We are committed to excellence in
   providing the best medical products
   as well as the best customer service.

 
 
At Four Points Home Medical we bill Medicare, Medicaid, BC&BS and most private insurance companies. If you have any questions or would like to talk to someone about items or equipment that maybe covered by any insurance company please give us a call or send us an email. Click here to see what Medicare and Medicaid will cover.

 
 
We have access to 1,000's of medical items and supplies with a full selection of items located inside of Edwards Pharmacy. We have the best prices around so give us a call.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

       

 
 
 
DME Covered by Medicare
Equipment (DME)
Guidelines
Alternating pressure pad and pump Individual is usually bedridden and is prone to decubitus ulcers (skin breakdown).
Bipap/CPAP
Diagnosis dependent. Compromised forced vital capacity and adl.
Blood glucose monitoring machine
Diabetic with fluctuating blood sugars
Cane
Impaired ambulation condition
Commode
Patient confined to a room or bed
Commode - Drop arm
Patient confined to a bed or wheelchair
Crutches
Impaired ambulation
Cushions
 (Partial coverage in conjunction with a wheelchair)
Unable to provide own pressure relief or move independently
Hospital bed (semi-electric) with rails Condition requires frequent change in position
Food pumps (if patient dependent) Diagnosis dependent
Geriatric chair Medical need justified by diagnosis in lieu of wheelchair
Hydraulic lift Condition requires movement to chair of bedridden patient, requiring assistance of more than one person. Cost of Hoyer lift can often be applied to more elaborate systems if pursued
Lift chairs (Partial) If indicated - motor covered at about 1/3 the cost of the chair. Must be able to ambulate once you rise
Oxygen therapy Diagnosis and lab work dependent
Quad cane Impaired ambulation condition
Scooter In lieu of wheelchair for use inside/outside the home; patient is bed or wheelchair confined
Suction Machine Based on diagnosis, clinical need and physician documentation
Trapeze If bed confined, need for body change or respiratory condition
Walker - Basic Impaired ambulation condition needing greater stability that cane or crutches
Walker - Rollator Unable to use a standard walker due to severe neurological disorders, restricted use of one hand or obesity
Water pressure pads/mattress If chair or bed bound and has decubitus ulcers - rated according to stages
Wheelchair - Manual Bedbound or chair bound when still going out of house
Wheelchair - Electric Totally dependent and unable to self-propel. Upgrading possible with return of manual wheelchair

 
DME Not Covered by Medicare.
Equipment (DME)
Guidelines
Bathtub lifts/seats
 Convenience or comfort item
Grab bars
 Defined as a convenience item
Hand held shower head
 Defined as a convenience item
Incline stairway lift
Defined as a convenience item
Overbed table
Defined as a convenience item
Overhead track lift system
Defined as a convenience item
Personal emergency response
Not seen as therapeutic though safety net for some
Raised toilet seat
Defined as a convenience item
Ramps stationary
Considered a home improvement
Side rails Not covered when attached to for patients own bed
Telephone alert systems Not seen as therapeutic in purpose
 
Guidelines to Buy or Rent DME
Medicare will allow you to rent durable medical equipment for 15 months. You can also rent many items such as wheelchairs and hospital beds. Medicare pays for up to 15 months of rental on large ticket items.

Suppliers who have received 10 months of rental payments from Medicare must offer you the option to buy the equipment. If you decide to purchase the item, the supplier must transfer title for the item to you following the 13th month. The decision to buy the equipment changes the rental payments to installment payments.

If you decide to continue renting the equipment, Medicare will stop paying for the equipment following the 15th month, except for certain service and maintenance.

EXCEPTIONS: Those under any waiver program that covers necessary home modifications may cover more.

All of the above is correct information to the best of our knowledge at this time and is subject to periodic changes and is for the purposes of providing a general DME coverage overview.
 
 
 Four Points Home Medical
 131 Third Street
 Ayden, NC 28513
 
Phone-252.746.3492    Fax-252.746.4838
Email:fourpoints@fourpointsmedical.com