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Billing
Breast Pumps
Compression Hose
CPAP
Mastectomy
Mobility Products
Oxygen Products
Patient Choice
Patient Safety
Power Chair Repairs
Seat Lift Chairs
Billing
- Question: What is the difference
between Medicare A, B, and D?
Medicare Part A is primarily for hospital, home health
nursing, and skilled nursing services. Medicare Part B
will cover physician services and durable medical
equipment and supplies. Medicare Part D is the newest part
of Medicare. This part is for prescription drugs.
- Question: Medicare often refers to
DME. What does DME mean?
DME stands for Durable Medical Equipment. This is special
medical equipment used to aid patient’s movement and/or
give specific therapy to a patient. It is equipment that
is meant to withstand repeated use. There are many
examples of DME including: wheelchairs, walkers, hospital
beds, and canes.
- Question: I received a bill for a
deductible. What are deductibles?
A deductible is a specific amount of an out-of-pocket
expense paid by the patient at the first of the insurance
year. The amount varies by insurance company and by the
particular insurance policy.
-
Question: I received
a bill for my equipment. I thought Medicare paid 100%.
Don’t they pay 100%?
There is some confusion on this. For Part B, Medicare has
a yearly deductible and co-pay. Many people do not realize
that Part B Medicare has a yearly deductible. At this
time, it is $135.00 per calendar year and it is deducted
from the amount that Medicare allows for payment for a
particular item. Also, Medicare does not pay 100% of the
charges after the deductible; they pay 80%. It is illegal
to routinely waive the 20% balance. However, if you have a
supplemental insurance, the supplement usually picks up
the 20% balance.
- Question: I have a prescription for
a wheelchair. Will Medicare buy it for me?
Many people think
that Medicare buys equipment for them, but in many cases,
they rent to purchase. Medicare calls that capped rental
equipment. Capped rental equipment costs more than $150.00
and is not routinely purchased. It is not
service-intensive and not customized for a particular
patient.
- Question: If Medicare rents the
equipment to the purchase price, how long is capped rental
equipment rented?
For DME items other
than oxygen, rental payment can be made for up to 13
months. After 13 months, the patient will own the
equipment. Rental payment for oxygen equipment can be made
for up to 36 months before the patient owns the equipment.
- Question: My provider talks about
accepting assignment. What does “assignment” mean?
Assignment is an
agreement by a medical provider to accept the insurance’s
allowed charges as payment in full and therefore, only
bill the patient for the amount of any unmet deductible
and coinsurance. The insurance actually sets the price of
the service, and the medical provider agrees to their
price. When a provider accepts assignment, the insurance
company sends payment to the medical provider instead of
the patient.
- Question: Then, what does
non-assignment mean?
If a provider does
not accept assignment on a particular claim, then the
provider files the claim on “non-assignment.” This means
that the supplier does not agree to accept the insurance’s
allowed charges. The supplier can bill the beneficiary
for all charges up front. When the insurance company pays
the claim, the insurance company will send payment to the
patient.
- Question: If I have a prescription,
does that mean Medicare will cover my equipment?
A prescription is
the first step. However, just because you have a
prescription doesn’t mean Medicare will cover the product.
Medicare requires that the equipment is “medically
necessary” which means that the level of services and
supplies is adequate for the diagnosis and treatment of an
illness or injury. Medicare may require a particular
diagnosis for coverage. They may require certain test
results or a specific treatment plan to verify the medical
necessity. The rules can be complicated. At Home Health
Products, our billing staff is always willing to research
the rules and explain them. We will do our best to bill
within the limits of the law.
- Question: If a patient has a piece
of medical equipment that is over five years old, will
Medicare rent or purchase another piece of equipment
because of the age of the equipment?
No, not simply based
on the age of equipment. The useful lifetime of DME is
not less than five years. If the equipment cannot be
repaired after five years, Medicare will individually
consider another piece of equipment as long as it is still
medically necessary. You can bill Medicare for necessary
parts and repairs if the equipment can be repaired.
-
Question: I have a
prescription for a raised toilet seat. Does Medicare pay
for that?
There is an old saying that says, “Medicare stops at the
bathroom door.” Medicare doesn’t pay for raised toilet
seats, shower chairs, grab bars, or commode safety rails.
The patient must pay for these items out of their own
pocket
Breast Pumps
Question: I keep
hearing that breastfeeding is the best choice for babies.
What are the main benefits of breastfeeding my baby?
Answer: Science has proven that breast-fed babies have a
healthier start in life. Human milk contains balanced
nutrients that closely match infant requirements for brain
development, growth and a healthy immune system. Human milk
contains agents that protect the baby against viruses and
parasites. Breast milk is easily digested and is often
recommended for premature babies, since it is the best
option for an immature digestive system.
Question: Are the benefits of breastfeeding short term?
Answer: The benefits of breastfeeding last longer than the
first few months. Breastfed babies have lower rates of
several chronic childhood diseases. The resistance to
disease lasts throughout childhood. Furthermore, breastfed
infants gain less weight and tend to be leaner at 1 year of
age than formula-fed infants. This growth pattern lasts
throughout childhood and into adulthood. Therefore,
breastfeeding helps to reduce obesity.
