CUSTOMER SERVICE: Insurance Reimbursement
Insurance Reimbursement
Guidelines for insurance reimbursement are below. Please call us at (800) 692-4380 if you have any questions.
Private Insurance
Many private insurance companies will reimburse patients for the purchase of a Circadia® device if the patient's doctor provides a letter of medical necessity. You may download a template of this letter by clicking here. Your doctor will need to edit the template.
If the insurance company denies the claim at first, it will often accept the claim once the patient contests the initial denial.
You may reference the Medical Code: E0720 NU and the Provider Number: 1497045215 as needed for submission.
Medicare and Medicaid
Medicaid in Maine (MaineCare) fully covers the purchase of the device (visit our MaineCare site here). Medicare does not currently cover the purchase of the device.
Tricare for Life
TRICARE For Life covers the purchase of the Fisher Wallace Stimulator®. The device is covered for any veteran -- or immediate family member of a veteran -- who is either (1) retired from the armed services and over 65 or (2) on permanent disability and under 65.
Use the Medical Code: E1399 NU and the Provider Number: 1497045215, both of which are required for submission. Submit your claim directly to TRICARE For Life.