Complimentary Coverage Verification

Confirm your Medicare or insurance benefits for wound care services prior to initial appointment—zero cost, zero commitment.

The Importance of Pre-Treatment Coverage Confirmation

Confirming insurance authorization before initiating wound treatment eliminates unexpected medical charges, clarifies your financial responsibility, validates in-network provider participation, reveals any pre-authorization requirements, and delivers confidence that therapeutic services receive reimbursement. Our practice offers complimentary eligibility assessment to all incoming patients—we manage the insurance company communications, administrative processing, and verification procedures eliminating patient burden.

Coverage Verification Elements

  • ✓ Current insurance policy activation status
  • ✓ Annual deductible amounts and satisfaction levels
  • ✓ Visit copayment or coinsurance percentages
  • ✓ Wound care service reimbursement eligibility
  • ✓ Provider network participation and authorization mandates
  • ✓ Advanced therapeutic modality coverage (NPWT, biologics)
  • ✓ Durable medical equipment benefit allowances
  • ✓ Policy restrictions or coverage limitations

Required Documentation for Verification

For coverage confirmation purposes, please prepare: Insurance identification card (both sides photographed), Medicare card when applicable, birth date, social security number or subscriber identification, current residential and communication information, and description of existing wounds or conditions necessitating treatment. Information submission options include telephone contact, secure online patient portal, or in-person presentation before initial appointment.

Coverage Verification Timeline

1

Provide Information

Contact us by phone or submit online form with insurance credentials. Requires 5-minute completion.

2

Insurance Verification Process

Our billing specialists communicate with your insurer. Typically finalized within 24-48 business hours.

3

Results Delivery

We communicate coverage particulars and projected expense estimates before appointment scheduling.

Typical Insurance Coverage Patterns

Medicare Part B Exclusively

Patient responsibility includes 20% coinsurance following $240 yearly deductible. Standard wound care encounter: $20-40 patient expense.

Medicare Part B Plus Medigap Supplement

Supplemental coverage absorbs the 20% coinsurance portion. Patients generally pay $0 out-of-pocket post-deductible.

Medicare Advantage Plans

Fixed visit copayments ($0-50 per encounter) replacing percentage coinsurance. Network participation and authorization requirements require verification.

Commercial Insurance Policies

Benefit structures demonstrate significant variation. We confirm network standing, deductible thresholds, copayment/coinsurance rates, and pre-authorization mandates.

Uninsured Patient Options

Our practice provides self-payment arrangements featuring transparent fee structures. We furnish comprehensive expense estimates before treatment initiation and can arrange payment installment programs for sustained care. Numerous uninsured individuals qualify for Medicare or Medicaid enrollment but remain unenrolled—we can facilitate connections to enrollment support resources. Insurance status should not postpone wound treatment, as neglected wounds deteriorate rapidly and require more costly interventions.

Begin Coverage Verification Today

Initiate the process immediately—verification requires no payment and minimal time investment.

Response provided within 24 business hours (frequently same-day) with benefit particulars.

Coverage Verification Questions