Question: Are there any benefits to the mother?
Answer: Yes, not only is breastfeeding the best choice for
the baby, but it is also good for the mother. Breastfeeding
helps the mother’s body return to its normal size and shape
more quickly, and it reduces blood loss after delivery.
There is evidence that breastfeeding reduces the chance for
breast cancer and ovarian cancer later in the mother’s life.
Also, breastfeeding can save a family hundreds of dollars a
year, even with the cost of breast pumps.
Question: I have heard that breast milk changes to meet the
needs of the baby. Is that true?
Answer: Yes, breast milk changes so that it is always
perfect for the baby’s developmental stages. For example,
when a baby is newborn, the mother’s milk is called
colostrum. Colostrum lasts for several days after the birth
of the baby. It is much thicker than the milk that is
produced later in breastfeeding. Colostrum is high in
protein, fat-soluble vitamins, minerals, and immunoglobulins.
Two to four days after birth, colostrum will be replaced by
transitional milk and then by mature milk. The mother’s milk
is always the perfect “formula” for her baby.
Question: What should I expect in the first few weeks of
breastfeeding my baby?
Answer: At 2-4 days, your milk will “come in” and you will
feel more full. This is normal. Nurse your baby frequently
at this time. Mild nipple tenderness is normal in the first
week. You can use nipple shields and Purelan nipple cream
available at Home Health Products to help alleviate the
tenderness. You can expect your baby to nurse every two to
four hours in the first few weeks. It is best that you do
not offer your baby bottles for the first four weeks, as the
baby sucks differently on a bottle nipple, and the baby may
become confused.
Question: If I go back to work, will I have to stop
breastfeeding?
Answer: We know that women are very busy today. It is
difficult for them to juggle being a full-time mother, a
full-time employee, and be committed to breast-feeding at
the same time. You can still breastfeed, however by pumping
your milk. You may choose to rent a hospital grade breast
pump. Instead, you may choose to purchase a personal breast
pump. We consider the Purely Yours by Ameda to be the
best retail breast pump on the market. We keep the Purely
Yours in stock at all times for our breastfeeding
mothers.
Question: What kind of breast pump is best?
Answer: A double-pump, electric breast pump is usually the
best choice for a mother committed to breastfeeding. The
electric pump mimics the sucking action of the baby. A baby
sucks hard and fast during the first part of a feeding, and
then slows down. The Purely Yours pump cycles in the
same way. This pump has a rechargeable battery so that you
can take it with you while traveling. The double pump option
is more efficient and takes less time than the single pump.
Question: Why should I consider a breast pump?
Answer: A breast pump can be a great help to your
breastfeeding experience. The pump can be used to alleviate
engorgement and clogged ducts. Pumping can help to increase
your milk supply if your baby is not getting enough. Also,
you can pump and store the milk for the times you must be
away from your baby, or if you would like for the father to
feed the baby. We stock freezer bags so that you can freeze
your milk for the future.
Compression Hose
Question: I have a job that requires standing on my feet
most of the day, and my legs ache at the end of the day. Do
you have anything that could help me?
Answer: Often, people whose jobs require prolonged standing
develop swelling and aching in their legs. Prolonged
standing can even cause chronic venous insufficiency when
the pressure of blood in the leg is raised. There is help.
Studies have shown that compression stockings or socks have
proven to help with this condition?
Question: What is chronic venous insufficiency?
Answer: Leg veins depend on muscle movements to help push
blood against gravity. Small valves in the veins that also
help blood flow are weakened by increased pressure of the
blood in the leg veins. This condition leads to the
appearance of varicose veins. A recent study found that 2%
of the workforce quit or changed jobs due to pain in the
legs from standing during work.
Question: What are gradient compression stockings?
Answer: Gradient compression stockings are elastic support
stockings which hug the legs are thought to assist in the
flow of blood through the veins of the legs back to the
heart. They provide gradient compression, which means that
the compression is highest at the toes and gradually
decreases to the level of the thigh.
Question: Are all compression stockings the same?
Answer: Compression hose come in differing compressions,
depending on the severity of your condition. The lightest
compression is 10-20 mm Hg. Medium compression is 20-30 mm
Hg. Others are 30-40 mm Hg, or higher. You can purchase
compression hosiery in knee high, thigh high, or pantyhose
varieties, and you can select them with closed toes or open
toes. You can select various colors as well. We also carry
compression socks for men.
Question: How do I know what size compression hose that I
need?
Answer: You need to be measured. Measurements should be
taken the first thing in the morning before getting out of
bed, as these measurements are the most accurate. Take the
following measurements: around the ankle, around the calf,
around the thigh, the length from the back of the knee to
the ground, and the length from the bottom of the buttocks
to the ground.
Question: My doctor wrote a prescription for compression
hose. Does my insurance pay for them?
