Frequently Asked Questions
The process for receiving a wheelchair typically involves collaboration between your healthcare provider, a physical or occupational therapist, an assistive technology professional (ATP) from an equipment company, and your insurance company. The insurance company typically requires notes from an office visit with your health care provider stating what kind of equipment you need and why. A prescription may be required but this is typically not enough for insurance approval. You will also likely need an evaluation from a physical or occupational therapist and a letter of medical necessity written from this evaluation. It is important to have this completed with a therapist that is knowledgeable about this process to prevent a denial. You will also need to select a medical equipment company to provide the selected equipment. We work with many vendors in the area and can provide recommendations if you do not have a preferred vendor. This company will help with billing your insurance for the equipment and ordering the equipment.
The process typically takes between 60 and 90 days. This includes the time required for the clinicians to write a detailed letter of medical necessity, the prescribing doctor to sign off on all paperwork, the insurance company to approve the equipment, the vendor to order the equipment, and the equipment to be shipped and delivered.
Generally, insurance will cover a new piece of equipment every 5 years unless there has been a dramatic change in the client's functional status or the equipment is damaged beyond repair. Our clinicians are well-versed in the rules required to obtain new equipment and will perform a comprehensive evaluation to determine the eligibility to obtain new equipment.
If your insurance denies the equipment initially, our clinicians can appeal on your behalf. Just reach out to your vendor and they may have you sign some paperwork so we can appeal the decision on your behalf.
The only in-home services we offer are our private pay consultation services. You can learn more about this service here. Clients who have been determined to be appropriate for telehealth services can receive evaluations and treatments via telehealth but we do not provide any services that are billable to insurance in the home.
We are no longer providing ongoing therapy services now that we have transitioned to a fully virtual/mobile model.
YES! Please see the "New Clients" tab for additional information and a list of the insurances we accept. If you do not see your insurance listed, please reach out to us to ask, as we are constantly adding and modifying that list.
We encourage every client to start services with a prescription/order from their doctor. Some insurances do not require them to begin services, while others do. Regardless, we will need a physician to sign off on your initial plan of care following your evaluation. Please contact us with any additional questions regarding this policy.
YES! Please see "telehealth" under "our services" for more information.