Volara and Medicare
I have a friend who has been prescribed the Volara Airway Clearance device. She has been told by the company who manufacturers it that Medicare doesn't cover it, but she was under the assumption that they do based on her conversation with the prescribing doctor. Has anyone on this forum had experience with this Volara device and payment by Medicare? If so, I would appreciate so much any info you may have. Thank you in advance.
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It looks a bit complicated on the video. I guess the basic idea is that it may help more than an Aerobika to loosen and clear the mucus. My first clearance session with neb followed by Aerobika lasts about an hour total but perhaps with this it would be less time. If anyone else uses this and finds it works better than flutter devices let us know!
Hello, I'm on medical and have a supplemental plan. My doctor at NJH wants me to use this machine, but Hill Rom wont submit it to Medicare because they say they will not approve it. How did you get yours approved?
Thanks
It was a year ago now, but I’m pretty sure Hill Rom submitted it. BUT, I just got a letter from my insurance co (Medicare advantage) that they have denied it for this coming year. So hill Rom is following up with NJH to submit medical records for an appeal. You might want to ask NJH about how they are getting them approved now.
Medicare paid for my vest.
Is the Volara a vest?
Medicare does have a code to bill for a device like this.
For me it does however I suffer from side effects. My first 4 months, my breathing was better but my ears suffered. The pressure affected my eustachian tubes, like swimmers ear and the albuterol getting pushed further into the lungs amplified my tachycardia to the point I stopped everything and saw a cardiologist. Got the SVT under control and went back on the volara and while breathing better, now have tinnitus in the left ear. I was on private insurance last year who surprisingly bought the machine for me.
Hi, do you know what the code is? HillRom told me that they are no longer submitting the claim to medicare. Do you know the code? I can't seem to get anywhere with them other than they will finance one for me, but will not submit the claim.
Is Medicare paying for the refill supplies from Hillrom? I have a volara and just went on Medicare. Hillrom sent me some forms wanting $250. I will not sign it, way too much for a simple filter.
The HCPCS codes are: E0481 (Intrapulmonary percussive ventilation system and related accessories), and E1399 (Durable medical equipment, miscellaneous [when specified as a combination continuous positive expiratory pressure (CPEP) and continuous high frequency oscillation (CHFO) device such as the Volara System for oscillation and lung expansion (OLE) therapy]
I hope this helps.