Answer: Insurance coverage for compression hose varies
considerably. Most insurances do not cover them, but there
are exceptions. For example, Medicare will cover them only
if there is an open venous stasis ulcer. Medicaid will
consider coverage, but requires pre-authorization. Tricare
will cover them with a physician’s order.
Question: Are there any special circumstances that would
suggest a need for compression hose?
Answer: Air travel might be a time that you would consider
compression hose. On long flights, some persons may develop
blood clots in the legs. Walking around the plane from time
to time, and wearing compression hosiery during the trip
help prevent this problem.
Another circumstance is pregnancy. Many physicians
recommend compression hosiery during pregnancy. At Home
Health Products, we stock maternity compression hose for
this time of your life.
CPAP
Question: My wife tells me that I snore while I sleep. Is
this something to worry about?
Answer: Not everyone who snores has a serious medical
condition. However, snoring is one symptom of a serious
condition known as obstructive sleep apnea. If you have
other symptoms or problems with your sleep, you should talk
to your family doctor about possible sleep apnea.
Question: Besides snoring, what other symptoms would
indicate that I have sleep apnea?
Answer: Snoring is an indicator, but there are several
other symptoms that indicate obstructive sleep apnea. If
you answer “yes” to one these questions, you should be
tested for sleep apnea:
Do you feel very sleepy or feel like nodding off during the
day?
Does your partner tell you that you stop breathing during
sleep?
Do you feel tired when you wake up?
Do you wake up with a headache?
Is it hard to stay awake while driving?
Do you have problems with your memory and with
concentration?
Question: What is obstructive sleep apnea anyway?
Answer: During sleep, our muscles relax. If the muscles in
your throat relax too much, the airway narrows or even
closes completely. The airway is cut off, and you cannot
breathe. After a period of time, your brain realizes there
is a lack of oxygen, and alerts your body to wake up. Even
if you are not aware of it, you may wake up briefly hundreds
of times during the night. You never actually fall
completely asleep.
Question: How common is obstructive sleep apnea?
Answer: Obstructive sleep apnea is the most common sleep
disorder. It is more common in men over the age of forty,
but anyone from babies to senior adults of either sex can
have the problem. In fact, sleep apnea is quite common in
postmenopausal women. Around 10 percent of the population is
estimated to have sleep apnea.
Question: Is sleep apnea dangerous?
Answer: Sleep apnea has been linked to a number of serious
life threatening conditions including high blood pressure,
heart disease, stroke, COPD, diabetes, and congestive heart
failure. Excessive tiredness due to sleep apnea is a factor
in traffic accidents.
Question: How can I know for sure that I have sleep apnea?
Answer: Your family doctor will order a sleep test in a
sleep testing facility commonly known as a sleep lab.
Patients are “tucked in” at night and monitored by equipment
that shows sleep patterns. The sleep study takes 6 to 7
hours. There is no need to travel out of town for the sleep
study. Jackson County Memorial Hospital has a sleep lab
here in Altus. It is staffed by respiratory therapists
trained specifically in sleep disorders. Call 482-4781,
ext. 2377 for more information.
Question: What is the treatment for obstructive sleep apnea?
Answer: Some surgical and dental procedures can be used to
treat mild obstructive sleep apnea. However, the most
simple, effective, and well-recognized treatment is a
continuous positive airway pressure device. (CPAP).
Question: I have heard about a CPAP machine. What is it?
How does it work?
Answer: A CPAP machine is a device that supplies a gentle
air pressure that acts like a splint to keep the airway open
during sleep. You will wear a mask that seals either your
nose, mouth, or both. The air flows into the throat with
enough pressure so that your throat does not close, and you
keep breathing during the night.
Question: I have heard the term “BiPap.” How is that
different from a CPAP?
Answer: The CPAP delivers a constant pressure. The BiPap,
or bi-level machine, has two levels of pressure. There is a
greater pressure when you inhale, and a lesser level when
you exhale.
Question: What kind of mask do I need?
Answer: Using the right mask is essential to the success of
your CPAP treatment. There are many types of masks from
nasal to full-face. You need a mask that is comfortable and
fits properly. It should form a good seal on your face so
that air doesn’t leak out of the mask. At Home Health
Products, we spend time with you trying on various types and
sizes of masks to find the one that fits your face and your
sleep style. We will work with you and even let you try
several different brands, styles, and sizes until you find
the one that is most comfortable for you.
Question: How long will it take to get used to CPAP
therapy?
Answer: Most people adjust to CPAP in one or two weeks.
Occasionally it may take a little longer if you are very
sensitive to noise or the feel of the mask on your face.
Remember that using the CPAP will be worth the effort. You
should notice an immediate improvement in your health. You
will feel better and more alert during the day.
Question: Won’t the air from the CPAP make my nose and
throat dry?
Answer: Your doctor can prescribe a humidifier that adds
moisture to the air. The humidifier can be heated if
needed.
Question: Why do I feel that it is hard to breathe out when
using CPAP?
