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Insurance Reimbursement Information

At Shop Home Med, we understand the importance of making health and wellness products affordable and accessible for everyone. While we do not directly accept insurance for purchases made on our site, there is an option for you to seek reimbursement from your insurance provider after making a purchase. This reimbursement process allows you to buy the product you need upfront and then get reimbursed by your insurance company.

Reimbursement overview

Insurance reimbursement allows you to recover costs for medically necessary equipment prescribed by your healthcare provider. Coverage varies by insurance plan and product type.

Steps to Seek Insurance Reimbursement

  1. Step 1: Contact Your Insurance Provider: Before making a purchase, reach out to your insurance company and inquire about their reimbursement policy for out-of-pocket purchases. Each insurance company has different policies and procedures, so it's important to ask if the specific product you intend to buy is eligible for reimbursement under your plan. This step ensures that you won’t encounter any unexpected issues when you submit your claim.

  1. Step 2: Obtain Necessary Documentation: Insurance providers often require specific documentation to process reimbursement claims. Make sure you understand what documentation is needed, such as a detailed receipt, a prescription from a healthcare provider, or a claim form provided by your insurance company. Having all necessary documents ready can help streamline the reimbursement process.

  1. Step 3: Purchase the Product: Once you have confirmed that your insurance will reimburse you, proceed with purchasing the product from our website. Save all receipts and any related documents. These documents are crucial for your reimbursement claim.

  1. Step 4: Submit a Claim: After receiving your product, submit the necessary documentation to your insurance provider for reimbursement. Follow their specific guidelines carefully to avoid any delays or issues with your claim. This may include filling out claim forms, attaching receipts, and providing any additional information required by your insurer.

  1. Step 5: Follow-up: Monitor the status of your reimbursement claim. Insurance companies may have different processing times, so it’s important to stay informed about the progress of your claim. If there are any issues or if additional information is needed, promptly provide the required details to your insurance company to avoid delays.

Eligibility requirements

To qualify for reimbursement, you typically need:

  • A prescription from a licensed healthcare provider
  • Medical documentation supporting the need for equipment
  • Coverage under a qualifying insurance plan
  • Prior authorization from your insurance company (if required)

Common HCPCS codes

HCPCS (Healthcare Common Procedure Coding System) codes are used to identify medical equipment for insurance billing. Below are common codes for our products:

E0277
Powered pressure-reducing air mattress
E0296
Hospital bed, total electric (height, head and foot adjustment)
E1161
Manual adult size wheelchair, includes tipping lever
E0630
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)
E0163
Commode chair, mobile or stationary, with detachable arms
E0143
Walker, folding, wheeled, adjustable or fixed height
E1235–E1238
Kids wheelchairs, with a seat width/depth of 14 inches or less
E1236
Standard adaptive strollers, not tilt-in-space models
K0800-K0812
Scooters code various by weight capacities and group classifications
E0140
Walker with trunk support.
E0190
Positioning cushion/pillow/wedge.
E1399
Durable medical equipment, miscellaneous (often used for specialized seating or feeder chairs
E0328
Pediatric hospital bed, manual, 360-degree side enclosures
E0300
Pediatric crib, hospital grade, fully enclosed, with or without top enclosure
E0316
Safety enclosure frame/canopy for use with hospital bed, any type

Note: HCPCS codes may vary by product model and insurance provider. Always verify the correct code with your insurance company before submitting a claim.

For more help or other HCPCS codes, please call our team.

Required documentation

When submitting a reimbursement claim, include:

  • Itemized receipt or invoice
  • Prescription from your healthcare provider
  • Letter of medical necessity (if required)
  • Proof of payment
  • Completed insurance claim form
  • Product specifications and HCPCS code