journey to the new icon

[randomryan007]

Well they switched sci advocates on me. And then quotes are back at my DME so good new about the qoute bad news about my advocate. Now the new advocate needs to some how get up to speed on my case and chair status. Wish me luck

[jschism]

Originally Posted by Patrick Madsen

I have access to ERAC prices; Care Medicals wholesaler. A friend o fmine ordered a new ZR from a local DME. They wanted 7,000. dollars for it. ERACs price for the same chair was 2618.00.

She had to pay 20% of the 7 grand which came to 1500.00. This DME buys directly from Tilite so the chair was even less than 2618.00.

DME's and Insurance companies should be taken to task. Rather than us paying the 20% of what the dme sends in as an invoice; we should be paying 20% of what the dme is actually paid from the insurance company.

? I paid 20% of the approved price from medicare on my last chair, not 20% of invoice from my DME.

[DaleB]

Originally Posted by jschism

? I paid 20% of the approved price from medicare on my last chair, not 20% of invoice from my DME.

This is, indeed, how Medicare is supposed to function. Some DME's charge 20% of the invoice, rather than the legally mandated Medicare assignment amount.

[randomryan007]

Update on whats up. Well the DME is dragging thier feet and tried to get me to get a different chair because they don't want to become a dealer for icon. Witch is fine in freekin dandy. I could give a crap less if they become a dealer. I am not playing their games. So my advocate is getting really upset with the DME. Not only because they want to play games but because they are not working on getting me the icon.. they haven't even submitted the claim over to the insurance. Everything has been done. All they need to do is submit the claim. Or auth. Either way its old and i hate this dme. I requested my insurance let me go to a new DME. We will see what happens.

[cheesecake]

Originally Posted by DaleB

This is, indeed, how Medicare is supposed to function. Some DME's charge 20% of the invoice, rather than the legally mandated Medicare assignment amount.

This only holds true is your DME accepts assignment from Medicare--there is no mandate that a DME company accept assignment.

[DaleB]

Originally Posted by cheesecake

This only holds true is your DME accepts assignment from Medicare--there is no mandate that a DME company accept assignment.

It certainly is true that a DME not enrolled in Medicare, or one that is enrolled but status 'nonparticipating', can charge whatever they want (former) or pass on more cost to the patient (latter).

However, if one has Medicare as primary, there would be no sense in using a DME that doesn't participate in Medicare.

?

[randomryan007]

Don't you all think that your insurance topic should have its own thread? Lets get back on topic. I already know dme's ass rape everyone. Thanks for the extra info. But i would really like to stick to the topic. Sorry to offend people. Ry.

[DaleB]

Originally Posted by randomryan007

DME's feel they should make huge profit at our expence. Good luck keep everyone updated. I am really staying on top of my stuff. Can't take the DME's slow ways its crap and thsy aint happy with me. Lol oh well you can't make everyone happy!

I think the rules in place to keep this from happening are topical wherever this comes up.

[-scott-]

Originally Posted by randomryan007

Update on whats up. Well the DME is dragging thier feet and tried to get me to get a different chair because they don't want to become a dealer for icon. Witch is fine in freekin dandy. I could give a crap less if they become a dealer. I am not playing their games. So my advocate is getting really upset with the DME. Not only because they want to play games but because they are not working on getting me the icon.. they haven't even submitted the claim over to the insurance. Everything has been done. All they need to do is submit the claim. Or auth. Either way its old and i hate this dme. I requested my insurance let me go to a new DME. We will see what happens.

There's a dealer in Tempe. Maybe give them a call:

The Leeden Corporation
1704 E Curry Rd #101
Tempe, AZ 85281
(480) 966-2372