Answer: When first using CPAP, most people find they
experience a need to push against the airflow when they
breathe out. It may take a little time to get used to
breathing out against the pressure. Practice sessions in
the daytime while relaxing or listening to music may help
overcome this feeling. However, breathing out against the
flow of air will happen automatically when you are asleep.
Mastectomy
Question: I was diagnosed with breast cancer, and I am
scheduled for a mastectomy. If I decide against breast
reconstruction, what choices do I have for restoring my
figure?
Answer: You should consider an external breast prosthesis.
For many women, a breast prosthesis is preferable to
additional surgeries for reconstruction. A breast
prosthesis will bring balance to your body and restore your
feminine figure and your self confidence. Breast prostheses
are less expensive than surgeries, and can be easily changed
if you gain or lose weight.
Question: How soon after my mastectomy should I be fitted
with a prosthesis?
Answer: Your doctor will tell you when you are ready to be
fitted. Your chest wall has to heal and the soreness
decrease. For most women, this will be between four and
eight weeks after surgery.
Question: I have seen breast prosthesis in catalogs and
online. Is this my best option?
Answer: To get the best fit, you should be fit personally
by a certified mastectomy fitter. A certified fitter is
trained to measure you and fit you with the size and shape
of breast prosthesis that will look most like your normal
breast. A fitter will provide personal education on caring
for your mastectomy products. Plus, a certified fitter will
file your insurance for you. At Home Health Products, we
have two certified mastectomy fitters on staff, ready to
assist you.
Question: You mention insurance. I thought I had to buy a
prosthesis out of pocket. Does insurance pay for a
prosthesis?
Answer: Although specific coverage varies according to the
type of insurance policy that you have, most health plans
cover breast prosthesis and mastectomy bras for women who
have had mastectomies. Medicare, for example, will cover a
new breast prosthesis for you every two years. Medicare will
also purchase four mastectomy bras each year.
Question: Why should I get an actual prosthesis? Can’t I
just use extra padding in my bra? Aren’t the prostheses
heavy?
Answer: A properly fitted breast prosthesis is important
for your physical health, and not just for cosmetic or
psychological purposes. Most women don’t realize that their
natural breast has significant weight to it. When a natural
breast is removed, the body is no longer in balance. Your
body will compensate with slight curving of the spine and
shoulder drop. Both conditions may lead to lower and neck
pain. Some women have trouble with balance, and may be prone
to falls because they are off balance. Because of these
risks, it is important for a woman to wear a weighted breast
prosthesis to equalize the weight on both sides of her body.
You will get benefits from a breast prosthesis that you
cannot get from extra padding.
Question: I am very self-conscious. Will people that meet me
be able to tell that I am wearing a breast prosthesis?
Answer: A fitter will match the size and shape of the
prosthesis to match your natural breast. The breast
prosthesis is made of a silicone gel that drapes like a
natural breast. The prosthesis warms up to your body
temperature within a minute or two. Once you are properly
fit, the prosthesis will look extremely natural. No one will
be able to tell that you have had a mastectomy.
Question: How will I wear the prosthesis? Does it slip into
my bra?
Answer: The breast prosthesis is worn in a mastectomy bra.
The mastectomy bra has a pocket to hold the prosthesis in
place.
Question: Does the mastectomy bra look “medical”? Do I
have to give up my femininity?
Answer: You will be pleasantly surprised when you see a
mastectomy bra for the first time. They are beautiful. We
carry a large selection of styles. Many have lace. Some are
underwire. We offer various colors. You may discover that
mastectomy bras are more beautiful than a regular bra!
Question: I have had a partial surgery or lumpectomy.
Do I still need a weighted prosthesis?
Answer: You should still consider a breast prosthesis, as
the weight and shape of your natural breast has been altered
by your surgery. We offer partial prostheses that fill in
your breast to restore the natural shape and weight.
Question: Now that I have a silicone prosthesis, how many
hours a day should I wear it? Is there a limit to the
wearing time?
Answer: We recommend that you wear your prosthesis most of
the day, as your body needs the balanced weight. However, a
silicone prosthesis is not appropriate for swimming, either
in the lake or the pool. We offer alternative swimming
prostheses for that purpose. Some women prefer a
non-weighted prosthesis for exercise. Others purchase
non-weighted prosthesis to wear to bed.
Question: I have had a bilateral mastectomy. What do you
suggest for me?
Answer: If you have had both breasts removed, you may
choose either weighted or a non-weighted prostheses. The
non-weighted forms are made of foam, but have a core of
weight in the center to prevent them from riding up. You
have more options, and you may even choose your cup size.
Question: I have had a mastectomy, and now I must have
chemotherapy. I’m going to lose my hair. Do you have
anything to help me?
Answer: Some women find that the hair loss associated with
chemotherapy is more difficult emotionally than the loss of
their breast. We recommend that you prepare for this by
first cutting your hair short. Then, have some alternate
head coverings ready. We offer wigs. We also have turbans,
hats, and scarves that are very stylish. Some of the hats
have a fringe of hair to make them look more natural.
Mobility
Products
Question: I keep seeing those TV ads saying that the
national scooter companies will give you a power chair for
free if Medicare denies it. Will your company do the same
thing?
