Know Your A guide to home O tions medical equipment, home ... · for you and your loved ones. We can also explain what is and isn’t covered by insurance. We look forward to answering

A guide to home medical equipment, home care products, accessories and home accessibility

Know Your

Options

You are suddenly caring for an aging parent?

You want to stay safe and independent in your home?

Health challenges call for creative solutions. What will you do, who will you call, where will you go when...

Your spouse or partner is facing a debilitating diagnosis?

You are providing care for a disabled or sick child?

Your spouse or partner is facing a debilitating diagnosis?

Make Informed DecisionsHome medical equipment, assistive devices or home modifications may be the answer to health challenges, including surgeries, disabilities, mobility limitations, chronic respiratory diseases, aging individuals who want to stay in their homes, and children’s disabilities. This guide offers equipment options that make life easier for patients and caregivers, and it provides valuable information to help consumers make educated decisions.

Health challenges may seem daunting, but studying this guide and taking advantage of our expertise will help you make the best choices for you and your loved ones. We can also explain what is and isn’t covered by insurance.

We look forward to answering your questions and providing the kind of service we would to a member of our family.

04 We’re Here To Help Finding solutions

06 Mobility Options Explore mobility equipment and accessories

10 Mobility Assessment Decide what you need

12 Home Care and Accessibility Explore home care and accessibility equipment, and daily living aids that keep you safe, confident and independent

16 Fashion, Safety, Independence Stay safe and independent in the bathroom and throughout your home with practical and fashionable equipment and accessories 20 Respiratory Assessment Make an informed decision

22 Respiratory Equipment Explore equipment solutions to sleep and respiratory challenges

24 Home Modifications Modify your home for safety and independence

27 Medicare and Insurance A guide to understanding coverage

31 Keep In Touch Record important information

Table of Contents

6 16 23

We will help assess your needs, answer questions and help you find solutions.

Perhaps the doctor has prescribed some equipment, or an illness or ability change requires assistive home care products. We’re here to help. The onset of illness or disability can be sudden, but a bit of education can help you make wise choices that can increase the safety and independence in the home setting for you or a loved one. We’ll help assess your needs, suggest the right solution for your situation, offer training, education and maintenance, and even help you find other resources.

As your community-based medical equipment provider, we treat our patients as individuals. We work closely with doctors and caregivers to ensure the best equipment and supply solutions. And, because we are community minded and service oriented, we would like to continue to provide follow-up and service whenever needed.

“I am so incredibly grateful for

the personal care and attention

my family and I receive from our

equipment provider. They treat

us like we are one of the family.” Margaret H., Mabel, MN

We’

re h

ere

to h

elp

– Fi

ndin

g so

luti

ons

4 Know Your Options

Finding solutions step by step...

• Assess the health care and/or lifestyle challenges.

• Determine what you want or need.

• Do you need it now?

• Is a prescription required?

• Talk to your health care providers.

• Call us, your HME provider, to find out what equipment, assistive technology and services are available.

• Understand what your insurance plan and budget allow.

• Discuss needs and circumstances among patient, family and caregivers.

• Talk to us about what you need and what is covered.

• Know what you’re getting for your money : extended service, delivery, warranties.

• Will the equipment fit in your home?

• Which accessories are necessary and which are optional?

• Determine if other solutions are available.

• Consider service and support elements.

• Get necessary approval and documentation from doctor and insurance.

• Finalize fitting, seating, etc., and arrange for delivery and setup.

• Finalize home modifications if necessary.

• Inspect item upon delivery; watch setup and participate in training.

• Finalize payment arrangements/billing the primary and/or secondary insurer.

• Try equipment with someone else present.

• Make a list of questions for the provider and know who to call to get answers.

• Keep all information organized with the “Stay in Touch” section at the back of this book.

• Call us with any questions or concerns.

1 Plan ahead

2Make

contact

3Prepare

4To finalize

purchase or rental we

will:

5Use the assistive

equipment

Find

ing

Solu

tion

s

Know Your Options 5

6

Manual WheelchairsTransport chairs: Lightweight with foldable frames, simple to use and easy to transport. A good option to help with occasional, short-term mobility needs.

