All Cushions and Overlays are covered by OSI's acceptable insurances:
•Medicare Part B
•Evercare
•Senior Whole Health
• Cushions and mattress
overlays are covered 100% for residents in a Skilled
Nursing Facility only by Evercare and
Senior Whole Health (not Medicare Part B).
• Cushions and mattress
overlays are NOT covered by Medicare if a resident is at a Skilled
Nursing Facility long
term; however, they
are covered and can be provided within 48 hours of the resident
being discharged home.
• Cushions and mattress
overlays are covered 100% for patients who reside
at home or in an assisted living facility
by ALL of Orthotic Solution, Inc.'s accepted insurances: Medicare
Part B, Evercare
and Senior Whole
Health.
• Orthotic Solutions,
Inc. is responsible for obtaining Physician orders and all
necessary paperwork AND does all of the
billing to insurance companies.
INSURANCE CRITERIA
WHEELCHAIR SEAT CUSHIONS
• The patient/resident
must have a wheelchair AND
• Has EITHER of the following:
•
Current pressure ulcer OR past history of a pressure
ulcer on the area of contact with the seating surface (buttock,
lower back and/or hip) OR
•
Absent or impaired sensation in the area
of contact with the seating surface OR inability to carry
out a functional
weight shift due to a specific diagnosis (such as Alzheimer's,
Parkinson's, MS and others).
MATTRESS OVERLAY
• The patient/resident
is completely immobile (cannot make changes
in body position without assistance), OR
• The patient/resident
has limited mobility (cannot independently
make changes in body position significant enough to
alleviate pressure) AND at least ONE of the following:
•
Any stage pressure ulcer on the trunk or pelvis
•
Impaired nutritional status
•
Fecal or urinary incontinence
•
Altered sensory perception
• Compromised circulatory status
Wheelchair EX CEL Pressure Reduction Package
• Pictured with EX CEL Pressure Cushion, Back Support
Cushion and Arm Pads, each available
separately.