Answer: If you pay close attention to the scooter company’s
ad, it says that they will give you the power chair for free
if they pre-qualify you, and then Medicare denies the
claim. Every reputable medical equipment supplier should
review the medical documentation first to make sure that the
patient qualifies per Medicare policy. If the patient does
not qualify, then the patient must sign a waiver saying that
Medicare probably won’t pay. If there is no waiver, then,
by law, the medical equipment company must let the patient
have the chair for free. The TV ad makes it sound like the
company is giving you a special deal, but actually, they are
just obeying Medicare law. Home Health Products goes by the
same guidelines. Therefore, if we review and approve your
medical documentation for a power chair, and Medicare denies
the claim, you will get to keep the power chair for free.
That is the law.
Question: What is the difference between a regular cane and
a quad cane?
Answer: A regular cane is also called a straight cane. Most
of them have a curved handle, and a straight base. They come
in various colors and styles. Some people call them “fashion
canes” because you can choose a fashionable model. This is a
good choice for people who need just a little help with
balance. A quad cane has a base on it with four prongs.
This is an advantage because it is more stable and gives
more support and more balance than a regular straight cane.
Quad canes come in two sizes: a small base and a large base.
Quad canes usually stand up on their own, so you do not have
to worry about them falling over and being out of reach.
Question: My doctor told me that a cane is no longer enough
for me, and I should use a walker. What are my options?
Answer: The first option is a standard folding walker. The
patient should pick up the walker and move it forward a
short distance, and then walk forward into the walker. If
you have difficulty in picking up the walker in order to go
forward with it, you should consider the next option, a
walker with wheels. A wheeled walker has wheels on the
front two legs. Some have push down brakes on the back two
legs while others have glides on the back legs. You can
walk by simply rolling the walker ahead. Another option is
commonly called a rollator walker. This walker has four
wheels, hand brakes, and a seat. It is a good option for
persons who become tired when walking, and need to sit
down. Most rollators come with a basket.
Question: Does Medicare cover walkers?
Answer: Yes, if you have difficulty walking, Medicare will
cover 80% of the cost of a walker. The product requires a
doctor’s prescription. If you desire a rollator walker, the
prescription should say “Wheeled walker with a seat.”
Question: Is size important when selecting a walker?
Answer: It is important that you use a walker that fits you
properly. The top of the walker should come approximately to
the joint between your legs and hip. If your walker is too
short or too tall, you will be unsteady, and will be at risk
for a fall. Most walkers have adjustable heights, and at
Home Health Products, we will adjust the walker to fit you.
Also, always take your weight into consideration, as most
walkers have maximum weight capacities.
Question: We are planning a vacation with my aunt who is
very fragile. What type of equipment would you suggest to
help her stay involved in the activities that we have
planned?
Answer: Have you considered renting a manual wheelchair?
We offer wheelchairs that are lightweight and portable. You
can store the wheelchair in the vehicle trunk. They are
available with detachable arms for easy transfer in and out
of a vehicle. We offer the option of a short-term rental if
you need the chair just during the vacation.
Question: My mother is needing a manual wheelchair. What
are the most important things to look for in a wheelchair?
Answer: The wheelchair must fit the user and the user’s
environment. At Home Health Products, we begin by selecting
a chair to fit the patient’s height and weight. We adjust
the armrests and footrests to fit the user. We make sure
that the seat depth and width are appropriate. We assess the
patient’s home environment to make sure the wheelchair is
appropriate for the home. We carry several sizes and types
of manual wheelchairs including standard, youth,
lightweight, heavy-duty, and bariatric. We will custom fit a
chair to your mother’s needs.
Question: My mother will be using her wheelchair for most
of the day. Do you have anything that can relieve the
pressure of sitting for long hours?
Answer: A patient who sits for several hours per day in a
wheelchair seat is at risk for developing pressure sores. We
have several optional items for pressure relief. Your
mother may feel more comfortable using a padded seat and
back. The seat pads come in several varieties such as foam
and gel. We will adjust your mother’s wheelchair back,
seat, and armrests to accommodate the chair seat and back.
Oxygen Products
Question: I get short of breath sometimes. Can I buy oxygen
to keep on hand?
Answer: Many people do not realize that the government
classifies oxygen as a prescription drug. You will not be
able to buy oxygen unless you have a prescription from your
doctor. I recommend that you talk to your doctor about your
condition. Your doctor will decide if oxygen is good
treatment for you.
Question: I have a new prescription for oxygen. What is it
anyway?
Answer: Oxygen is a colorless, tasteless, odorless gas that
is required for life. The air that you breathe contains
approximately 21% oxygen. Your physician has prescribed a
higher amount of oxygen than is possible to obtain by
breathing room air.
Question: If I am going to be on oxygen therapy, does it
mean I will have to stay home attached to oxygen tubing?