Standard chairs: Weigh between 37 and 47 pounds. Non-adjustable frames are available in basic seat sizes and include options for height-adjustable armrests and elevating leg rests. A good option if you need a basic mobility device to travel short distances or for short periods of time.

Lightweight chairs: Usually weigh between 24 and 34 pounds. Available in basic seat sizes with some armrest and leg rest options. Low seat height on some models allows you to propel with your feet. An appropriate option if using the chair for several hours during the day, are mildly active and primarily propelling on flat surfaces.

High-strength lightweight chairs: Weigh between 30 and 34 pounds. Various options available to help maintain good seated posture and propel with ease. Good choice if using a manual chair for most of your mobility, are in the chair most of the day and lead a mild to moderately active lifestyle.

Ultra-lightweight chairs: Aluminum frames weigh between 18 and 28 pounds, while titanium frames can weigh as little as 16 pounds. Built for performance, efficiency and ease of maneuverability over varying terrain. A great choice if you use the chair for all your mobility, lead an active lifestyle and/or need individual tailoring for your complex seating and functional needs.

Heavy duty and bariatric chairs: Weigh between 50 and 60 pounds. Larger seat sizes, reinforced upholstery and reinforced frames accommodate user weights from 250 to 1000 pounds. Available options vary according to the model, chair type and weight capacity.

• Ramps

• Seat and back cushions

• Trays, cup holders

• Cell phone and tablet holders

• Oxygen tank holders

• Gloves

• Vehicle lifts

• Back-of-chair packs

• Under-seat bags

• Wheel lock extensions

• Arm rest bags

• Leg lift straps

• Canopies/covers

• Side guards

• Flags and equipment holders

• Tie-down systems for transport

Accessories to assist you

Take some time to consider your wheelchair options and the convenience of added accessories.

Wheelchair users find these products helpful in...

Know Your Options

Mob

ility

Opt

ions

Accessories to assist you

Wheelchair users find these products helpful in... ...performing daily living activities.

Features and options

Lightweight power chair (Group 1): Can be disassembled into several sections and/or folded to allow transport in a car. Small in size, light in weight, standard seat sizes and options. Ideal for basic mobility for short periods of time, over short distances on mostly level surfaces.

Standard power chair (Group 2): Designed for everyday use, and constructed to go faster and farther than Group 1 chairs. Captain’s style seats, solid seats or sling upholstery in a variety of sizes. Appropriate terrain includes level surfaces and mild to moderate uneven terrain. Mid-wheel drive options provide a tight turning radius for easy maneuverability in tight spaces. Great choice if using a power chair for most of your mobility needs and lead a mild to moderately active lifestyle.

Active-duty power chair (Group 3): Constructed for durability, adjustability and performance. Frame suspension, larger batteries and more powerful motors to allow longer distance mobility over level to rough terrain. Many different seat sizes, multiple positioning options, tilt, recline, elevating leg rests and seat elevator options, and rear-, front- and mid-wheel drive configurations. If you use a power chair for all mobility, have an active lifestyle and/or more complex seating and positioning needs, these chairs are the optimal choice.

“Very active-duty” power chair (Group 4): Have all the same options as the Group 3 chairs, but are even more durable and rugged. With the most powerful motors and largest batteries, they go further and faster and can maneuver over anything from level, surfaces to rough, uneven terrain. An ideal choice if you lead a very active lifestyle and encounter many different types of environments and terrain in your daily activities. We are happy to assist you or provide a referral.

Bariatric power chair: Larger seats, reinforced seating construction and frames, weight capacities from 300 to 700 pounds or more.

• Captain’s style seating, solid seat and back supports and many types of seat cushions

• Swing-away retractable joystick mount • Power tilt, recline, elevating legrest

and seat elevator systems• Hand, head, chin, finger, foot or sip

and puff control• All-weather covers• Sealed batteries• Variety of wheel and tire sizes• Attendant control and remote stop

switches• Cane, crutch, walker and oxygen tank

holders, carry-all baskets• Tie-down systems for vehicle transport

7

Power Wheelchairs

Physical considerations include posture, strength, sensation, visual acuity and perception, and the ability to learn how to use the chair safely.

