Insurance Coverage / Reimbursement

Good news: Elitone for Men may be covered by insurance. We process Original Medicare claims directly to make things easier for you. For Medicare Advantage or private insurance, billing is handled by a third party and coverage is not guaranteed. Insurance purchases do not qualify for online pricing, free shipping, returns, or promotions. This page helps you understand your options.

Detailed Written Order (Rx Form)

Elitone for Men is Medicare Part B (Original Medicare) eligible. Just follow a few steps:

Quick Overview
• Your doctor sends us a prescription (DWO) with brief clinical notes.
• We text you when processing starts and contact you to confirm any co-pay and collect required forms.
• You sign required documents and we ship Elitone to your home.

Tip:
Most delays happen when we are waiting on missing information or signatures, or when we are unable to reach the patient or doctor.
Please watch for calls, texts, and emails (check your spam) from Elidah or Elitone and respond promptly to avoid delays.

NOTICE: We can process Medicaid in Arkansas, Connecticut, Idaho, Indiana, Minnesota, New Jersey, Oklahoma, Texas, Washington.

We cannot process Medicare Advantage, or private insurance at this time.

Elitone for Men is covered by SOME providers, but coverage depends on your specific plan. We can provide an initial eligibility assessment, but processing/billing must be handled by an in-network partner. In many cases this takes 4-8 weeks and is ultimately denied. Because of this, many men opt to self-pay to begin treatment right away. If you choose to pursue coverage, here are the next steps:

  1. Your healthcare provider sends us a prescription.
  2. You will receive a TEXT from us, letting you know that we’re started the assessment.
  3. You will receive a CALL or EMAIL detailing your eligibility.
  4. If you are NOT ELIGIBLE for coverage you will be given an opportunity to self-pay and have the expense count toward any insurance deductible.
  5. If you are ELIGIBLE for coverage and there is an in-network billing partner, your prescription will be forwarded for processing. That partner will contact you with further instructions.
  6. You review and sign documents and complete payment as applicable.
  7. Elitone is shipped to your home.

This process typically takes 4-8 weeks (or longer) depending on how quickly you and your insurer respond to request for additional information, and the availability of an in-network billing partner.

Notes:

  • Coverage is not guaranteed.
  • The timeline for this process can vary significantly

Elitone for Men is available without a prescription, so many patients opt to self-pay and avoid delays due to insurance processing. Your next steps for self-pay include:

  1. Add Elitone for Men to your cart.
  2. At checkout, select from multiple payment options, including Affirm for monthly-payments, or an  HSA/FSA account.
  3. Product typically ships the next day.

Notes:

  • This purchase method is eligible for our 60-day money back guarantee

Please note, it can take 3 weeks to process an original Medicare form and much longer for other plans.

Expect a call or email from 203-508-4249 (Serrena). You may also contact that number or email billing@elidah.com at any time.

The slowest part is trying to reach you for more information. You can be proactive by providing your insurance information (if you haven’t) and signing the forms:

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 for Men E0740-NU Non-implanted pelvic floor electrical stimulator, complete.
Elitone for Men GelPads (Pack of 5) A4595 Electrical stimulator supplies

Additional reference diagnostic codes:

  • ICD-10-CM Code – N39.3     Stress urinary incontinence (SUI)
  • ICD-10-CM Code – N39.46  Mixed urinary incontinence (MUI)