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Will Your Insurance Pay For A Toilet Lift?

Many of our customers realize that the price of the lift is far less than a single month in a care facility. Extending the time you stay in your home is worth the price of a toilet lift, even if you have to pay that price yourself.

In some instances, some customers may be able to get reimbursed, but this is not the norm, typically these customers are paying out of pocket to have excellent insurance coverage. Here is what we can tell you about trying to see if your insurance company will reimburse your Dignity Lifts purchase.

  • It is important to know how our product is categorized. Every medical item is classified for billing purposes, but sometimes a product can fit into two areas. Our lifts can be used only as a toilet lift or they can be used as an electrically lifting bedside commode. Here are the two classifications for these:
    • HCPCS Durable Medical Equipment Code E-0172 - (Seat lift mechanism placed over or on top of toilet, any type). Our BL1 lift fits in this category and is less likely to be covered by insurance.
    • HCPCS Durable Medical Equipment Code E-0170 - (Commode chair with integrated seat lift mechanism, electric, any type ) - This category works for our DL1 and CL1 lifts because those lifts are equipped with a commode bucket and rack.
  • You should check your insurance policies to see if they cover either of those two codes. Things are always changing and many insurance policies are unique, but here is what we know. 
    • Medicare does not cover toilet lifts. E-0172
    • Medicaid does not (usually) cover toilet lifts E-0172
    • Some private insurance covers electric toilet lifts E-0172. Call your insurance company to see if they do. If you get prior approval and a prescription from your doctor. In this case you can submit the receipt from your purchase for reimbursement. (Dignity Lifts does not handle your insurance, you will have to make the purchase here and then seek reimbursement).
    • Medicare may cover E-0170 in cases where the user is so disabled they cannot leave the bedside. Call them to see if you can get prior approval, you will likely need a prescription from your doctor. If you get approval and a prescription, purchase a lift and then you can submit the receipt from your purchase for reimbursement. (Dignity Lifts does not handle your insurance). 
    • Medicaid may cover E-0170 in cases where the user is so disabled they cannot leave the bedside. Call them to see if you can get prior approval, you will need approval and a prescription from your doctor. If you get approval and a prescription, you can purchase a lift and submit the receipt from your purchase for reimbursement. (Dignity Lifts does not handle your insurance). 
    • Some private insurance covers E-0170. Call them to see if you can get prior approval, you will likely need a prescription from your doctor. If you get approval and a prescription, purchase a lift and then you can submit the receipts to your insurance company for reimbursement.
    • All Dignity Lifts are eligible for purchase through a Flexible Spending Account (FSA) or a Health Savings Account (HSA) . This allows customers with an FSA or HSA balance to purchase their lift that way. FSA and HSA expenses are covered by this IRS document IRS Publication 502.

As a manufacturer Dignity Lifts understands that most of our customers have to use their own money to buy our products. For this reason we try to make the best toilet lifts possible and we sell them for a fair price. We do not bill insurance for our customers.

In the process of filing for reimbursement, you may need our NPI number. The NPI Number for PriveCo Operations LLC, the parent company of Dignity Lifts is: 1629730056.

We wish you the best in this process. It can be difficult to get reimbursed for these items.

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