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Insurance
Below is a summary of our experience in dealing with requests
for insurance and/or Medicaid financial assistance.
(Most of the beds that are sold are covered by insurance, both
private and Medicaid).
Two basic requirements are
necessary:
1) Letter of Medical Necessity.
2) Prescription from a doctor specifying
the exact bed model
and features.
About Letters of Necessity:
In a letter of medical necessity, it must be clear
that a SleepSafe bed addresses SPECIAL NEEDS. The key is to emphasize
the clinical needs of the patient. It must be pointed out how
his or her needs are not being met by the bed they are currently
using. Once the failings or dangers of the current bed have been
detailed, a SleepSafe™ Bed product can be prescribed in
answer to the particular needs. We also believe it is important
not to lead with a mention of a SleepSafe product, but rather
wait until the 4th phase in the outline below.
A Basic Outline for a Letter of Necessity
1. Introduce the patient and how long she or he
has been in the care of the doctor or facility. Describe his or
her condition and detail the special needs that are a consequence
of the condition (i.e. lack of control; no recognition of danger
in rolling or falling out of bed; entanglement in side rails if
a "hospital/institutional" bed is currently in use and
the potential or documented injury as a result; potential of entrapment
or suffocation due to the gaps around the mattress on either side
or at the ends—especially the corners.)
2. Explain how the bed or crib currently being
used fails to protect the patient and the consequence of falling
will result in bodily harm. Include, if applicable, how the patient
has the capacity to climb.
3. Perhaps address the psychological issues regarding
the importance to see out and be seen/acknowledged, and/or not
be trapped in a bed with an enclosure over the top.
4. Recommend the bed model that addresses each
of the concerns—with specific requirements such as full
safety rails, or specific height required for safety (where the
double safety rail and mattress height adjustability of the SleepSafer
model would accommodate the needs), or the necessity of articulation
to raise the head or feet of the patient in order to feed, medicate,
or provide mobility.
5. The imperative that the specific needs be addressed
and prescribe the appropriate model (SleepSafe, Sleep Safe Plus,
Sleep Safe HiLo, Sleep Safe 2, Sleep Safe 2 Plus, Sleep Safe 2
Hi Lo, SleepSafer, SleepSafer Plus, Sleep Safer Hi Lo, SleepSafe
2 Youth Bed or Sleep Safer Youth).
We appreciate the opportunity to work with you
and help find a way to work through the process. Please feel free
to call us if we can be of further assistance, toll-free, at 866-852-2337
from 8 a.m. to 5 p.m. EST.
*Visit the web to view “Hospital
Bed System Dimensional & Assessment Guidance to Reduce Entrapment
- Guidance for Industry and FDA Staff” @ http://www.fda.gov/cdrh/beds/guidance/1537.html
(published March 2006)
**Sleep Safe Beds patented design exceed these new safety guidelines,
virtually eliminating entrapment issues**
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