Mob

ility

Opt

ions

Know Your Options

Scooter

The scooter’s body is usually considered the base unit. Frame options include steel, aluminum or a composite, and a fiberglass or composite floor to support the feet. Scooters are available for indoor and outdoor use. Maneuverability, wheelbase size, ground clearance, turning radius and overall dimensions are the determining “in or out” factors.

• Bags• Pouch packs• Carriers• Totes• Crutch/cane holders• Cup holders• Oxygen carriers• Front and rear baskets• Trailers• Horns• Canopies• Batteries• Canopy covers• Walker holder• Safety flags• Vehicle lift• Ramps• Mirror

There are countless features and options available for scooter users take a look

Transportable/travel scooters: These models disassemble into four pieces for transport in the trunk of most cars. Compact and easy to lift, sealed batteries make them airline-safe. However, these are not recommended for people taller than 5’10” or who weigh more than 300 pounds.

Three-wheeled scooters: These scooters offer a bit more maneuverability. Available features like swivel seats, adjustable tiller range, adjustable seat heights and sliding seat depths will vary according to make and model.

Four-wheeled scooters: High ground clearance and bigger tires make these models a good choice for outdoor terrain. Because of the wide turning radius, larger models are not a good choice for indoor use.

Heavy-duty scooters: Available in three- and four-wheeled models, these are designed for individuals who weigh up to 500 pounds.

Scooter accessories

Scooter users find these items helpful...

8 Know Your Options

Mod

ify y

our

hom

e M

obili

ty O

ptio

ns

Scooter accessories

Walkers/Rollators

Walkers offer optimal stability, and the versatility to meet the needs of people with varying mobility levels. Rollators are rolling walkers, offer more maneuverability than a walker and allow the user more freedom and independence in and outside the home.

Walkers and rollators offer confidence to perform daily tasks...

• Walker wheels• Baskets• Trays• Clamp-on cup holders• Hooks

• Pouches and bags• Replacement tips• Seats• Wheel brakes• Skis and glides

Walker accessories

Rollator options

• Back rests• Hand brakes• Folding seats• Adjustable height• Adjustable seat height• Five-, six-, seven- and

eight-inch wheels• Removable baskets

• Locking loop brakes• Adjustable handle

height• Color options• Padded seats and grips

Nurture your independence with these handy items...

Standard walkers: Lightweight, foldable, adjustable height, raised H-frame and cushioned hand grips usually accommodate wheels or sliders. Folding paddle walkers: Ergonomic release paddles allow the walker to be folded easily by individuals with limited hand and finger strength. Dual release allows sides to fold independently from each other.

Wheeled walkers: Front fixed wheels or front rotating wheels, rear glide caps facilitate use on all surfaces.

Hemi walkers: offer more stability than a cane and are helpful in tight spaces like around a toilet or sink.

Standard rollators: Most come with four wheels, although there are a few three-wheeled models that feature maximum maneuverability. They often fold for convenient transport and storage, and are usually equipped with a seat and backrest. Rollators can be as light as 13 pounds, and wheel sizes are usually 5, 6, 7, or 8 inches. Regular models have a 250-pound weight capacity. Rollators with eight-inch wheels are designed for outdoor use.

Hemi rollators: The defining feature is the low seat-to-floor height, and hemis are available in both regular and bariatric sizes. Bariatric rollators will accommodate individuals who weigh up to 600 pounds with extra-wide seats, heavy-duty bearings and eight-inch solid wheels.

Mob

ility

Opt

ions

Know Your Options 9

A walker or rollator may be a good alternative to a cane. The added stability may be all that is needed to help perform daily tasks. If a walker or rollator is a good fit, we can help determine insurance coverage.

WALKER/ROLLATOR:

Are you capable of safe operation?

