As low as $11/month with Medicare Part B co-pay. As low as $34/month or $399 with patient-pay (OTC) options.
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FDA-cleared Elitone and Elitone Urge are now covered by Medicare Part B, providing even more access to women dealing with embarrassing bladder leaks. It’s time to be Boss of Your Bladder®.
Looking for Elitone for Men? Visit HERE
Elitone is approved for nationwide Medicare Part B coverage (also known as Original or Traditional Medicare). We can also process Medicaid in Arkansas, Connecticut, Idaho, Indiana, Minnesota, New Jersey, Oklahoma, Texas, and Washington.
Requirements for Coverage:
Important Notes:
Before contacting a doctor for a prescription, we recommend answering a few questions to:
This step is optional, but helps route you to the correct next step.
Why is this important?
Elitone and Elitone Urge are not right for individuals with certain medical conditions. Completing the eligibility check helps determine whether you may qualify for a prescription. If you have questions about using Elitone with your specific medical conditions please contact your healthcare provider.
We’ve partnered with MD Integrations, a licensed telehealth provider, to make getting a prescription (Rx) simple, fast and cost-effective.
Alternately, you can ask your doctor for a prescription. They will need to send us a completed Detailed Written Order.
Required: We can’t confirm eligibility or process any co-pay until we receive your insurance details. Have your insurance card(s) ready and upload them here. We will confirm coverage and collect any co-pays before shipment.
What if I don’t have Medicare Part B (Original Medicare)?
We are accredited to bill Medicare Part B (Original Medicare) for Elitone or Elitone URGE. PPO plans, including Medicare Advantage PPO plans may cover part of the cost.
HMO, Medicare Advantage HMO and private plans will likely NOT cover Elitone, and we will be out of network. Some patients choose to contact their insurance provider directly to request a pre-authorization or coverage review based on medical necessity. You want to make sure you mention that you have a prescription from your doctor. In addition, it is important to add that Elitone is billed under HCPCS code E0740, which is a covered medical equipment code used by Medicare and many insurance plans.
When your device is processed through insurance, any patient responsibility amount (such as coinsurance or deductible) is applied toward your plan’s annual deductible and out-of-pocket maximum. This means that even if you have some upfront cost, the amount you pay is credited within your insurance plan.
Note: It is very difficult to get reimbursement after a purchase, so we do not recommend that path.
How can I tell if I have original Medicare Part B?
If you normally show your red, white and blue Medicare card and it says “MEDICAL (PART B)“, you likely have Original Medicare.
If your card shows a Medicare Advantage (Part C), HMO plan, or other private company card instead, you do not have the Original Medicare coverage for this benefit. If your Medicare Advantage card says PPO – you may have partial benefits for Elitone coverage. You may also have a Medicare Supplement (Medigap) card in addition to your red, white and blue Medicare card.
I submitted my prescription, now what?
Thats great! Have you uploaded your insurance card and filled out the Medicare forms? Waiting for this information, or trying to reach the patient for copy, or doctor for more informaion is often the slowest part in the process. Please check your spam folder for information.
Expect a call or email from 203-508-4249 (Serrena). You may also contact that number or email support@elitone-rx.com at any time.
Please note, it can take 3 weeks to process an original Medicare form and much longer for other plans.
What is my out-of-pocket cost?
You will be responsible for any co-pay. For Medicare patients without secondary insurance, this is typically around $150, as low as $12/month for 13 months. If you have PPO insurance, we will need to verify with the insurance company for out-of-network benefits.
What about for Men?
Please go to Insurance for Men.
Other options to start treating right away
The process takes time and involves multiple steps, especially if the insurance is not original Medicare. Many women choose self-pay to skip the paperwork and delays, so they can begin treatment immediately and regain confidence sooner. You can also purchase the upgraded v2 with 3x more battery-life.
Payment plans bring the cost down to $34/mo with Affirm and PayPal Pay Later plans.
HSA/FSA can be used by checking out with SIKA, no hassle.
The product ships the next business day usually.
Insurance Codes - HCPCS, DME and ICD-10
Manufacturer: Elidah, 31 Pecks Ln Ste 11, Newtown CT 06470
Elidah has obtained these insurance codes for the Elitone product lines.
| Product Name | HCPCS/DME Code | Description |
| Elitone | E0740 | Non-implanted pelvic floor electrical stimulator, complete. |
| Elitone URGE | E0740 | Non-implanted pelvic floor electrical stimulator, complete. |
| Elitone for Men | E0740 | Non-implanted pelvic floor electrical stimulator, complete. |
| Elitone GelPads Pack of 5 | A4595 | Electrical stimulator supplies |
Elitone and Elitone URGE are clinically proven to reduce or eliminate leaks. These FDA-cleared devices have been used by over 30,000 women.
Across multiple studies, women who had been incontinent for more than 10 years achieved significant reductions in bladder leaks.
Women with stress incontinence wore fewer and smaller pads. That means hundreds of dollars in savings per year.
Women in these studies found the treatment comfortable and easy to use while going about their day thanks to the thin, flexible GelPad.
The comment we hear most often from patients is that they can’t believe they waited so long to get treatment. Whether you’ve been leaking for months, years, or decades, Elitone and Elitone URGE can help you regain control and confidence. Isn’t it time to start living Life Leak Free®.
