FUNDING DIRECTORY

Documentation Requirements & Forms
Where do I begin?
Medicare criteria for Speech Generating Devices
Where to send completed forms
Locate your ZYGO equipment health plan provider in your state
Rental Program Information
Funding FAQ
Glossary of terms
AAC and Funding Resources
ZYGO AAC Devices and HCPCS Allowables
 
 
CLAIMS REQUIREMENTS

Client Profile / Client Information Form
Copy of all insurance cards
(front and back)
Assignment of Benefits
Co-pay and deductible
if there is no secondary insurance
Consent Form
Speech Therapist's Comprehensive evaluation
(dated prior to date of Rx)
Physician’s Prescription
 
 
Samples:

Sample Speech Therapist's Evaluation
AAC-RERC Sample Evaluations
FUNDING PRODUCTS IN THE UNITED STATES

medicare

Medicare may cover augmentative and alternative communication devices. The patient is usually responsible for a 20% deductible which might be covered by a secondary funding source. ZYGO is not an accredited Medicare provider, however we do have dealers that are. Our funding department can help you gather the materials you will need to submit the claim to receive a communication system.

medicaid

Refer Medicaid funding requests, as well as those Medicare/Medicaid requests to the local dealer or Durable Medical Equipment provider who processes Medicaid claims in your state.


private insurance

ZYGO's funding staff provides assistance to clients who need help navigating the complex healthcare insurance system. Augmentative communication is a covered benefit of many health plans.

There are three steps involved in this procedure.

Step 1:
Find your health plan provider in your state. ZYGO also processes private insurances as well.

If the client does not have health insurance, there are public agencies that may offer assistance such as Department of Vocational Rehabilitation, Easter Seals Society, the United Way, and other organizations dedicated to helping people with a specific disability such as ALS Association, and the Muscular Dystrophy Association. Non-profit or civic organizations such as the Rotary Club, Knights of Columbus, etc. may also provide assistance.

Step 2:
Eligibility to receive equipment through insurance is dependent upon the completion and submission of several items including: Client Profile, copy of all insurance cards (front and back), Assignment of Benefits, co-pay and deductible (if there is no secondary insurance provider), Consent Form, Speech Therapist's Comprehensive evaluation , and a Physician’s Prescription.

Step 3:
For further information or assistance regarding funding a communication system, please call our Medical Accounts Manager at (800) 234-6006 x119 or e-mail [email protected] with your specific questions.


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