Orthotic and prosthetic devices for replacement or support of a body part

What's Covered

Medicare Part B covers orthotic and prosthetic devices including: 

·        artificial limbs and eyes

·        braces for arm, leg, back, and neck

·        breast prostheses and related supplies following a mastectomy.

·        orthopedic shoes if they're a medically necessary part of an orthotic leg brace. Prosthetic shoes are covered if they're an integral part of a prosthesis for patients with a partial foot amputation.

Medicare Orthotics: Defined

Orthotic devices are primarily covered under Medicare Part B.

As with all Medicare Part B services, covered orthotics must be reasonable and necessary for the diagnosis or treatment of an illness or injury.

In order to meet Health Care Financing Administration (HCFA) coverage requirements, an orthotic must be a rigid or semi-rigid device used either to support a weak or deformed member or to restrict or eliminate motion in a diseased or injured part of the body.

Orthotic claims must have a prescription and/ or a certificate of medical necessity signed by a physician.

Orthotic devices are defined as one of three types:

1. Custom fitted, which require substantial adjustments to a prefabricated item by a specially trained professional to meet the needs and/or unique shape of an individual patient

2. Custom fabricated, which are made for a specific patient from his/her individualized measurements and/ or pattern; or

3. Molded to patient model, whereby a cast is made of the specified body part and is used to create an orthotic device.

Some orthotics may also have additional components, which are billed separately. For example, an ankle-foot orthotics may require special strap, joints, or linings and are therefore billed in addition to the basic device.

Medicare Advantage plan:

Medicare Advantage plans, must cover everything that's included in original Medicare Part A and Part B coverage. But sometimes a Part C plan covers more, with extra services or an expanded amount of coverage. (Co-payments for Part C plans may also be different than those for Part A or Part B.) To find out whether your plan provides extra coverage or requires different co-payments for orthotics and prosthetics, contact the staff at Jacksonville Home Medical Supplies, or check with the plan directly.

Change is difficult. We are creatures of habit, and grow comfortable in our routine environments. As we grow older, we are faced with an array of new life changes happening all within a short time span. Some of these changes may include retirement, losing a loved one, and more simply the bodily changes that aging brings. How we deal with these changes and our outlook on such changes is key to successful aging.

Medicare plans play a vital role in this time of life, and can help one to transition smoothly from one arena to another.
While the specifics of a person’s Medicare plan may vary from person to person, knowing the basics of Medicare and the health plans that are available to you will help you continue to stay positive and healthy throughout your senior years.

Medicare covers many of your health care needs. Today’s Medicare is working with private companies approved by Medicare that provide different ways to get your home medical equipment and supplies, health care and prescription drug coverage in the Medicare Program.

Medicare provides health insurance for the following:
• People age 65 or older
• People under age 65 with certain disabilities

Medicare Plan Benefits
• People of any age with End-Stage Renal Disease (ESRD) (permanent kidney failure requiring dialysis or a kidney transplant)
• Run by the Federal government
• You can buy a Medicare Supplement Insurance (Medigap) policy (sold by private insurance companies)
• Provides your Part A and/or Part B coverage
• You can go to any hospital and doctor that accepts Medicare
• You can join a Medicare Prescription Drug Plan to add drug coverage if you feel that is needed

In the Jacksonville Fl. area, Preston Home Medical Equipment supplies has medicare information specialists ready to answer your medicare related medical equipment questions.

Preston Pharmacy Home Medical has been serving the Jacksonville fl. community home medical equipment needs since 1954 with expert and friendly product knowledge and medicare assistance.

Preston Home Medical sells, rents and services home medical equipment and supplies. Wheelchairs, Electric Scooters, Lift Chairs and walkers for seniors, the elderly, and the disabled. Preston Home Medical has one north Florida's most complete line of medical & fashionable walking canes, in stock. Expert information on diabetes testing supplies, diabetic test strips, compression hose and orthopedic devices.

Preston Home Medical Equipment Supplies 32211

D.C. Stiles Inc. dba Preston Pharmacy and Home Medical Equipment
6022 Atlantic Blvd
Jacksonville, Florida 32211
Phone: 904-722-1882
Fax: 904-726-0730
Email: prestonpharmacyjax@gmail.com
Toll-Free: 1-800-763-3446

Home Medical Equipment Medicare Health Insurance Procedure For Electric Powered Mobility Wheelchairs And Also Electric Scooters

First Some Background 

You must have Medicare Part B coverage and your doctor must:

1.      Have assessed your needs for a Power operated Vehicle, documenting your needs in your medical records,

2.       The doctor must write an order (prescription) for the equipment (scooter).

3.      The mobility equipment supplier must have the order on file before billing for the scooter.

4.      The need for the scooter must meet the following criteria:

• You cannot walk on your own, even with the support of other mobility equipment
• You have weakness in your upper body caused by injury or illness and cannot use a manual wheelchair because of upper body weakness
• You would have to spend most of your time in bed or a chair without the scooter
• You can safely get on and off the scooter, as well as sit on it and work the controls

Summary

You must need the scooter to help you move about independently. Medicare will not cover a scooter if the stated need is to prevent an injury.  

