Medicare
Elitone has nationwide coverage through traditional Medicare. It is considered Durable Medical Equipment (DME), which requires Medicare customers to obtain it from a licensed DME provider. The DME provider will rent you an Elitone on a monthly basis, typically 13 months, after which you own the product. You will be responsible for any out-of-pocket cost, often as a monthly copay. You will need:
- A prescription for Elitone from a treating physician (see Detailed Written Order), including a statement of Medical Necessity.
- Physician documentation (e.g., chart notes) showing that you tried and failed an ordered 4-week pelvic floor muscle exercise trial.
- (Preferred) Chart notes describing that neuromuscular electrical stimulation is needed prior to advancing to more invasive surgical or implantable treatments.
- Note: Medicare Advantage is not traditional Medicare; coverage is state-dependent, and we may not have a DME provider in your state.
Prescriptions and supporting documents that is sent to Elidah (FAX: 833-830-1310) will be forwarded to a DME provider if not state-specific
The following infographic depicts the Medicare process. Processing time varies from several weeks to several months.