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Reimbursement Information

Generally, there is excellent insurance coverage for the ErecAid system. Medicare and many private insurance companies reimburse for the ErecAid system.

If you have Medicare Part B coverage (non-HMO), Medicare will cover 80% of the allowable amount, set by state, for the ErecAid. You are responsible for the 20% co-pay for DME. You may also be responsible for any deductible not yet met for the year. Additionally, many secondary insurances may reimburse the 20% copay to you. Timm Medical will take assignment of your Medicare benefit when you purchase a Manual Osbon ErecAid system. We will file a claim directly to Medicare on your behalf. You may not file on your own.

Timm Medical does not accept assignment for the Automatic Osbon ErecAid system or if you are covered by a Medicare HMO. If you are purchasing an Automatic system or have a Medicare HMO as your primary coverage, we will file a claim to your insurance carrier on your behalf and they will reimburse you directly for any benefit covered by your plan.

Many private insurers cover a portion of the ErecAid system cost. Timm Medical will file a claim, on your behalf, without taking assignment of your benefit. In this situation, you pay for the device in full and receive reimbursement directly from your insurance company based on your plan’s coverage. We recommend you contact your insurance company to determine the benefits coverage by asking about reimbursement for CPT code L7900 – out of network benefits. Many HMOs may require you to obtain an authorization prior to purchasing the ErecAid and may direct where you may purchase the device.

We realize insurance coverage may be confusing. We are here to assist you with any questions you may have. Please contact our Customer Service at 1-800-438-8592 between 7:30 am and 6:00 pm Central Time or our Reimbursement Department at 1-800-438-2221 between 8:30 a.m – 4:00 pm Central Time.