We check your benefits
We contact your insurance plan to confirm coverage for wound care visits.
Clear answers about coverage and cost
Coverage depends on your plan. We check your benefits before the first visit and tell you what we find, so there are no surprises.
The basics
How coverage works
Most insurance plans cover wound care when a doctor orders it and it is medically necessary. Medically necessary means the care is needed to diagnose or treat your wound, based on accepted medical standards.
Your plan decides what is covered, how many visits are allowed and what you pay. Some plans also need prior approval before care starts. We handle that paperwork with your doctor’s office.
Plans
Plans we work with
We are working to confirm this list. Call us to check your specific plan.
- Medicare Part B
- Medi-Cal
- Medicare Advantage plans
- Commercial PPO plans
Before the first visit
We verify coverage before we visit
We get the doctor’s order
We make sure we have a signed order from your doctor. If prior approval is needed, we request it.
We call you with what we find
We explain what your plan covers and what you may owe before your first visit.
Costs
What you may pay
We want you to understand your costs before care starts. Here is what can affect them.
- Deductible: the amount you pay each year before your plan starts paying.
- Copay or coinsurance: the share you pay for each visit, either a set dollar amount or a percent.
- Supplies: some dressings and supplies may be billed separately or provided by a medical supply company.
- Secondary insurance: a second plan, such as Medi-Cal or a supplement, may pay some of what your main plan does not.
- If you can’t afford your share, tell us. We will talk through options with you.
Questions
Frequently asked questions
Does Medicare cover mobile wound care?
Medicare may cover wound care visits when a doctor orders them and they are medically necessary. Coverage depends on your plan, so we check your benefits before the first visit.
Do I have to be homebound?
Rules about being homebound depend on the type of care and your plan. We will check what applies to you when we verify your coverage.
What if my plan is not on your list?
Call us anyway. We can check your plan and let you know your options before any visit is scheduled.
Will I get a bill I didn’t expect?
We work hard to avoid that. We explain what we know about your costs before care starts. If your plan or coverage changes, please let us know right away.
Ready to get a wound looked at?
Tell us about the wound and we will call you to schedule a visit at home or at the facility. Physicians and facilities can send a referral online or by fax.