WALKER/ROLLATOR: Do you need more stability than a cane offers? Can daily tasks be completed with a walker/rollator? Can step-ups, curbs and stairs be negotiated?

Are there other limitations such as impaired vision or balance?

Do you have anymobility limitations?

CANE: Do you have the balance needed? Can steps be negotiated easily? Will you be able to perform daily living activities with confidence? Are you secure with the support?

A cane maybe a viable solution. Canes are available in many styles and colors.

CANE:

Have these limitations been remedied?

Are you capable of safe operation?

START

YES

YES

Assistive mobility equipment may not be necessary or appropriate in this case.

We would be happy to discuss the situation and find a solution to meet the needs of you or your loved one.

NO

NO

YES

Are you comfortable with a cane?

NO

YES

YES

NO

YES

YES

NO

What is your level of mobility?

Assess your mobility needs

Life situations change. Sometimes independent people suddenly find themselves very dependent. There are resources, technology and equipment that can ease the transition for the patient and caregiver alike. Take a few minutes to consider the questions below. Simplify your decision-making by considering medical necessity, quality of life, safety and independence.

NO

10 Know Your Options

Mob

ility

Opt

ions

A manual chair may be the best fit. There are lightweight and bariatric chairs, and there are many options and accessories available.

SCOOTER (POV): POWER WHEELCHAIR:Power wheelchairs come in many styles and colors. If a PWC is chosen or necessary, we can help determine coverage.

A scooter is a good option for the mobility-challenged who are active inside and outside the home. We can help determine insurance coverage.

MANUAL WHEELCHAIR:

Can you safely operate a scooter?

Can a PWC be operated safely? Is environment conducive to safe operation?

Can the chair be operated safely? Is there a caregiver available and willing to push the chair if needed?

POWER WHEELCHAIR:Are the additional features of a power wheelchair, such as a joystick control, or lower seat height for slide transfers, needed to complete one or more mobility-related daily activities?

SCOOTER (POV): Can you maintain strength, posture and balance? Can stability and position be maintained? Is there adequate access in the home? Maneuvering space? Proper surfaces?

MANUAL WHEELCHAIR: Do you have the strength and ability to self-propel? Will the wheelchair fit in your home?

Is your home ready for a wheelchair? Is there enough room to maneuver a chair safely, negotiate room transitions (doors, thresholds)?

YES

YES

NO

NO

Perhaps some simple mod-ifications to your home will allow the use of a wheelchair or other appropriate mobility equipment. We would be happy to discuss the situation and find a solution to meet the needs of you or your loved one.

NO

YES

YES

YES

NO

NO

YES

NO

YES

NO

Mob

ility

Opt

ions

Know Your Options 11

Vehicle Lifts and Ramps

According to the Americans with Disabilities Act Accessibility Guidelines (ADAAG), a standard ramp should have a grade no steeper than 1:12. This means that for every inch of rise (change in elevation), there should be 12 inches of run (change in length). This is sometimes referred to as an eight percent grade or slope. Using this formula, a ramp going to a door with two eight-inch steps should be 16 feet long.

Put your anti-tippers down in a functional position before ascending a ramp. If the ramp is steep, your wheelchair may tip over backward. Sometimes anti-tippers catch at the beginning of a ramp, and if you must disengage them, move slowly and be extra careful. A backpack or other gear on the back of your wheelchair will cause you to tip backward more easily. Devices called “hill-climbers” will prevent the wheelchair wheels from rolling backward between pushes as you travel up grades.

8”RISE

RUN

8”16 Feet

Hydraulic and motorized scooter and wheelchair lifts allow equipment-dependent users the ability to place and transport their mobility devices in their vehicles.

Ramps remove barriers curbside and from entry ways and thresholds. Van ramps extend to allow access over several steps or into a minivan.

Outside lifts: Both manual and power lifts are available. A receiver hitch is usually required and these are carried outside the vehicle. Features include a powder-coated finish, foldable design, rise/drop adapter, a tiltable rack, dual-side loading and rechargeable battery packs. The usable area varies, and can accommodate travel scooters, as well as three- and four-wheeled full-sized scooters.

