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Family Caregiver Part III: Tips For Medical Reimbursement


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Continence Care Management: What a Family Caregiver Needs to Know

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Family Caregiver Part III: Tips For Medical Reimbursement

  1. 1. Part III: Tips For Medical Reimbursement Continence Care Management: What A Family Caregiver Needs to Know From The National Association For Continence
  2. 2. Reimbursement for Absorbent Products and Catheters • Medicare and Medicaid coverage • Private insurance • Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs)
  3. 3. Private Insurance • Coverage varies across the board – Depends on: • Company • Structure of the policy • Diagnosis and care protocol • Upon request, your provider may have you fill out a form that you send back to the provider or the payer • Sometimes costs are completely, partially, or not covered
  4. 4. HSAs and FSAs • Coverage varies • Most likely: – Send in a purchase receipt of the cost you want reimbursed – Wait for the savings plan administrator to decide – If so, you will usually receive a check for the price on the receipt
  5. 5. Medicaid and Medicare • Medicare covers the monthly costs of qualified patients with retention or voiding dysfunction for: – Up to 200 single-use disposable catheters – One sterile urological catheter and one packet of lubricant in each individual package • Medicaid coverage varies from state to state, some with complete and some with partial coverage of products – Visit the federal and state Medicaid and Medicare websites to see if you are eligible