Medical Reimbursement - We DO NOT need an Order from your Doctor

Medical Reimbursement is when you pay in full for the chair, it is then shipped to your doorstep, and then you file a reimbursement claim with your insurance, and your insurance reimburses you directly for this purchase.

Commercial Insurance Coverage

Medical Insurance Coverage provided through an Employer for people that are currently working. This type of Coverage may also cover your immediate family including a spouse and children.

Governmental Insurance Coverage

Insurance Coverage provided through a federally funded employer: Medicare, Medicaid, Obamacare (ACA), Federal or State Employer, Military, Police, Fire, Public Schools, and Hospitals.

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CALL your Insurance Provider to Find Out Your Prerequisites:

  1. Prescription – a script from your doctor for a Fold & Go MagSHOCK or Neudol wheelchair. It is important that the doctor is specific to our company and the chair model to help you get in-network coverage.
  2. Letter of Medical Necessity – a letter from your doctor that states the medical reasons why the Fold & Go Wheelchair is necessary for you. Have them use the words “lightweight, foldable, made of magnesium, and weatherproof.” Being specific to the characteristics of our chairs and why these characteristics are necessary for you will help you get in-network coverage.
  3. Prior Auth/Pre-certification – if required, it MUST be done by someone locally that medically treats you. It also must be done BEFORE you can fill out the insurance claim paperwork otherwise, your insurance will automatically deny our insurance claim and we will have to start over AFTER the prior auth/pre-certification has been done.
  4. Your doctor will need the following information to process this request with the insurance:
    1. CPT CODE: K0012
    2. Our NPI: 1316489412
  5. Verify Your Out-of-Network Benefits – If you live outside of Austin, Texas (Our Warehouse Location).
    1. Don’t worry if your insurance pushes the claim out-of-network at first. As long as we have a prescription and letter of medical necessity that states the Fold & Go Wheelchair is necessary for the patient, the insurance will eventually give us in-network benefits on the claim.
    2. If your policy does not include out-of-network coverage, please call our insurance department BEFORE you fill out the insurance claim paperwork.
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PURCHASE your FOLD & GO WHEELCHAIR®:

  1. WE WILL ship out your chair NEXT BUSINESS DAY.
  2. Once you get the chair, take the time to make sure that it will work for your needs.
  3. Please note that once you fill out the Medical Reimbursement claim paperwork, you CANNOT return the chair.
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Fill out the Medical Reimbursement Claim Paperwork:

  1. Once we receive this paperwork, we will email you the Medical Receipt that is required by your insurance company.
  2. When we email you the Medical Receipt, you will send this receipt and all documentation from your doctor directly to your insurance for reimbursement.
  3. Your insurance will process your reimbursement according to your policy coverage, copays, and deductibles.
  4. Make sure you keep the originals for your records while sending copies to your insurance for reimbursement and CALL them every couple of weeks for updates.
  5. Please contact our insurance department at 512-817-3653, option 4 if you have any questions about this process.

FILL OUT THE MEDICAL REIMBURSEMENT FORM BELOW

MEDICAL Reimbursement

Please complete the form below to assist us in creating your Medical Reimbursement for your insurance provider. We will create the Medical Reimbursement Paperwork for you. Then you will submit that paperwork after you purchase to your Insurance. We will also EDI (electronically batch) our side of that paperwork to your Insurance. Once your Insurance has both sides of the paperwork, they will send you a reimbursement check within 7-10 days.

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  • Many insurance providers require prior authorization for a portable electric wheelchair. Call your provider to see if your policy requires prior authorization.
  • List any and all alpha numeric diagnosis codes for your current disease, illness or injury. Keep in mind not all codes qualify for an electric wheelchair. CODE EXAMPLES: M19.90, S49.91, G89.29, etc.

  • Please upload an image of the FRONT of your medical insurance card.
    Drop files here or
    Accepted file types: jpg, gif, png, pdf, bmp, tiff, doc, docx, jpeg, pdf, Max. file size: 300 MB.
    • Please upload an image of the BACK of your medical insurance card.
      Drop files here or
      Accepted file types: jpg, gif, png, pdf, bmp, tiff, doc, docx, jpeg, pdf, Max. file size: 300 MB.
      • If you have any unique instructions for us, please let us know.
      • Medical Reimbursement Requires a Purchase FIRST. If you have not yet purchased your FOLD & GO, then we cannot get your Insurance to Reimburse you.
      • FOLD & GO WHEELCHAIRS® creates a Medical Reimbursement Invoice for our folding electric wheelchairs (K0012) as per the advertised purchase price listed on our website. We do not inflate the purchase price of our wheelchairs when we create your invoice, and we don’t have contracted discounted pricing with ANY insurance provider. Whether our customers pay by cash, credit card or their DME insurance provider, the purchase price is the same for everyone!
      • Please make sure you have decided to keep your FOLD & GO before you submit this form for Medical Reimbursement. Once we email you the Medical Reimbursement Paperwork we CANNOT return, refund, or exchange your order. Your Insurance Provider views this action as FRAUD. Trying to receive payment for a wheelchair that has already been refunded.
      • The Patient’s health insurance company or governmental program policy determines the covered amount available due to the Patient’s policy limitations, and their medical necessity that is determined by the Patient’s Physician. Not all insurance policies are the same, and not all approvals are for the medical durable equipment that FOLD & GO WHEELCHAIRS® provides. Any medical equipment costs not covered by the Patient’s insurance are the responsibility of the Patient, and not the responsibility of FOLD & GO WHEELCHAIRS®. This includes ANY co-pays, deductibles, and non-covered portions. If any uncovered amounts are above and beyond the costs deemed allowable by any insurance or governmental standards or guidelines, the patient accepts full responsibility to cover these overages and FOLD & GO WHEELCHAIRS® cannot be held liable for these pricing differences. All FOLD & GO WHEELCHAIRS® prices are listed upfront and in full view of anyone looking at the website. All FOLD & GO WHEELCHAIRS® pricing is within the industry standards for lightweight, foldable, weatherproof, electric wheelchairs, and may not adhere to the outdated governmental or insurance standards for actual product costs.