The Most Frequently Asked Questions About Catheters

Urinary incontinence is a common condition experienced by men, women, and children of all ages. Catheter usage will change the normal routine of your day-to-day activities, so it is important to be prepared for the lifestyle changes. Knowing what to expect with the self-catheterization process along with the right catheter supplies will give you the confidence as a daily catheter user.

From the first phone call to your final package delivery and beyond, Patient Care Medical is dedicated to providing you quality service you can rely on. We have helped thousands with their catheter supplies and everything in between, like working with your insurance, providing speedy shipping, and insuring discreet delivery with each order. Here are some of the most frequently asked questions we receive to help you get started with the process of using catheters.

Do I need a prescription for catheters?

A prescription is required for catheters, and because your health is our #1 priority, we handle the entire process for you.We have a department solely dedicated to working with your doctor’s office to get the paperwork your insurance will require to cover your catheters.We communicate efficiently and respectfully with your urologist or primary care doctor to get your order to you as quickly as possible.

How long does it take to get my catheters?

We would ideally have your order on your doorstep within 48 hours. We reach out to your doctor’s office within 2 hours of verifying that your insurance will cover your supplies.If your doctor is able to return our requested paperwork by the end of the day, you may very well receive your first order of supplies within 24 hours.Please keep in mind, however, that doctor offices vary in size and that your provider’s availability will determine how quickly they are able to return paperwork to us.We always encourage you to reach out to your doctors office as well if your order is especially urgent, as hearing from their patient can often expedite the paperwork process.

What do I do if my insurance doesn’t cover catheters?

Insurance coverage and benefits change from year to year, and even from month to month. There is a chance your coverage may have changed since you last checked regarding your eligibility for catheter supplies. Please allow us to give your insurance provider a quick call to get the most current status of your catheter coverage; you may even be pleasantly surprised to find out your supplies may be covered! If we are not currently able to work with your insurance , we’ll schedule appropriate follow ups and notify you if there’s been any change in your policy’s coverage for catheters. We always will welcome you as our patient, whether now or in the future.

What if the catheter I am using no longer works for me?

We are always happy to send you samples of different catheters until you find the best one that works for you!

Once Patient Care Medical has my paperwork on file, does that cover my catheter supplies for life?

Most insurances require you to have an appointment with your doctor annually to go over your catheter usage.Our company makes sure to remind you 3 months before the expiration of your paperwork on file in order to avoid any delays in your orders.

How do I know when my next order of supplies will ship?

We will reach out to you up to 2 weeks before your next order to inform you as to when it is eligible to ship.We have options available for patients to be reached through phone calls, emails, and text messages, depending on your preference.

Can anyone sign a prescription/RX and/or addendum to chart notes?

Due to strict insurance guidelines, only the provider who has seen the patient can prescribe for them.Medicare does have an exception to this, however, as another provider can prescribe catheters for a patient if they have seen the patient within the past six months.

Why do insurance companies need justification for coude tip catheters?

Insurance will only reimburse for this type of catheter if a patient’s needs meet criteria such as BPH, prostate cancer, urethral strictures, etc.

Why does Patient Care Medical request Addendums to Chart Notes?

Criteria and qualifications on patient prescriptions and chart notes need to match. Medicare, for example, is very strict about their requirements for specific verbiage regarding the type of catheter, frequency of usage, and the diagnoses included in the Chart Notes.

How do I know what catheter is best for me? There are so many brands to choose from.

Our Team here at Patient Care Medical is dedicated to helping you find the healthiest and best choice catered to your unique situation and circumstances.

I have insurance. Why am I getting a bill for my catheter supplies?

We are required to bill you for any unpaid co-insurance and/or deductible for your order of supplies. Fortunately, we have a financial hardship form you may complete in order to see if you qualify to receive your supplies at no cost.

How do I find out if my catheter items are covered by my insurance?

Our in-house finance department will contact your insurance provider to verify the catheter benefits on your policy.

Why did my insurance company send me a check after I ordered catheter supplies?

In some instances, our claims to insurance providers are processed with us as an out of network provider. Certain insurance policies will pay you directly due to our out of network status instead of providing the reimbursement to us. In these circumstances, we will conveniently send you a pre-paid envelope for you to forward the payment for the cost of your supplies to us.

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