Durable Medical Equipment

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Durable medical equipment review, including what is covered and does it apply to the DME max.

Questions and Answers

1.

Durable medical equipment provision is designed to pay for disposable medical equipment?
- A.
  
  True
- B.
  
  False
Correct Answer
B. False
2.

If you are unable to determin if a DME item is covered how do you handle? (check all that may apply)
- A.
  
  Transfer to the service center
- B.
  
  Email you sup to see if further research is needed
- C.
  
  Quote benefits and give limitation B
- D.
  
  Do not quote, advise to submit an medical inquiry
Correct Answer(s)
A. Transfer to the service center
B. Email you sup to see if further research is needed
3.

For a 2005 MG or NA ILL League of Fin account if they item is on the DME list it is automatically covered, and applies to the CY max on the plan?
- A.
  
  True
- B.
  
  False
Correct Answer
B. False
4.

If a DME item is benig rented which limitation is required?

Correct Answer
Y
5.

Does a medtronic guardian RT device used for diabetes, require authorization on a standard 2005 MG or NA account?
- A.
  
  Yes
- B.
  
  No
Correct Answer
B. No

Explanation
this is a brand name for an continuous glucose mointoring device.

Rate this question:
6.

Would an artificial eye fall under the DME max on a 2005 MG or Standard NA account?
- A.
  
  Yes
- B.
  
  No
Correct Answer
B. No
7.

Are grap bars for a bathtub or toilet covered?

Correct Answer
No

Explanation
under Med 3P - Durable medical equipment - Equipment Generally Not Covered it list Grab Bars.. because they are not used to treat an illness or injury.

Rate this question:

4
8.

Would disposable diabetic supplies have standard coverage under code 54 or 46?

Correct Answer
46
9.

An ace wrap or elastic banage/wrap would be payable under the DME max on the a 2005 MG or NA plan?
- A.
  
  True
- B.
  
  False
Correct Answer
B. False
10.

Diabetic shoes are a covered item?
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

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Current Version
Jan 27, 2021

Quiz Edited by
ProProfs Editorial Team
Jul 28, 2009

Quiz Created by
Trainers

Durable Medical Equipment

Durable medical equipment provision is designed to pay for disposable medical equipment?

If you are unable to determin if a DME item is covered how do you handle? (check all that may apply)

For a 2005 MG or NA ILL League of Fin account if they item is on the DME list it is automatically covered, and applies to the CY max on the plan?

If a DME item is benig rented which limitation is required?

Does a medtronic guardian RT device used for diabetes, require authorization on a standard 2005 MG or NA account?

Would an artificial eye fall under the DME max on a 2005 MG or Standard NA account?

Are grap bars for a bathtub or toilet covered?

Would disposable diabetic supplies have standard coverage under code 54 or 46?

An ace wrap or elastic banage/wrap would be payable under the DME max on the a 2005 MG or NA plan?

Diabetic shoes are a covered item?