If you're dealing with a health condition or recovering from surgery that requires durable medical equipment (DME), you may find yourself wondering where to get started. The good news is, your health insurance typically covers applicable DME, like a wheelchair, walker, breast pump or oxygen. But, getting a DME and making sure it's covered according to your Wellmark benefits requires a little more than just showing up at the store and making the purchase.
That's why it's important to follow these 4 steps.
Get a prescription from your doctor
This is essential to applying your health insurance benefits to DME. Talk to your doctor about what you might need, based on your condition. If you're pregnant and need a breast pump, for example, talk about getting the prescription a few weeks ahead of your due date, so you have it in-hand at the hospital on delivery day.
Call Wellmark Customer Service to check your benefits
Customer Service can make sure your benefits apply to the DME you need, verify what brands are covered, and help you understand your cost share. Whether it's a copay, coinsurance, or deductible amount, we'll help you understand the portion of the cost you'll be responsible for.You can also log in or register for myWellmark® to learn more about your benefits.
Find an in-network DME provider
It's simple to find a DME provider near you with myWellmark. By logging in, you can be sure you're searching for DME providers in your plan's network. Using an in-network provider is the simplest way to avoid unexpected costs and make sure you get the most from your benefits.
Contact your in-network DME provider to arrange the purchase
At this point, you can work with your provider to determine how much that copay, coinsurance or deductible actually amounts to, and if the equipment will be purchased or provided on a rental basis. All of these details are specific to your benefits, so work with your provider and Wellmark Customer Service to make the most of your DME benefits.