Side-loading chair and scooter lifts allow users to deliver their mobility device to the door of a pickup truck and load it from the door back into the truck bed.

Inside lifts: Compact, lightweight, foldable and easily disassembled for storage and portability, inside lifts feature adjustable base legs and remote operation. Installation can be temporary, and there are options available to mount in mini-vans, SUVs, vans and station wagons. Not all models have to be bolted to the floor.

Threshold ramps: Lightweight ramps for thresholds, doorways, raised landings and sliding glass doors. These durable, non-skid surfaced ramps can be used in pairs. They are available in anodized aluminum to prevent rust and corrosion.

Van ramps: Recommended for one to three steps, curbs and mini-vans, these models are compact and foldable. Side- and rear-door models are available with weight capacities up to 700. pounds.

Ramp it up

Ramps and lifts are valuable accessories for wheelchair and scooter users, and there are many designs available.


Hom

e C

are

and

Acc

essi

bilit

y

Patient Lifts

A variety of lifts are available to help you or your loved one meet daily mobility challenges. Hydraulic and fully electric lifts are available. Manual and power patient lifts, bath lifts, standers, ceiling lifts and pool lifts are some of the devices available to meet unique needs, while preserving the dignity of the user.

Patient lifts help prevent injury to both the patient and caregiver.

Manual patient lift: Most economical choice for moving dependent patients. Lifting control is a hydraulic hand pump. The lifts accommodate many different sling styles and sizes and they are highly portable.

Power patient lift: Powered by a standard outlet or a rechargeable battery pack. Emergency power backup ensures patient safety during power outages. Remote control allows caregiver more freedom to tend to patient needs. Accommodates most sling styles and sizes.

Lift-to-standing: Allow a patient to be easily transported from a seated position. They are convenient for weight-bearing practice and commode use. Some patient upper body strength, as well as head and neck control, are necessary when using a stand-up lift.

Bariatric (heavy duty) lift: Six hundred pound capacity lifts, with options that can include: accommodation of six-point and chain slings, power-operated base, low base clearance to allow under-bed storage, directional wheel guides, three- or four-inch casters, rubber-coated base for furniture protection and an anti-entrapment feature that stops motion while lowering. These can double as commode lifts.

Bath lifts: Bath lifts allow those with mobility challenges to bathe either independently or with minimal help from a caregiver. There are water and battery powered models, most have a reclining position option and safety features prevent stalling while submerged. Head rests and harnesses are available for added stability.

Ceiling or overhead lifts: Overhead lifts offer a perfect balance of safety and comfort and because of their size and portability, may be a good option for bedroom and bathroom. Ceiling lifts offer a more stationary solution to mobility challenges in bedroom and living areas.

There are many lift and sling options available... H

ome

Car

e an

d A

cces

sibi

lity


Manual bed: A hand crank raises and lowers the bed, making it appropriate when a caregiver is readily available.

Semi-electric beds: Electric controls are used to raise and lower the head and foot of the bed, and a manual crank adjusts the height.

Fully electric beds: Raising and lowering any part of the bed are accomplished with the touch of a button. In case of a power outage, both semi-electric and fully electric beds can be operated manually.

Adjustable beds: Adjustable beds blend the functionality of hospital beds with the comfort of conventional sleep products.

Beds

Home care beds allow users to stay in their own home whether recovering from surgery, illness or maintaining comfort through a long-term disability or ailment. Users can choose from manual, semi-electric and fully electric models.

Home care beds offer safety, comfort and convenience in your own home...

• Mattresses • Mattress covers• Fitted sheets• Spring-loaded/ clamp-on side rails• Offset trapeze bars• Ceiling lifts• Patient monitors

• Rails, canes and caddies• Protective padding• Pillows and wedges• Head/footboard covers• Mattress overlays• Over-bed tables • Bedside commodes

Features and options

Bed accessories

• Strong, yet lightweight frames

• Bariatric/heavy duty frames that accommodate up to 1,000 pounds

• Frame extensions for longer mattresses

So many ways to keep you safe, comfortable and independent...


