Private Insurance

 

Many insurance policies provide coverage and reimbursement for durable medical equipment (DME). The PediaLift is considered durable medical equipment and is covered by insurance as long as the member is eligible for DME benefits and medical necessity can be conveyed.

 

PediaLift, LLC. can submit a claim to your insurance to assist with funding your PediaLift. In order to submit to your insurance, we will need to compile a complete funding packet for submission.

 

Funding packet forms:

• Client Information Form

• Release of Information and Assignment of Benefits​

• Insurance Card Copies

• Commitment to Process

• Summary Plan Description Request Form (from Employee)

 

Additional required items that must be signed by your Physician:

• Prescription/CMN

• Letter of Medical Necessity

 

After verifying eligibility through your insurance company, we will submit an entire funding packet for prior authorization. Depending on the response from your insurance company, we will either submit a claim for payment or appeal an unfavorable decision.