Durable Medical Equipment

10 Questions

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Durable Medical Equipment

Durable medical equipment review, including what is covered and does it apply to the DME max.


Questions and Answers
  • 1. 
    Durable medical equipment provision is designed to pay for disposable medical equipment?
    • A. 

      True

    • B. 

      False

  • 2. 
    If you are unable to determin if a DME item is covered how do you handle? (check all that may apply)
    • A. 

      Transfer to the service center

    • B. 

      Email you sup to see if further research is needed

    • C. 

      Quote benefits and give limitation B

    • D. 

      Do not quote, advise to submit an medical inquiry

  • 3. 
    For a 2005 MG or NA ILL League of Fin account if they item is on the DME list it is automatically covered, and applies to the CY max on the plan?
    • A. 

      True

    • B. 

      False

  • 4. 
    If a DME item is benig rented which limitation is required?
  • 5. 
    Does a medtronic guardian RT device used for diabetes, require authorization on a standard 2005 MG or NA account?
    • A. 

      Yes

    • B. 

      No

  • 6. 
    Would an artificial eye fall under the DME max on a 2005 MG or Standard NA account?
    • A. 

      Yes

    • B. 

      No

  • 7. 
    Are grap bars for a bathtub or toilet covered?
  • 8. 
    Would disposable diabetic supplies have standard coverage under code 54 or 46?
  • 9. 
    An ace wrap or elastic banage/wrap would be payable under the DME max on the a 2005 MG or NA plan?
    • A. 

      True

    • B. 

      False

  • 10. 
    Diabetic shoes are a covered item?
    • A. 

      True

    • B. 

      False