Hom

e C

are

and

Acc

essi

bilit

y

So many ways to keep you safe, comfortable and independent... Accomplish daily tasks with safety, comfort and independence...

Daily living aids can provide extra help with your day-to-day activities.

Options• Canes• Reachers • Dressing sticks• Gas cap wrenches• Swivel seats• Seat lifts• Lift chairs• E-Z key turners• Utensils• Book easels• Personal emergency communication devices• Gardening aids• Incontinence supplies• Compression wear• SAD lighting• Sleep Sound Therapy Systems• Pain management devices• Many, many more

Aids to Daily Living

Aids to daily living are items that can help with dressing, reading and communicating – even gardening! ADLs provide a little extra help, whether it’s reaching for items on the top shelf or opening the gas cap when you’re filling your car.

More than one-third of U.S. adults 65 and older fall each year. Falls are the most common cause of non-fatal injuries and hospital admissions for trauma.

You can take steps to protect your independence and reduce the risk of falls. • Mitigate hazards in your home that can lead to falls.

• Improve the lighting in your home.

• Have your eyes checked annually.

• Talk to your doctor or pharmacist about your medications –both prescription and over-the-counter – to ensure there are no harmful side effects or interactions.

• Evaluate the fall risk areas in your home, including the bathrooms and stairs. Modify these areas to mitigate risk. Talk to us, we are experts in this field.

Aid

s to

Dai

ly L

ivin

g

If you suffer from chronic pain, there are many possible treat-ments. Some involve shots and medication, which we do not offer. However; there are medical devices available to help relieve pain and we are happy to discuss those options with you.


Grab bars: These safety devices are designed to prevent falls in the bathroom. A variety of finishes, lengths and styles are available, so it’s possible to combine good looks and security. Many models are anchored into wall studs for strength, and are available in several weight capacities. Some models are ADA-compliant. Grab bars can be installed in the shower, near the toilet and on the edge of the bath tub to provide extra help when stepping in and out. In many cases, we recommend professional installation, and are happy to help you with this project.

Hand-held showers: Available in a wide price and feature range, hand-held showers allow the user to sit on a bath bench while bathing. They are very helpful if you can’t stand for very long, have balance problems and worry about falling in the shower or tub. Some require professional installation (we’re happy to help). Others can be attached to the bathtub faucet.

Elevated toilet seats: These items are particularly helpful for individuals recovering from surgery or traumatic injury, and are available in temporary models or for permanent installation. Seats are made from a variety of easy-to-clean materials, and models with armrests give the user extra stability. It’s possible to purchase seats that are specifically designed for those recovering from hip replacement surgery.

Options• Bath and shower chairs, benches• Transfer tub bench• Grab bars• Toilet frame• Commodes• Bath lifts• Barrier-free showers• Walk-in tubs• Safety bath mats• Wheeled shower chairs• Inflatable shampoo trays• Waterless body cleaners• Antimicrobial wash mitts• Toileting aids• Back scrubbers• Foot lifters• Bath trays and more

Bathroom Safety

One in three adults 65 and older falls each year. Moisture and the sometimes awkward postures required to use the bathroom make it one of the most dangerous spaces in a home. Your home medical equipment provider has products that can help make the bathroom safe and they don’t have to look institutional.

An accessible bathroom can be safe and fashionable.

There are countless ways to stay safe in the bathroom...


Bat

hroo

m S

afet

y

There are countless ways to stay safe in the bathroom...


Bat

hroo

m S

afet

y

Medical ID jewelry comes in attractive styles with no waiting for custom engraving.

Head out in style with colorful canes that offer sturdy support wherever you go.

Rollators are available in many styles and colors and can be accessorized with bags and pouches, and cane and oxygen holders. Ask us. We are here to help.

Grab bars are available in many styles. Some even double as towel racks and toilet tissue holders.

Lift chairs provide the comfort of a favorite recliner, and give you that extra boost when getting up. They are available in a variety of fabrics that complement any décor.


