: How it works
Share your Insurance
Access our chat feature to share and confirm your provider information.
Speak with a Specialist
Once your information is confirmed, a specialist will contact you to go over your benefits.
Bill your Insurance
After we obtain your insurance information and discreetly ship and deliver your product, we will submit the claim on your behalf.
Navigating insurance at times can be challenging.
At Numotion our insurance specialist will take on the verification of your plan and explain your benefits so you feel informed of your options when it comes to catheter specific choice. We will explain your out of pocket expenses specific to your insurance coverage, as well as the daily and monthly quantity amounts your payer allows for catheter coverage.
Keep in mind most insurance plans require medical justification for catheters, Numotion will work with your physician to obtain the supporting documentation for your product of choice. For example, if a customer is requesting a sterile environment through a catheter kit we must be able to obtain documentation of an infection.
Common Insurance Terminology
This is paid after your deductible and is a fixed amount that you pay for a healthcare service, such as an MD visit, Rx medication, hospital stay, ER visit, lab tests…etc
This is a cost share that you take on with your insurance provider once your deductible is met. These payments are applied towards the Out of Pocket Max.
This is an agreement that we make to pay our insurance provider a certain amount of money before the insurance plan will begin paying on a claim/claims.
Out of pocket max
The amount that the policyholder must spend on healthcare costs (through deductible, copays, or coinsurance) before the insurance begins paying all claims at 100%. The amount does not include any payments made towards plan premiums.
Max quantity limit
This is a set limit of items that insurance will pay for per dispensing period (typically Rx medication, disposable medical supplies) this delineates the maximum quantity that the insurance will reimburse for. Over this limit might require PAR (Prior Authorization Request). For example, Medicare will allow up to 200 intermittent catheters each month (200 is the maximum quantity allowed by MCR).
This term is used to describe a healthcare plan that pays a flat fee to providers for each patient the provider sees who is insured by this plan despite services rendered. In other words, under a capitated contract/insurance plan, an insurance provider pays a fixed amount of money for its members care directly to the healthcare provider despite the equipment/medication/service/supply provided, the fee is a flat rate paid per member.
Give Numotion Medical Supply a try today!
We make it easy to switch from your current supplier or if you are just starting out with self-catheterization, our product experts will get you started.