Does cigna cover durable medical equipment

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Medical Supplies Coverage Policy Understand when consumable medical supplies are covered, and what is considered a consumable medical supply. What is a Consumable Medical Supply? When does Cigna allow coverage for Consumable Medical Supplies?

Ostomy supplies are covered. If consumable medical supplies are not provided in conjunction with authorized or referred services, and are not covered under the plan for benefits, they will not be reimbursed by Cigna. How do Health Care Providers get Reimbursed? Consumable medical supplies provided in conjunction with Durable Medical Equipment DME are covered if the supplies are necessary for the function of the equipment and the equipment is covered under the plan.

Diabetic Supplies Claims for insulin needles and syringes A, A, A, A, A will be paid under the customer's benefit plan, either medical or pharmacy. Claims for lancets A and A will be denied as consumable supplies, unless covered under state mandate or pharmacy rider. Claims for glucose test strips A, A will be denied as consumable supplies, unless covered under state mandate or pharmacy rider. Surgical Trays are considered reimbursable for select procedures. You must obtain a signed waiver from the member prior to providing services, attesting to the member's agreement to receive and pay for the specific DME recommended.

Both the waiver and the verification of benefits form must be maintained in the patient's healthcare record.

Cigna HealthCare requires that all orthotics be referred to the authorized Cigna vendor, Linkia. Linkia, a specialty health care company, is dedicated to serving the orthotics industry and working to provide the best possible interface between payors and providers.

Please follow the instructions below when referring a patient to Linkia for orthotics:. While your patient is in your office, please ask them to choose one of the authorized Linkia locations that is most convenient for them to visit. Once your patient has chosen a location, complete the Orthotic Referral Form. Fax number: Make two copies of the completed form. One copy must be kept in the patient health record. The other copy must be given to the patient to take with them to the authorized Linkia Dealer.

A Linkia Provider Services representative will contact the Linkia authorized site. Once the authorized site has confirmed acceptance of the referral, the Linkia representative will contact your office stating the referral has been accepted.

After you receive approval of the Linkia site, you will need to contact your patient and ask that they call the site to make an appointment. The site information will have been given to them on their copy of the Linkia Referral Form. Once your patient has been approved to visit the Linkia office, all orthotic visits will be between the Linkia approved site and the patient.

To obtain a current list of referral options, please contact Linkia Provider Services at , option 1. If the patient has any questions about their specific plan coverage; they must call Cigna see back of ID card for contact information.

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After you receive approval of the Linkia site, you will need to contact your patient and ask that they call the site to make an appointment. The site information will have been given to them on their copy of the Linkia Referral Form. Once your patient has been approved to visit the Linkia office, all orthotic visits will be between the Linkia approved site and the patient.

To obtain a current list of referral options, please contact Linkia Provider Services at , option 1. If the patient has any questions about their specific plan coverage; they must call Cigna see back of ID card for contact information. For more information on Linkia's services and referrals, please visit their web site www. DME other than Orthotics.

Please remember that Cigna HealthCare will only reimburse network providers for chiropractic services that are listed on the Cigna HealthCare fee schedule, and then only if those services are covered under the member's specific plan. You must obtain a signed waiver from the member prior to providing services attesting to the member's agreement to receive and pay for the specific DME recommended. Both the waiver and the verification of benefits form must be maintained in the patient's health care record.

If your patient needs DME, other than orthotics, please call eviCore at When you call, please choose option 3 "Durable Medical Equipment". Following the prompts, an eviCore representative will assist you with completing your DME request.

Health Network Solutions, Inc. HNS stands alone as the oldest and largest chiropractic network in the Southeast. Current News. Search Entire Site Search. Please follow the instructions below when referring a patient to Linkia for orthotics: While your patient is in your office, please ask them to choose one of the authorized Linkia locations that is most convenient for them to visit.

When does Cigna allow coverage for Consumable Medical Supplies? Ostomy supplies are covered. If consumable medical supplies are not provided in conjunction with authorized or referred services, and are not covered under the plan for benefits, they will not be reimbursed by Cigna.

How do Health Care Providers get Reimbursed? Consumable medical supplies provided in conjunction with Durable Medical Equipment DME are covered if the supplies are necessary for the function of the equipment and the equipment is covered under the plan. Diabetic Supplies Claims for insulin needles and syringes A, A, A, A, A will be paid under the customer's benefit plan, either medical or pharmacy.

Claims for lancets A and A will be denied as consumable supplies, unless covered under state mandate or pharmacy rider. Claims for glucose test strips A, A will be denied as consumable supplies, unless covered under state mandate or pharmacy rider.

Surgical Trays are considered reimbursable for select procedures. For more information, please log in to the CignaforHCP portal. They are only reimbursed if covered under a customer's medical benefit. Mastectomy bras are covered following a mastectomy under a customer's medical benefit. Page Footer I want to