Answer: In years past, it was difficult for oxygen patients
to be active in the community. However, technology has
improved for oxygen therapy. There are many options that
give freedom for the patient. You will not have to stay at
home to get oxygen therapy. We now have available
lightweight liquid portable oxygen devices, portable oxygen
concentrators, conserving devices for small oxygen
cylinders, and oxygen concentrators that can fill portable
cylinders in the home. Look for an oxygen provider that
gives you choices to meet your individual needs.
Question: I keep hearing about oxygen concentrators. What
are they?
Answer: An oxygen concentrator is a machine that takes room
air and converts it over to concentrated oxygen by removing
the nitrogen. Room air has approximately 21% oxygen. Once
the room air passes through the oxygen concentrator, the
patient will breathe oxygen at a purity level of 93% to
95%. The concentrator is about the size of a suitcase. An
oxygen concentrator is a good solution for oxygen patients
to use while at home.
Question: If I need portable oxygen, will I have to wait for
oxygen deliveries? Can I refill my portable unit myself?
Answer: Yes, there are two oxygen systems that will give
you the freedom to refill your own portables. That way, you
will not have to wait for deliveries. We have the Invacare
Homefill System and the HELiOS Liquid System available.
Question: Will liquid oxygen benefit me?
Answer: Liquid oxygen is a great option for the patient who
is very active and mobile. Liquid oxygen is a good choice
for patients who like to travel.
Question: What is HELiOS?
Answer: HELiOS is a liquid oxygen system designed so you
can fill your portable oxygen device yourself. That gives
you more freedom. The HELiOS portable is only 3.4 pounds,
so it is lightweight. It has a conserving device built in
it to make the oxygen last longer. Depending on how fast you
breathe, your HELiOS portable could last five or more hours.
Question: I have heard about the Homefill System. What is
it?
Answer: Homefill is a compressed gas system that you can
refill your own portable oxygen cylinders in your own home.
This means greater freedom for you, since you will not have
to wait for oxygen deliveries.
Question: I use oxygen and lately I have noticed that my
nose is dry and sore. What can I do?
Answer: There are several types of cannulas available, and
you may request a different type. Also, there are various
products such as brand names Can-ease and Roezit that are
designed to help keep your nose more comfortable. Be
careful not to use any petroleum jelly, or another product
that contains petroleum, as this may cause a fire. If you
doctor requests, you may add a humidifier to your oxygen
system.
Question: My ears get sore from wearing my cannula. How can
I get some relief?
Answer: We offer a product called Oxy-ears, which is a
small foam pad that goes around the ears to cushion and
reduce irritation.
Question: Is oxygen a fire danger? Will I be safe?
Answer: Oxygen does not burn by itself, but it is one of
the three ingredients along with heat and fuel that are
necessary for a fire to occur. We always conduct a home
assessment when we set up oxygen, and we train how to use it
safely. You do not have to fear oxygen, but you should use
it wisely. Never smoke when oxygen is in use, or use your
oxygen near an open flame. Do not use oil or grease on your
oxygen equipment. Make sure that you have fire alarms, a
fire extinguisher, and a fire exit plan for your home.
Question: Since I have a prescription for oxygen, will my
Medicare or my insurance pay for it?
Answer: Medicare and private insurance require blood tests
that tell how much oxygen you have in your blood. Insurance
coverage depends on the test results.
Patient
Choice
Question: I have heard you mention the patient’s right to
choose. What does that mean to me?
Answer: According to Medicare law, a patient has the right
to choose his or her medical provider. That means you have
the right to choose your doctor, your home care company, and
your pharmacy. You have the right to choose which medical
equipment company that you use for your oxygen and your home
medical equipment. Your doctor cannot make that choice for
you without your consent. Legally, you, the patient, should
make that choice.
Question: From a patient’s viewpoint, what things should I
look for when I choose a medical equipment company?
Answer: A few years ago, I cared for my husband in our home
during his long bout with cancer. I also helped care for a
very dear terminally ill friend, who I considered as part of
my family. In taking care of these two persons, it was
important for me to use a company that was a real part of
our community. I wanted a company that was locally owned,
because I think that the people of Altus help and support
one another. I wanted a company that had a loving and
compassionate staff. I found that the technicians of Home
Health Products came out in the middle of the night when I
needed them, and they really cared about my difficult
situation. I wanted a company that gave me options,
including the latest technology. I wanted a company who knew
the business and had longstanding expertise. The technicians
and the billing staff really took care of my family, and
they really knew exactly what they were doing. I was
confident in their ability to help.
Question: I am worried that if I get a piece of medical
equipment, I won’t know how to use it. It looks too
difficult for me. What can I do?
Answer: I think that one of the things I appreciated most
when my husband was ill was the calm, patient teaching that
the Home Health Products staff provided me. Even though I am
in the business, it is different when you are using the
equipment for a family member. I needed to learn from the
viewpoint of a anxious caregiver. The technicians spent a
lot of time patiently teaching me about each piece of
equipment and how to use it. They answered all my questions
and they did not leave until I was comfortable. Don’t worry
about learning to use the equipment, because our technicians
will work with you until your anxiety has gone away. Also,
the technicians are on call 24 hours a day if you need extra
help.