Fash

ion,

Saf

ety,

Inde

pend

ence

Fall prevention is easier with strategically placed grab bars and poles. Use these assistive devices throughout your home for safety, comfort and independence.

Mobility aids – canes, walkers, rol lators, wheelchairs and scooters – come in many styles and weight capacities to meet your unique needs.

Fash

ion,

Saf

ety,

Inde

pend

ence


Millions of people with respiratory impairments live longer and have a higher quality of life because of assistive medical equipment. Oxygen-dependent patients can leave their homes for daily living activities and travel by land, sea or air.

Advancements in nebulizer technology enable asthma patients to be more independent and

manage their disease more effectively. The growing population of individuals with sleep disorders can use equipment that will allow them to rest well and live longer.

This assessment tool can help you and your home medical equipment provider find solutions to your respiratory challenges.

What kind of respiratory help do you need?

Many types of nebulizer systems are available, including disposable, reusable and portable models.

There are a variety of adult masks and inhalers. Pediatric nebulizers are available in fun designs that make the device less “scary.”

Quiet compressor operation and multiple levels of medication delivery make it easier than ever to manage respiratory challenges.

q Yq N

q Yq N

q Yq N

q Yq N

q Yq N

NEBULIZERSDoes the patient use the nebulizer regularly to get needed relief?

Compressor nebulizer systems are efficient and encourage compliance with treatment plans.

Is portability important?

Cordless, compact models are available and can be carried in a purse and used anywhere.

Do treatments take longer than the patient can tolerate?

The medication cup may need to be replaced.

Do you understand how the treatment relieves your shortness of breath?

The more you know, the better you can cope. Call us for answers.

Is the nebulizer cleaned after every treatment?

Infection prevention depends on routine cleaning.

Ask us about the variety of nebulizers available...


Res

pira

tory

Opt

ions

Will oxygen be necessary all the time?

Oxygen concentrators allow a user to breathe oxygen-rich air continuously throughout the home.

Are there other disabilities? Are you in a wheelchair or use other mobility devices?

Cylinder systems are a good choice for users who require intermittent low-liter flow and portability.

Are you mobile and independent in the home or on an exercise program?

Portable equipment options allow you to remain active.

Will you be traveling outside the community?

Traveling oxygen users may have special needs and we are part of a nationwide network that can help you anywhere you go. Ask us about it.

In-home and portable systems have improved the quality of life for the million Americans who need supplemental oxygen. Many patients use a combination of systems. We can help you explore options and find the best equipment to fit your medical needs and your lifestyle.

If you’re traveling, we’re part of a nationwide network that can make arrangements at each stop on your itinerary. Give us a call today. We’re happy to help.

q Yq N

q Yq N

q Yq N

q Yq N

Is snoring a problem for you or your partner? Do you feel tired even after a full night’s sleep?

If you answered “yes” to either of these questions, a CPAP machine may be helpful. We can help you determine if one is needed.

If already using a CPAP, are you receiving the full benefit? If not, why?

Mask does not fit right?Masks come in several sizes and feature a variety of fit and comfort features.

Area of vision is blocked?You can choose a mask with an open vision area.

Do you sleep on your side? Are you a mouth breather?There are masks to accommodate either sleep style.

Sensitive skin? Mask does not seal properly?A user who has a skin reaction from the mask may choose one made from different materials.

Are you getting a new mask every 90-120 days?Masks should be replaced regularly to ensure that mold and bacteria do not collect in them.

Did you know that a CPAP user’s feeling of well-being is directly related to how often they use their equipment? Supplemental humidity can help mitigate the nasal irritation and dryness that some individuals experience.

Chin straps help keep your mouth closed when you’re sleeping. During the deep sleep stage, people lose muscle tone temporarily, which means their mouths may come open. A chin strap will not keep high CPAP pressures from blowing through and forcing your mouth open. Air will just pass through your lips. It also will not stop you from voluntarily opening your mouth.

CPAP

OXYGEN

q Yq N

q Yq N

q Yq N

q Yq N

q Yq N

q Yq N

q Yq N

Res

pira

tory

Opt

ions


PAP masks: When choosing a PAP mask, patients can choose from three basic options: the nasal mask, full-face mask and nasal pillows. Finding the best mask for you depends on comfortable fit, minimizing air leaks and personal preference.

