Frequently Asked Questions
Frequently Asked Questions
Q: What are your hours of operation?
A: AdvaCare Systems is available 24 hours a day, seven days a week- including all holidays.
Q: How quickly can you deliver?
A: Our goal is within 4 hours for STAT needs.
Q: Are you a Medicare, Medicaid, or insurance provider?
A: Yes, we have qualified support personnel who can answer any verification questions on Weekdays from 8:00 AM to 5:00 PM (Central Standard Time). Call us at toll-free: 888-233-7677.
Q: How do we figure out how to use your products?
A: Our expert technicians will provide training on all of our equipment to caregivers and family members.
Q: Do you work directly with individual consumers, or only with facilities and medical institutions?
A: We work with everyone including individuals, hospices, home care, long-term care facilities, rehabs, and hospitals.
Frequently Asked Medicare Questions
Q: Can Medicare benefits be used to cover the cost of the equipment?
A: Yes, however, we have to qualify the beneficiary for Medicare coverage for each piece of equipment ordered. Please note that Medicare does not cover full electric equipment. In order to qualify the patient for Medicare coverage, we would need all of the patient’s insurance information, an order from the primary care physician, and a copy of the supporting clinical documentation to begin the qualification process.
Q: Who submits the bills to Medicare?
A: If the equipment supplied to the beneficiary qualifies for Medicare coverage, we will set up the delivery and submit the claim to Medicare. Medicare will reimburse us 80% of the Medicare allowable and the remaining 20% will be the beneficiary’s responsibility. Most supplemental plans will cover the remaining 20%.
Q: Will Medicare cover the full cost?
A: Medicare only covers 80% of the rental fee; the remaining 20% is the beneficiary’s responsibility. Most supplemental (secondary) insurance plans will cover the remaining 20%.
Q: Can you bill Medicare for patients in nursing homes?
A: No, but we can bill the nursing home directly for any equipment supplied to their residents.
Q: Will Medicare cover specialty mattresses?
A: Yes, but we have to qualify the beneficiary for Medicare coverage before we can arrange any deliveries.
Q: Will Medicare cover bariatric equipment?
A: Yes, but we have to qualify the beneficiary for Medicare coverage. The beneficiary must weigh at least 350 lbs, in addition to needing a qualifying diagnosis for each piece of equipment.
Q: Will Medicare cover oxygen home therapy?
A: Yes, if the beneficiary qualifies. We will need documentation that shows the beneficiary had a face to face visit with the ordering physician no more than 30 days prior to the delivery and the SAT test must have been performed by either the ordering physician, a Part A provider, or a Medicare-approved diagnostic provider.
Q: Do you accept Medicare Advantage Plans, Medicare HMO groups?
A: We accept traditional plans and will have to verify what Advantage plan the beneficiary has to see if we’re in-network.
Q: Do you accept Medicaid?
A: Yes, but a prior authorization must be obtained before we can set up delivery. This can take up to 30 days to receive unless the beneficiary is being discharged from the hospital.
Q: Do you accept Private Insurance Plans?
A: Most are accepted. However, insurance plans vary per beneficiary so we will have to verify their benefits before we can set up any orders. We are not in-network for United Healthcare, Aetna, Humana, etc.
Q: How do I contact you with any more questions?
A: We have qualified support personnel who can answer any insurance verification questions, weekdays from 7:00 AM to 5:00 PM, CST (Central Standard Time). Call us at 1-888-233-7677 or send an email to medicare@advacaresystems.com