Announcement

Dear friends,

Effective January 1, 2024- The Lymphedema Treatment Act requires Medicare to provide coverage for compression for patients diagnosed with lymphedema.
Patients with other diagnosis (i.e. venous insufficiency, edema, varicose veins) are NOT eligible for Medicare coverage.
In order for lymphedema patients to qualify for coverage for compression garments they MUST present at the time of their fitting a written order that includes ALL of the following elements:

Patient’s Name
Order date
Description of compression garment ordered including level of compression
Quantity to be dispensed
Qualifying Diagnosis
Practitioner’s name (printed, typed or stamped)
Practitioner’s signature

Medicare patients will be required to pay for non-custom garments when you receive them.
Medicare patients will be required to pay for custom garments at the time they are ordered.
We will file a claim with Medicare for your reimbursement.
The reimbursement will range between 60% to 100% of the cost of the items purchased.
Medicare requires medical records to substantiate the need for all compression garments so before your claim can be filed for reimbursement you will need to provide clinical notes from your therapist or doctor demonstrating the need for compression garments.
For custom made stockings you will need to provide documentation from a healthcare provider detailing the reasons you are unable to use ready to wear compression garments.
Alternatively – If you are not able to provide those records you will be required to sign a document stating that you may not qualify for coverage.

PLEASE NOTE THAT THIS INFORMATION APPLIES ONLY TO MEDICARE PATIENTS.
We will continue to bill BCBS and Aetna claims as we have in the past and there are no limits to qualifying conditions for those insurances.

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We invite you to visit our specialty support wear shop, the only one of its kind in the Chicago metropolitan area. When you enter you will find a welcoming staff, highly experienced fitters and an astonishing variety of medical compression and support wear. We begin your fitting by reviewing your physicians orders and talking to you about any special requests or limitations you might have. Next we make sure that you are measured correctly and are fitted with a high quality garment that best meets your specific needs. You will also receive appropriate instruction in how to apply and remove your compression wear without damaging either the garment- or yourself.

To provide us with the time we need and the attention you deserve we recommend that you call first to make an appointment. A first time fitting will take between 30 and 45 minutes- during which time you will have an opportunity to try on your garments for fit and comfort before you are committed to them. And you may be surprised to find that your properly fit compression garment actually feels really good!

So- come in and see us, we’ll take the scare out of compression wear.

 COME IN – GET FIT – FEEL BETTER!