Medicare and Other Coverage Options

Depending on coverage, patients may pay as little as $0 per month for the remote monitoring service. There is no cost for the ForeseeHome device as it’s loaned to the patient as part of the service.

• Patients with Traditional Medicare Part B and a secondary supplement plan may have out-of-pocket cost as low as $0 per month.
  • Medicare Part B will cover 80% (net of deductibles) for the service.
  • The remaining 20% co-pay is usually covered by secondary or supplemental plans.
• Patients with Traditional Medicare Part B and no secondary supplement plan owe $15.58 per month once their yearly Medicare Fee-for-Service Part B deductible is met.
• Medicare Advantage, Medicare Replacement or Commercial Insurance plans will require further verification to determine a monthly out-of-pocket cost.
• Patients who do not qualify for any insurance coverage will pay $77.90 per month for the monitoring fee.

The Notal Vision Monitoring Center's Patient Financial Services department manages all benefit verification and insurance pre-authorizations once a patient referral is submitted. We will bill on behalf of the patient; neither the practice nor the patients need to submit any claims for CPT code 0379T.

ADDITIONAL COVERAGE INFORMATION

Outside of traditional Medicare Part B, Medicare Advantage and Commercial Payer Plans will be submitted on behalf of the patient. If the claim is denied, up to 3 appeals will be made by Notal Vision, usually covering the timeframe of up to 6 months for the appeals process. During this time, the Monitoring Center will allow the patient to enroll in the ForeseeHome program and begin monitoring at no cost to them. If the claim is still denied after 3 appeals, the patient will be contacted and asked if they wish to pay out-of-pocket to continue the service ($77.90 per month).