For individuals on Medicare** who are suffering from respiratory weakness related to neuromuscular disorders, your EMST devices may be covered. However, before you can submit a claim to Medicare you must obtain a doctor’s order and download, read, sign and return the forms that are required by Medicare.
As of October 1st, the EMST150 will require an additional form and documentation for coverage under the misc code E1399, which is now included with the packet.
However, the new EMST75 has been approved by Medicare for coverage under the HCPCS code E0484. You are not required to complete the ABN when submitting an order for the EMST75. It is considered medically necessary in all instances of respiratory weakness and therefore covered. The EMST75 WILL BE AVAILABLE BEGINNING ON OCTOBER 1ST 2020, and all Medicare ORDERS/CLAIMS FOR THE DEVICE WILL BE ACCEPTED AT THAT TIME.
Here are the instructions to get you on your way to receiving your device. Please read them carefully as these are requirements set by Medicare and must be followed.
First, open and print the Aspire DME referral form. Have your therapist or doctor assist you in completing the form and return it to us via fax to (800)861-2090 or via email to firstname.lastname@example.org. Please make sure your insurance information is clear and complete, otherwise we cannot proceed with sending the device.
Next, click on the Aspire New Client Packet- Medicare Forms. This packet is for you. Please download the entire packet. You must complete, sign and return pages 9-12 via fax to (800)861-2090 or via email to email@example.com. We cannot process the order until ALL the signed forms are received. When we have the signed forms AND the doctor’s order we can send the device and submit to Medicare. We look forward to working with you!
** Please note that we are unable to accept Medicaid or Private Insurance at this time.
** Please note that you are responsible for a 20% copayment of the Medicare approved amount for your device.
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