Question: How do I know that your technicians are setting
up the equipment correctly?
Answer: At Home Health Products, we take education very
seriously. We send our technicians to
manufacturer-sponsored training whenever available. For
example, our Repair Tech has been certified by U.S. Rehab
with the highest level of certification, and our Oxygen
Technician received hands on oxygen education from the
leading manufacturers of oxygen equipment. Also, we have a
mandatory training session every week to keep our staff
members current on proper procedures and new technology.
Question: What do I do if I need help with my medical
equipment after your store is closed?
Answer: It is our goal to be at your service 24 hours a
day, 7 days a week. If you have a problem with your
equipment or if you need oxygen, you can call us at
anytime. Our regular phone number, 482-0455, is answered
around the clock. After regular business hours, one of our
trained technicians will respond to your emergency needs.
Patient
Safety
Question: I notice that your and your fellow employees
always check my house for safety problems. What do you look
for?
Answer: Yes, as part of our regular service, we conduct a
safety assessment for our clients. It is important to us
that our clients are safe. We look for hazards that may
cause you to fall. We look for items such as faulty
electrical plugs and open flames that may cause a fire. We
check for working fire extinguishers and smoke alarms. We
look for any situation in your environment that may cause
you harm.
Question: My doctor just prescribed a walker. How can I use
it safely?
Answer: If you have been prescribed a walker, then you need
a little help with mobility. Get rid of clutter that may be
in a hallway, doorway, or walkway. Make sure that you have
moved throw rugs from the walkways in your home, so that you
do not trip. Make sure there are no extension cords that
cross the walkways. Be especially careful if there are steps
in your home. Try to clear the floors as much as possible.
Watch for uneven floors or loose boards and small pets. At
night, keep a night-light burning so that you do not trip in
the darkness.
Question: If I am going to use a power wheelchair, what
adjustments will I need to make in my home?
Answer: When we place a power wheelchair in your home, we
always conduct an in-home assessment to insure adequate
width of doorways and other passageways within the home. We
recommend that you utilize the slower speed on the chair
when acclimating to the chair. Also, be careful to avoid
traveling too close to furniture and other obstacles.
Because of our detailed home assessment, you should have
minimal adjustments but maximum benefits in accessing all
areas of your home.
Question: What safety concerns are there if I use home
oxygen?
Answer: Oxygen itself does not burn, but it promotes
combustion when combined with fuel and heat. Keep your
oxygen equipment away from any open flame. Position your
equipment so that there is good ventilation around it. Do
not use any petroleum-based products around the oxygen. This
includes petroleum jelly on your skin. Make sure your
oxygen cylinders are in stands or carts, and do not store
them in your closet. The most important safety tip is that
you should not smoke while using your oxygen, and you should
not allow others to smoke in the same room with you and your
equipment. We suggest that you post “No Smoking” signs on
your door as a reminder.
Question: Is it important to have a back up source of
oxygen?
Answer: In Southwest Oklahoma, we sometimes have power
outages due to storms. Oxygen concentrators operate on
electricity. Therefore, Home Health Products always delivers
back up oxygen cylinders to use in case of a power failure.
We will give to you enough oxygen for you to use until our
technicians can reach you. It is important to us that you
have plenty of oxygen to use in a disaster.
Question: I’m struggling with daily duties because of
limited mobility and dexterity. What kind of medical
equipment does Home Health Products carry that would help
me?
Answer: We have standard walkers, rollator walkers with
wheels and seats, and wheelchairs to help you get around
your home. We have commode extenders, tub transfer benches,
shower seats, grab bars, and hand-held showers to make your
bathroom safe and accessible for you. You might consider a
reacher-grabber to help you reach items that have fallen on
the floor or are stored in a cabinet out of reach. Many of
our customers realize that using some or all of these
products help them accomplish daily tasks with greater
independence and confidence.
Question: In an emergency, can I get help from you?
We are on call 24 hours a day to help our patients for
emergencies involving our medical equipment. If you have
any problems with your oxygen or medical equipment, we will
help you. You can call our regular telephone number after
hours, and one of our technicians will return the call.
Remember though that if you have a medical emergency not
involving our equipment, you should call 9-1-1 for help.
Power
Chair Repairs
Question: What is the difference between a
scooter and a power chair?
Answer: A scooter is a mobility device with either three or
four wheels that is maneuvered by a tiller steering column.
A power chair is heavier and more stable than a scooter. It
will not tilt from side to side. It has a shorter turning
radius and more stable seating.
Question: Which is better for me, a scooter or a power
wheelchair?
Answer: A scooter is lighter and easier to transport. It
is a good choice if your device is to be used outside.
However, a scooter is difficult to turn in small spaces.
You must have trunk stability to operate the steering
mechanism in a scooter.
A
power wheelchair is best if you will be using the chair in a
home with narrow hallways and narrow doors. A power chair
has a small turning radius, so it can turn around at the end
of a hallway. A power chair is easier to operate and the
seat gives more support. It is usually easier to get in and
out of a power wheelchair than a scooter.
