Expert billing services

Buying health care products – whether your insurance company sees them as medically necessary or not, can be complicated and confusing. Our staff has expertise in guiding you through the complexity.

Medically necessary products, which typically require a doctor’s prescription, may be reimbursable, but may require a deductible and copay. Products reimbursed by insurance have to meet quality standards, must be constructed a certain way and often fall within contract price guidelines that differ from out-of-pocket cost. Our store staff can help you through the maze of questions you might have related to insurance-reimbursed products.

1. What specific products are considered medically necessary by my health insurance provider?
2. What copays and deductibles apply?
3. When should I call my insurance company and what are the questions I need to ask?
4. How often will insurance reimburse me for replacement products, such as bras and breast forms?

Products typically not covered by insurance often are classified as "not medically necessary," which does not mean they aren’t essential. Nonreimbursable products may relieve pain, provide image enhancement, offer information or add to your comfort and convenience, but may not be directly tied to a treatment plan. Examples of products that are important to women with cancer, but aren’t reimbursable by most insurance companies, include:

• swimwear with pockets for breast forms
• pillows for positioning after surgery
• books on living with breast cancer
• CDs and books related to stress management and coping

Many payment options are available, including cash, checks or most major credit cards. If you don’t have insurance, call us at 952-993-9988 to review your options.