The Insurance Process

The process of getting mobility equipment through insurance (private insurance, Medicaid, Medicare, NC CAP or Voc Rehab) is both time-consuming and complex. We will work with you and your healthcare providers to collect all the paperwork and deliver the right mobility equipment to meet your unique needs. If you choose pay out of your pocket or file to insurance on your own, you can skips 2-4 and expect to receive your equipment very quickly – within three weeks or less.

Step 1 - Evaluation

Rocky Mount scooter call

The process begins when you call Advanced Seating and Mobility to schedule a free mobility evaluation with one of our experienced clinical professionals. Most of our professionals are certified assistive technology practitioners (ATPs). During this appointment, you will be measured and your insurance information will be collected. The ATP will also provide a free home safety assessment to identify any simple home modifications that can improve your mobility.
• We will collect medical information
• We will discuss equipment options via insurance and self-pay
• We will discuss what paperwork is required

 

Step 2 - Medical Paperwork

 

This step is the most time-consuming because it is largely out of our control. You must see your doctor and obtain a prescription for mobility equipment. For Medicare beneficiaries, you must see a doctor face-to-face, even if you just saw your doctor. In some cases, you may also need a Letter of Medical Necessity from a physical or occupational therapist.
You can help expedite this process by asking your healthcare team (therapists and doctors) to send the necessary paperwork to Advanced Seating and Mobility. We will then submit the paperwork to your insurance on your behalf.

 

Step 3 - Obtaining Approval

Fayetteville power chair clip

This step is the most complex, and at times, the most frustrating, because the response from your insurance may take four weeks to two months. Once again, you can help move this process along by contacting your insurance and asking them to keep the process moving. We realize that the waiting you experience is frustrating, but mobility equipment is a major expense, so it must be carefully documented and reviewed in order to meet the approval guidelines of your insurance.
Rest assured, we always work with a sense of urgency. Our office staff are reimbursement specialists, they are trained to submit the relevant information thereby minimizing denials. Should we encounter an obstacle, we will ask for your help.

 

Step 4 - Ordering and Assembly

Raleigh wheelchair box

Once written approval is received from your insurance, the process moves very rapidly. We order your equipment from one or more suppliers. Manufacturing times vary with each supplier, but typically it takes three weeks for us to receive all the components. Once all components are present, it is assembled, customized and tested in a few days.

 

Step 5 - Delivery

  This is most satisfying step. Our ATP will contact you to arrange a delivery at your home, school or clinic. The ATP makes final adjustments, asks you to sign for delivery and demonstrates the proper use and care of the equipment. You are free to enjoy your equipment!