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We have added a link to Living Beyond Breast Cancer’s informative brochure “Guide to Understanding Lymphedema” on our additional resources section. Learn risks, symptoms and treatments for breast cancer-related lymphedema. Click here to view the guide now.
GOOD NEWS — Luna Medical, Inc. has extended business hours effective February 1st, 2014. We are now open from 8:00am to 5:00 pm, Central Time, Monday through Friday.
Don’t let your patients’ suffer from minimum or no insurance coverage because they’re being referred to providers that are NOT CONTRACTED with their insurance.
THE WOMEN’S HEALTH AND CANCER RIGHTS ACT OF 1998
Under this Act, insurance companies must provide coverage for breast cancer survivors that include physical complications such as lymphedema.
http://www.dol.gov/ebsa/publications/whcra.html
Luna Medical, Inc. is a durable medical equipment company and authorized provider of lymphedema medical products nationwide, established in 1996 to meet the needs of patients suffering from chronic, extremity circulation disorders. We are solely dedicated to providing compression therapy products.
We have national contracts with the following insurance companies:
• Cigna Healthcare • Humana • Tricare • United Healthcare • BlueCross BlueShield Federal
We also have contracts or able to bill the following insurance companies:
• Medical Mutual • HealthChoice • Homelink • MVP • UMR • NALC
We can obtain in-network coverage for:
•AETNA (FLORIDA ONLY)
We can obtain coverage for plans that access the MultiPlan Network
Luna Medical, Inc. is also contracted with Blue Cross Blue Shield of Illinois and has been able to provide in-network in various other states of BCBS due to an in-network deficiency because there are no providers for custom compression garments in that state.
Depending on the insurance plan (no authorization needed), prescription, patient’s consent and attached measurements—orders can be placed within 24 hours of initial request.
Patients and therapists have stressed many concerns including: lymphedema products that do not fit properly, misinformed about insurance, provider is “out-of-network” with the insurance, charged up front for products when they have insurance coverage, provided standard size products when custom-made products are necessary and returns/alterations are not being handled in a fashionable manner. The bottom line here is: Lymphedema therapists need to refer patients to contracted providers for their product needs!
Ancillary providers can bill all insurance companies. If a provider states they can COMPLIMENTARY BILL and they are not contracted with the insurance company, the claim will be paid “OUT-OF-NETWORK” and the cost goes to the patient!
An ancillary provider (dealer) can be a Durable Medical Equipment Company (DME), Orthotic & Prosthetic company (O&P) or Pharmacy. An ancillary provider is licensed and insured to provide medical products to patients for use in their homes. Larger insurance companies contract directly with ancillary providers. Smaller insurance companies contract with insurance networks that are contracted directly with ancillary providers.
Unfortunately, Medicare is still not paying for lymphedema products. If a patient has a secondary insurance plan, these patients may have coverage for lymphedema products (we will always check this prior to ordering). The dealer MUST be a Medicare provider whereby they can bill Medicare for a denial and process that denial to the Secondary Insurance for payment, subject to deductibles and coinsurances.
Thanks to the WOMEN’S HEALTH AND CANCER RIGHTS ACT OF 1998, Insurance companies must provide coverage for lymphedema products to patients that have a history of breast cancer. Unfortunately, this does NOT apply to Medicare or Medicare Replacement HMOs.
Every therapist should have a list of providers that includes what insurance companies the dealers are contracted with as “in-network” providers. This should include dealers that provide custom-made, elastic support. Patients should not be subject to Ready to Wear (off the shelf) products when custom products are warranted for proper containment.
THERE SHOULD BE NO HIDDEN SECRETS REGARDING WHAT INSURANCE CONTRACTS A DEALER HAS…So here’s the question you can ask your provider of choice inquiring if they are contracted:
I am requesting a list of the major insurance companies you are contracted with as an
“in-network” provider. I understand dealers can complimentary bill any insurance
company however this is not my question as I need my patients to have the most coverage
possible to reduce their cost.
Just a reminder, billing patients out of pocket and telling them to submit the bill to their insurance for reimbursement does not offer them insurance coverage.
Lymphedema Therapists should have a clear understanding of where to refer their patients for insurance coverage. It’s not just about a provider filling an order as a one-time deal. It’s about the long term product needs for a chronic condition.
Patients are entitled to daytime, elastic support every 6 months (one set for wash and one set for wear); custom or non-custom. Patients are entitled to one nighttime garment per year.
It really is not fair if a patient has insurance benefits and they are directed to an “out-of-network” provider costing the patient thousands of dollars when there’s a provider like Luna Medical, Inc.—where we are all about PATIENT ADVOCACY!
If we at Luna Medical can be of any assistance, please call toll free at 1-800-380-4339 or email us at info@lunamedical.com. You can also visit our website at www.lunamedical.com to access our referral form packet and manufacturers’ measuring forms for new patients.
Kindest Regards,
Curtis S. Bumgarner
CEO/President
cbumgarner@lunamedical.com
As many of you may know, Marianne Luh incorporated Luna Medical in 1996. She would like to thank you for making our progress possible and the staff at Luna Medical looks forward to your ongoing relationship.
She accepted a position at BSN Medical as their Director of Lymphology for North America. She is very excited about stepping back into the field to work with the Lymphedema Medical Community.
With that said, she has stepped down as the President of Luna Medical, Inc. and has promoted, Curtis Bumgarner, as the President/CEO of Luna Medical, Inc. He will be handling all the day to day operations of Luna Medical, Inc.
Please forward all emails related to Luna Medical directly to Curtis at cbumgarner@lunamedical.com as Marianne will no longer have email access to Luna Medical, Inc. effective 01/11/13.
We are proud to launch our new web site, full of great features to help make your experience with Luna Medical even better. You are encouraged to browse the site to see all of the new features we’re excited to offer!
PLEASE NOTE: Today, December 13th, is the last day to submit orders for anything to be shipped in 2024 and be applied to 2024 benefits. We understand that there may be other deadlines you are used to but this year has been unlike any other and the demand is incredibly high and we want to make sure we give excellent customer service and we had to make tough decisions as a company for end of year demand. Those who had their benefits submitted prior to the 13th will be prioritized. We hope you understand and we thank you.