Frequently Asked Questions



MEDICARE QUESTIONS



Q. How do I obtain Medicare coverage for medical equipment I need in the home?



A. The first step is for your physician to prescribe the item. Once you have the prescription come by and we can talk about coverage. Depending on the item and you insurance we may need to obtain additional paperwork required by Medicare from your physician.




Q. Who initiates the necessary paperwork?



A. Your physician writes a prescription and we obtain the additional paperwork required by your insurance company.



Q. What information would Bridge Street Pharmacy need to process a claim?



A. Full legal name of patient, address (not a PO Box), & phone number - Prescription from your physician that includes a diagnosis - Copy of your insurance cards - Patient's date of birth - Patients height & weight



Q. What is covered by Medicare?



Medicare may help pay for 80% of DME, including:

(some items may require a Prior Authorization from your insurance)

- Manual Wheelchairs (capped rental item)

- Power wheelchairs (capped rental item)

- some positioning devices such as seat & back cushions

- Walkers & Rollators

- Canes both quad & standard

- Scooters

- Seat lift mechanisms for lift chairs, patient lifts

- Hospital beds, gel overlays, and air mattresses (capped rental item)

- Diabetic Shoes and insoles. Once a calendar year.

- Post Mastectomy Camisoles, bras, & forms.

Most of the medical equipment listed above have special coverage criteria.

Please come by to see if you meet the criteria.



Q. What is a capped rental item?



Medicare considers hospital beds, manual wheelchairs, transport chairs, air mattresses, & power wheelchairs as capped rental items. This means that Medicare pays for 13 months rental and when all co-pays have been made the equipment will become the patients. If during the 13 month period the patient goes into the hospital, a skilled nursing facility, or passes away the equipment is to be returned to Bridge Street Pharmacy.



Q.What is NOT covered by Medicare?



Equipment that is not covered by Medicare includes: Adaptive daily living aids such as reachers, sock-aids, utensils, bathroom equipment, incontinence supplies, & compression socks. For a more detailed information regarding coverage call 1-800-Medicare.



Mastectomy FAQ



Q. How do I obtain Medicare coverage for medical equipment I need in the home?



An appointment is not necessary, but is recommended. We want to make sure each of

our customers get the attention they need and deserve. Call to make an appointment (336-835-3131) or feel free to use our contact us section of our web page to ask

for an appointment



Q. I have recently had breast surgery. What products do I need?



We recommend that you stop in before surgery so you can pick up your after surgery camisoles that are designed to give you comfort and have pouches for drainage tubes. Stopping by to see our fitting room and all the products we have to choose from this can ease some fears of the unknown and see that the options post surgery are endless.




Q. I have recently had breast surgery. What products do I need?



We offer many different products depending on the type of surgery you have had. If you had a lumpectomy or a portion of you breast removed, a silicone partial works great to smooth our & create more symmetry.


If you had a mastectomy, we carry post surgery camisoles for immediately after surgery until your doctor tells you are ready to be fitted for a breast prosthesis and mastectomy bra. We carry camisoles, bras, sports bras, slips, & swimsuits that are designed to be worn with a breast prothesis.




Q. Will my insurance cover these products?



In most cases, yes. We will be happy to call you insurance to determine what benefits you are eligible for. Or you can all the customer service number on the back of the card and use the HCPCS codes below to ask if your insurance covers these items and how many per year you are eligible for?

L8000 post-mastectomy bras L8015 post mastectomy surgery camisole

L8020 foam breast form L8030 silicone breast form



CONTACT US!



336-835-3131





If this is a medical emergency please call 911. If it is after hours and you need a prescription please call #336-366-7220. If it is after hours and it is an emergency reguarding home health equipment please call Deborah at #336-366-7737.


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