Insurance Information

Q1. What does my insurance cover?

Reach out to your insurance provider to see if the item you are requesting is covered by your insurance.

Q2. What do I have to fill out to start the process of requesting DME or supplies?

Before beginning the process of requesting DME and/or supplies, verify with your insurance provider to determine if the item being requested is covered through your insurance plan. Once insurance coverage is verified, contact a prescribing physician or practitioner to address the need or necessity of DME and/or supplies. The prescribing physician/practitioner will begin the process of collecting the materials necessary to show medical necessity to send to our DME Specialists. We cannot complete any orders without completing everything shown in the drop down titled "What We Need for Orders".

Q3. What insurances do you provide DME and/or supplies for?

• Aetna
• Blue Cross Blue Shield (Anthem)
• Cigna
• Health First Colorado (Medicaid)
• Humana
• Medicare
• United Healthcare

Q4. What is Medicare's defintion of DME?

• Durable (can withstand repeated use).
• Appropriate for use in the "home" ("primarily used at home," but not exclusively).
• Primarily and customarily needed for a medical purpose (the equipment/supplies would not be useful for someone who doesn't need it).
• Necessary and reasonable for treatment of a condition or injury.

Q5. Does Golden Gate Medical Supplies do repairs?

We do not specialize in repairs but have been known to do simple repairs to items such as replacing brakes, wheels, accessories, etc. Repairs are to be done at the discretion of the patient through a certified service.

Q6. What are the items that are covered by Medicare?

• Hospital Beds
• Manual Wheelchairs
• Crutches, Canes, Walkers, & Commodes
• Blood Sugar Monitors and Test Strips
• A larger list of covered items for Medicare can be found at: Medicare Coverage

Q7. What criteria is generally needed to qualify for DME Coverage?

• The beneficiary is enrolled in Medicare Part B
• The need for the DME items are documented by a practitioner who certifies medical necessity
• Physician or practitioner completes an order and fills out necessary forms to show medical necessity of DME and/or supplies
• After a face-to-face meeting with the treating physician or practitioner (certifications via telehealth are permitted but may be subject to certain limitations)

Q8. Is it possible to rent DME through insurance?

Insurance determines if an item is a purchase or a rental. If the item is deemed a rental, the time limit approved for the item is designated through the insurance. To know if the item you are requesting will be a rental or purchased item, contact your insurance provider to discuss DME item coverage. Please Note: We are not currently doing wheelchair rentals through insurance based programs. We will however do out of pocket payments through a rent-to-own payment plan. If there are any further questions or concerns regarding this please contact us via phone or through email.

Q9. If I am receiving consistent supplies/equipment from a certified DME supplier, what life changes do I need to inform the certified DME supplier about?

• Changing insurance companies
• Changing doctors
• In the hospital or will soon be admitted to the hospital
• In a nursing home or will soon be admitted to a nursing home
• Beneficiary or secondary contact information has changed

Q10. Am I able to get DME and/or supplies out of pocket?

If you are looking to get medical equipment or supplies, you do not have to go through a prescriber to get the items you need. Before purchasing any items out of pocket, speak to a doctor or physician or practitioner to make sure you are getting the right items for the needs that you have. Ask about our unique rent-to-own programs so that we can help make the process more affordable.