A power-operated vehicle is usually covered only if it is ordered by a physician who has one of the following specialties: physical medicine, orthopedic surgery, neurology, or rheumatology.

When a specialist is not reasonably accessible (e.g. more than a one day round trip from the patient's home, or the patient's condition precludes such travel), Medicare will individually consider with appropriate documentation from the ordering physician

The following steps must be taken so that Medicare will cover the equipment:

• Only your doctor can prescribe the equipment for you.  A sales person may tell you otherwise.
• The doctor must document the need for an electric scooter in your medical records and give you a prescription for the scooter.
• Your mobility equipment supplier must receive the prescription before Medicare is billed.

Medicare Medical Advantage Plan

If you receive your Medicare through a Medicare Medical Advantage Plan (HMO, PPO) it is likely you will have to follow the plan's steps for approval and purchase of a scooter.  For expert, in store advice with you.r power mobility scooter questions, please contact Tim Stiles at Preston Pharmacy

Change is difficult. We are creatures of habit, and grow comfortable in our routine environments. As we grow older, we are faced with an array of new life changes happening all within a short time span. Some of these changes may include retirement, losing a loved one, and more simply the bodily changes that aging brings. How we deal with these changes and our outlook on such changes is key to successful aging.

Medicare plans play a vital role in this time of life, and can help one to transition smoothly from one arena to another.
While the specifics of a person’s Medicare plan may vary from person to person, knowing the basics of Medicare and the health plans that are available to you will help you continue to stay positive and healthy throughout your senior years.

Medicare covers many of your health care needs. Today’s Medicare is working with private companies approved by Medicare that provide different ways to get your diabetic testing supplies and diabetes test strips, as well as ostomy supplies, orthopedic needs, blood pressure monitors, mobility equipment and other health care and prescription drug coverage in the Medicare Program.

Medicare provides health insurance for the following:
• People age 65 or older
• People under age 65 with certain disabilities

Medicare Plan Benefits
• People of any age with End-Stage Renal Disease (ESRD) (permanent kidney failure requiring dialysis or a kidney transplant)
• Run by the Federal government
• You can buy a Medicare Supplement Insurance (Medigap) policy (sold by private insurance companies)
• Provides your Part A and/or Part B coverage
• You can go to any hospital and doctor that accepts Medicare
• You can join a Medicare Prescription Drug Plan to add drug coverage if you feel that is needed

In the Jacksonville Fl. area, Jacksonville Home Medical Supplies has medicare information specialists ready to answer your medicare related medical equipment questions.

PRESTON HOME MEDICAL EQUIPMENT SUPPLIES is affiliated with the industry's premier medical and mobility equipment companies.

Click on the center "play" for for a display of our products.

Home Medical Equipment:

• Pride Lift Chairs
• Pride Scooters
• Dura Care Mobility Products
• Carex Bath Safety
• CANES: Custom or Fashionable
• Diabetic Testing Supplies
• Blood Pressure Monitors
• Wheelchair Rental
• Walkers
• Orthopedic Supplies

Brand Names You Trust:

• Carex
• Florida Orthopedics
• Jobst
• MediVen
• LifeSource

Preston Pharmacy is a full service pharmacy as well as the staffed USPS post office for zip code 32211.

Preston Pharmacy's pharmacists provide custom compounded medications, individual blister pack medications and medical supplies for delivery to the area care facilities.

Items we carry:

• Diabetic Supplies
• Blood Pressure Monitoring equipment
  • Lifesource AND Omron Blood pressure monitors. (Automatic and manual)
• Biofreeze
• Ostomy
• Wound Care
• Polysorb orthotic insoles by Spenco

Italicize

• Nebulizers
• Walkers
• Wheelchairs

Incontinent supplies:

• Briefs
• Pullups
• Chux (disposable bed pads)
• Washable/resusable bed pads

Bath room safety equipment:

• Shower chairs
• Transfer chairs
• Bath bars
• Suction cup grab bars
• Toilet safety frames
• Raised toilet seats

Preston Pharmacy and Home Medical Equipment can provide diabetic and ostomy supplies through Medicare and Tricare with a doctor's prescription. We also carry and provide all ostomy and urinary products. For more information on individual items, please refer to our products.

providing you with expert knowledge on you medicare coverage questions .

Providing the appropriate equipment to suit your home medical supply  needs. Here are links to just a few of the most prestigious companies in the home medical industry:

• Dura Care Medical Equipment
• Life Source Online
• Pride Mobility
• FLA Orthopedic
• Carex Health Brands

Make sure to check out our complete line of diabetic supplies, and if you have any questions please contact us.