We file Medicare claims on a non-assignment basis for products you purchase from us.
* On Non-Assignments Medicare reimburses the beneficiary directly.
* You must pay for non-assignment products up-front.

What kind of claims do we file for products on our website?
* Medicare YES
* Medicaid NO
* HMO's NO
* Insurance NO


What products do we file Medicare claims for when purchased?
* Walkers & Rollators (non-assignment)
* Lift Chairs (non-assignment)
* Power Wheelchairs (non-assignment)
* Power Scooters (non-assignment)

What about Manual Wheelchairs and Hospital Beds ?
* Manual wheelchairs and hospital beds are "capped rentals" with Medicare. We do not Rent. This means that you should contact a local dealer/provider that rents equipment. Unfortunately, you don't have much choice of which equipment you will receive.

What about Bath products?
* Bath products are not covered by Medicare.

Non-Assignment - How we file Medicare claims:
* We file Medicare claims for Internet sales on a non-assignment basis. Non-Assignment means that you pay for the product up-front.
* We initiate the necessary paperwork and submit it to Medicare on your behalf. When filing on non-assignment, Medicare reimburses the beneficiary directly. You pay the full amount up-front. If you have secondary insurance you may contact them for filing procedures. In some cases Medicare automatically submits the claim to the secondary carrier.

How to start the claim process:
* Doctor's prescription for the product. We cannot do anything until we have the Rx. The Rx must be dated before the product is delivered.
* Once we have your Rx we will mail you a Medicare Claims Packet. Then some of the forms included in the packet must be returned to us.

Do you need a Certificate of Medical Necessity form (CMN) ?
* No. We provide you with the CMN. You simply give it to your physician to sign and return it to us. Our billing department files an electronic claim with Medicare for you.
* Remember, we mail you the CMN ready for your physician's signature. You do not need to download the CMN from our website except to review it.
* Want to see the CMN for your product? Sure. Click here to download a CMN forms

Can you get pre-qualification with Medicare so you know if you will qualify for reimbursement?
* No, Medicare does not give prior approval except for high-end powered wheelchairs. If someone has told you otherwise, make the call to Medicare yourself, 1-800-MEDICARE

How long does it take Medicare to reimburse?
* Depends on which product. Some take a relatively short time while others take longer.
* Walkers, Rollators, and Lift Chairs are straightforward products that reimburse in a relatively short time (4-9 weeks).
* Some Power products such as Electric Wheelchairs and Scooters generally take longer.

What information do we need to file a Medicare claim?
Patient information:
* Patient's full legal name, address, phone number.
* Patient's date of birth.
* Patient's Medicare number (including the alpha character after the number).
* Patients height & weight.

Read PHC's Privacy Notice and HIPAA Compliance:
* Download/Read the PHC Privacy Notice (required)
* Download/Read the Medicare ABN Form (required)

Physician information:
Doctor's Prescription for the product. The prescription should include the patient's diagnosis.
* Physician's name.
* Physician's address.
* Physician's telephone number.
* Physician's fax number.

The most common causes for delays in Medicare reimbursement.
* Doctor does not complete the required information on the CMN.
* Missing or inaccurate patient information.

How do you get the information to us?
* FAX or mail the information to us: 973-377-8995
Our mailing address:
Living Free Home
attn: Medicare Processing
300 Main Street
Madison, NJ 07940