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iWALK Crutch Insurance Information

Will insurance pay for my iWALK crutch?

Good news – many health insurance companies now reimburse the iWALK crutch. We have seen full reimbursements from United Healthcare, Blue Cross / Blue Shield, Aetna, Cigna and many others. Whether your insurance company will reimburse your iWALK purchase depends on your company and your plan. We’ve tried to simplify the process so you can determine if your iWALK purchase will be reimbursed.

Please note – Medicare and Medicaid do not reimburse the iWALK crutch

We’ve distilled the process into three steps:

.STEP 1

Determine if your insurance requires that your iWALK is purchased “In-Network” or “Out-of-Network”. Many plans have allowances for both types. Some plans have different reimbursement amounts depending on which channel you use for your purchase.

  • In-Network – Your insurance company has negotiated contracts with these sellers of medical equipment. If In-Network purchases are required, you must contact your insurance company to find an In-Network dealer. When you have located an In-Network dealer who sells the iWALK, proceed to Step 2.
  • Out-of-Network – Plans with this option allow you to purchase from wherever you choose. This Includes purchases from our website.  Click here to purchase your iWALK crutch now. Proceed to Step 2.

STEP 2

Certificate of Medical Necessity (CMN) – Also referred to as Letter of Medical Necessity, most insurance companies will require this document. Your physician is likely familiar with it. If possible, get the CMN in advance by downloading it using the link provided below and taking it to your physician for completion. If you have already purchased your iWALK it’s normally OK to have your physician complete it after your purchase.

When requesting the CMN from your physician ensure that the completed form includes the following:

a. It is medically necessary for the patient to use an iWALK instead of standard crutches. Examples include if patient has pain from using crutches , upper extremity weakness, carpal tunnel syndrome , etc.

OR

b. There are extenuating circumstances which require you to use the iWALK crutch. Examples:

          • Patient is primary caregiver and cannot care for child / elderly adult with crutches
          • Patient cannot return to work with crutches
          • Patient is not safe using crutches at home or work due to stairs or uneven surfaces

Prescription –Certificate of Medical Necessity includes information provided in a prescription and therefore a separate prescription document is not required. If you do not have a Certificate of Medical Necessity, then a prescription may be accepted by your insurance.

Download Certificate of Medical Necessity here.

STEP 3

Submit your claim – Obtain a claim form from your insurance company. Gather all the documents previously obtained and submit them to your insurance company with your completed claim form. If the form asks for an insurance code, often referred to as an “HCPCS code”, use E0118.

Most states require that your insurance company respond to your claim within 30 days.

Disclaimer: All insurance plans and provider/Payer contracts are different. iWALKFree, Inc. cannot guarantee coverage. The information provided here and elsewhere is based on our limited and most current knowledge of the Payer organizations and contracts. It is not intended to provide, and should not be relied on for patient access, Payer coverage, tax, legal, medical or accounting advice. The content is from other public sources and is reproduced here for the convenience of consumers. iWALKFree does not guarantee accuracy of this information.