2306 DuBois Drive, Warsaw, IN
Phone: (574) 267-4900 Toll Free: 1-877-759-3357
After Hours Emergency Line: 1-866-336-0388
Hours - Mon-fri: 9 AM - 6 PM SAT: 9 AM - 2 PM
Phone: (574) 267-4900 Toll Free: 1-877-759-3357
After Hours Emergency Line: 1-866-336-0388
Hours - Mon-fri: 9 AM - 6 PM SAT: 9 AM - 2 PM
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Common Insurance Questions
With direct billing and knowledgeable staff, insurance has never been so easy.
• Pill Box is an in-network provider for which health insurance plans?
• What is an ABN?
• Will Medicare Part B pay 100% of the cost of home medical equipment?
• Will Medicare Part B pay for any home medical equipment?
• Will my health insurance pay 100%?
Q: Pill Box is an in-network provider for which health insurance plans?
A: Pill Box is in-network with Medicare, Medicaid, Anthem, Humana, Lutheran, NorthWood, Sagamore, Signature Care, PHP, Preferred, and WellCare just to name a few.
Pill Box “Pharmacy” has been granted in-network status with every insurance company we have dealt with to date except PHP.
Pill Box “Home Medical Supplies” has been granted in-network status with every insurance company we have dealt with to date except Aetna and Cigna. Although Pill Box is not in-network with Aetna and Cigna, Pill Box can provide Aetna and Cigna in-network pricing by billing Aetna and Cigna through Pill Box’s buying group, VGM.
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Q: What is an ABN?
A: An Advanced Beneficiary Notice (ABN) is a form that allows us (Pill Box) to let you know before you receive an item or service that Medicare probably will not pay, and the reason we believe Medicare will not pay for the item or service on that particular occasion.
The ABN also allows you to make an informed decision on whether or not to receive the item or service for which you may have to pay "out-of-pocket."
Back to top
Q: Will Medicare Part B pay 100% of the cost of home medical equipment?
A: Once your deductible of $135.00 for Medicare Part B has been met, Medicare will then pay 80% of their allowable and you will be responsible for 20% of all approved charges. If you have a supplemental health insurance plan, these plans may cover the remaining 20% of approved charges.
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Q: Will Medicare Part B pay for any home medical equipment?
A: For Medicare Part B to pay for home medical equipment it has to:
* Be able to withstand repeated use (which means disposable items would not be covered)
* Be used for a medical purpose (which means there is an underlying condition which the item should improve)
* Be useless in the absence of illness or injury (which means any item preventive in nature, such as bathroom safety items would not be covered)
* Be used in the home (which means any item needed outside of the home would not be covered)
Back to top
Q: Will my health insurance pay 100%?
A: All health insurance plans vary with regards to percentage of coverage. Most insurance companies will pay 80% after you have met your deductible. Then you or your secondary insurance would be responsible for the other 20%. Pill Box will work with you and your health insurance company to determine how your plan pays for medical equipment and supplies.
Back to top
If you have a question that isn't listed above, please contact us at 574-267-4900. We'll be happy to assist you any way we can.
With direct billing and knowledgeable staff, insurance has never been so easy.
• Pill Box is an in-network provider for which health insurance plans?
• What is an ABN?
• Will Medicare Part B pay 100% of the cost of home medical equipment?
• Will Medicare Part B pay for any home medical equipment?
• Will my health insurance pay 100%?
Q: Pill Box is an in-network provider for which health insurance plans?
A: Pill Box is in-network with Medicare, Medicaid, Anthem, Humana, Lutheran, NorthWood, Sagamore, Signature Care, PHP, Preferred, and WellCare just to name a few.
Pill Box “Pharmacy” has been granted in-network status with every insurance company we have dealt with to date except PHP.
Pill Box “Home Medical Supplies” has been granted in-network status with every insurance company we have dealt with to date except Aetna and Cigna. Although Pill Box is not in-network with Aetna and Cigna, Pill Box can provide Aetna and Cigna in-network pricing by billing Aetna and Cigna through Pill Box’s buying group, VGM.
Back to topQ: What is an ABN?
A: An Advanced Beneficiary Notice (ABN) is a form that allows us (Pill Box) to let you know before you receive an item or service that Medicare probably will not pay, and the reason we believe Medicare will not pay for the item or service on that particular occasion.
The ABN also allows you to make an informed decision on whether or not to receive the item or service for which you may have to pay "out-of-pocket."
Back to topQ: Will Medicare Part B pay 100% of the cost of home medical equipment?
A: Once your deductible of $135.00 for Medicare Part B has been met, Medicare will then pay 80% of their allowable and you will be responsible for 20% of all approved charges. If you have a supplemental health insurance plan, these plans may cover the remaining 20% of approved charges.
Back to topQ: Will Medicare Part B pay for any home medical equipment?
A: For Medicare Part B to pay for home medical equipment it has to:
* Be able to withstand repeated use (which means disposable items would not be covered)
* Be used for a medical purpose (which means there is an underlying condition which the item should improve)
* Be useless in the absence of illness or injury (which means any item preventive in nature, such as bathroom safety items would not be covered)
* Be used in the home (which means any item needed outside of the home would not be covered)
Back to topQ: Will my health insurance pay 100%?
A: All health insurance plans vary with regards to percentage of coverage. Most insurance companies will pay 80% after you have met your deductible. Then you or your secondary insurance would be responsible for the other 20%. Pill Box will work with you and your health insurance company to determine how your plan pays for medical equipment and supplies.
Back to topIf you have a question that isn't listed above, please contact us at 574-267-4900. We'll be happy to assist you any way we can.