Question: If I want a power chair or scooter, will
Medicare pay for it?
Answer: Television commercials make it look as if anybody
who wants a power chair can have one for free. However,
Medicare doesn’t look at it this way.
Medicare requires that you have a face-to-face visit with
your doctor. Your doctor must decide if it is in your best
interest to get a power wheelchair. Your doctor must decide
if you need a wheelchair in your home so that you can do the
basic activities of life such as getting meals, getting to
the bathroom, and grooming. You must have trouble walking,
and you must have some weakness in your arms so that you
can’t operate a manual type wheelchair. If your doctor
writes a prescription, and you need the power wheelchair in
your home, Medicare will cover 80% of the costs. If you
have another insurance, your second insurance may pay the
rest of the cost.
Question: Why should I consider getting a power
wheelchair from a dealer in my hometown instead of from a
company I saw on television?
Answer: A power chair is like any piece of equipment.
Sometimes it will need repair. Obtaining repairs from a
company whose location is miles away will take time, and you
may have to be without your chair until they can get to you.
If you use a local company, you can call for help, and we
will be in your home usually the same day. We are on call
24 hours per day. We have chairs we will loan to you while
your chair is being repaired. You will never have to go
without the use of a power chair.
Question: I know that my power chair runs off
batteries. What kind of batteries does it use?
Answer: Your power chair uses two 12-volt batteries. They
are gel filled and sealed so that they will not leak.
Question: How long will the battery charge last on my
power chair?
Answer: It always depends on the person using the chair.
If it is used continually, it can last 8 to 12 hours. If it
is used only 2 to 3 times a day, it can last up to three
days.
Question: How long does it take to charge my
wheelchair batteries?
Answer: I tell people to charge their chair while they
sleep. A good rule of thumb is 8 hours. Plug in your chair
when you go to bed each night.
Question: How many miles can I travel in my power
chair before the batteries get low?
Answer: On a full charge, your chair can travel 12 to 15
miles before the batteries get low.
Question: What should I use to clean my power chair?
The best thing I have found is a foam type window cleaner.
You do not use soap and water, because water can rust and
ruin the motor and wiring.
Question: What if I get a flat tire?
Answer: All the new model chairs come with flat free tires.
If your chair still has the old type tires, we can replace
the tires with flat free.
Seat Lift
Chairs
Question: Now that I have developed arthritis, I have
trouble getting up out of my chair. Do you have anything
that can help me?Answer: A seat lift chair is designed for
persons with the problem of getting out of a chair. The
chair looks like a recliner. It has a remote control that
reclines the chair like any recliner, but also, it will
raise the chair slowly until you are in a standing position.
Question: Is a seat lift chair a piece of furniture, or is
it medical equipment?
Answer: Actually, it is both. Medicare and insurances
consider the lift mechanism inside the chair as a medical
device, but the chair itself, including the frame, the
cushions, and the fabric, is furniture. If you want Medicare
to help you pay for the chair, you must purchase it from a
Medicare-approved medical equipment supplier.
Question: My doctor wrote a prescription for a seat lift
chair. Does that mean Medicare will buy it for me?
Answer: If you qualify for Medicare coverage for a seat
lift chair, Medicare will only pay for the mechanism that is
inside the chair. Therefore, Medicare coverage will be for
only part of the chair. Medicare will reimburse about $330,
and you will be responsible to pay the rest.
Question: If I have a prescription, will Medicare cover the
seat lift mechanism?
Answer: Medicare has very specific rules concerning
coverage for seat lift mechanisms. You must have severe
arthritis of the hip or knee or neurological or muscular
disease that prevents you from getting up from a regular
chair. Also, you must be able to walk once you are in a
standing position.
Question: I have two prescriptions, one for a seat lift
chair and one for a wheelchair. Can I have both products?
Answer: Medicare law states that if you get a seat lift
chair, you must be able to walk once you are in a standing
position. If you need a wheelchair, Medicare believes that
you cannot walk. Therefore, Medicare won’t cover both
products at the same time.
Question: Why are my height, weight, and other measurements
important when I am shopping for a seat lift chair?
Answer: Most people who buy seat lift chairs spend several
hours a day in the chair. It is important for the chair to
be the right size to fit you, so that you can be
comfortable. You should measure from your knee to the
floor, so that your feet will reach the floor comfortably
when you sit in your seat lift chair. You should measure
from the back of your hips to the knees when you are sitting
down, so we can choose a chair with the perfect seat depth
to fit you. Also, your height from your hips to your head
will determine the right height of the chair back. Your
weight will determine the correct strength of the frame.
Question: What options do I have when choosing a seat lift
chair?
Answer: At Home Health Products, we stock seat lift chairs
from the most reputable manufacturers in the industry:
Pride, Golden, and Medlift. There are a variety of prices,
styles, and sizes to fit the individual. We can order
chairs in an array of colors and fabric choices. Some
chairs come with flip open arms for storage. Others recline
into a bed. Others have heat and massage. We can order
chairs that support weight up to 700 pounds.
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