Nasal PAP masks: Masks are the standard way to deliver positive airway pressure therapy, and are a good choice for individuals who are not bothered by something on their face and are comfortable breathing through their noses.

Full-face PAP masks: Covering both the nose and the mouth, these work well for mouth breathers. Adjustments can be made to ensure a snug fit, which eliminates air leakage.

Nasal pillows: Pillows are available in a variety of sizes and are an alternative to the mask for users on lower pressures. They are easily fitted, and offer minimal face contact.

CPAP (Continuous Positive Airway Pressure) is an air generator used to treat obstructive sleep apnea. A CPAP sends a steady stream of air at a preset pressure into a nasal mask worn over the nose and/or mouth.

BiPAP (Bi-level Positive Airway Pressure) is an air generator that gives you two levels of pressure. It works like a CPAP, but allows the user to exhale at a lower pressure. The bi-level device must meet coverage criteria and be ordered by your physician.

• Humidifiers• Chin straps• Rechargeable battery packs• Car adapters • DC power adapters• Carry bags• Wedge pillows, PAP pillows• PAP hose dryers• Hose holders• Replacement tubing• Pulse oximeters • Insulation sleeves for tubing

Note: It is important to your health to replace your PAP mask, tubing and filters on a regular basis. Replacement masks and supplies are usually covered by your insurance plan and Medicare.

Accessories to assist

CPAP, BiPAP

Breathe easier and rest well with the help of PAP devices and sleep accessories.

For a more comfortable sleep experience, try these products...

Chin Strap Humidifier PAP pillow


Res

pira

tory

Opt

ions

Res

pira

tory

Opt

ions

For a more comfortable sleep experience, try these products...

Has your doctor prescribed supplemental oxygen?

There are several options available to oxygen users today. We will be more than happy to answer your questions and help you find the system that fits your unique needs. Oxygen concentrators: Powered by electricity, concentrators pull oxygen from the air and do not require refills. An oxygen concentrator is safe, efficient and can be used throughout the home. This delivery system requires a backup oxygen source if electrical power fails, and you will need a portable unit to leave your home. Concentrator oxygen may not be enough to allow you to exercise.

Portable oxygen concentrators (POCs): Most airlines will accept POCs, which are lightweight, quiet and run on a chargeable battery unit and an AC adapter.

Portable and stationary liquid oxygen systems: Liquid systems may be a good choice for individuals who want to remain active, participate in exercise rehabilitation or have high continuous-flow requirements. A stationary unit can be used to fill a portable device.

Gas-filled, high-pressure oxygen cylinders: Portable cylinders, which come in several sizes, weigh between 11 and 14 pounds, and the supply usually lasts between three and five hours. Cylinders are usually transported with a cart.

Oxygen concentrator trans-filling systems: Several smaller tanks can be safely filled and transported for an extended time away from home with these systems.

Oxygen conserving devices: These allow oxygen to flow only when you inhale, and they extend the life of a cylinder or liquid unit.

Home Oxygen Systems

These systems provide maximum portability... R

espi

rato

ry O

ptio

ns


Safe and accessible entryways, inside and outFalls inside and outside the home are the number one cause of injury among the elderly. Are you concerned about your loved one’s ability to maintain balance? Does he or she have coordination problems? What about walking and climbing steps? There are a number of obstacles inside and outside a home that can cause mom or dad to trip and fall. Door thresholds, curbs, unlit entry ways, wet flooring, raised room floors and carpeting are just a few.

Limited reachLimited reach, hand and arm strength, dexterity, ability to stand, height: Can mom or dad reach high above their head or pick up items on the ground? Are you concerned about ability to grasp? What about height? As people age they lose inches from their stature. They may also lose their ability to stand for long periods, or lose their ability to stand entirely. Many daily living tasks become disheartening for an aging adult without easy access to daily necessities.

The bathroom The bathroom can be the most dangerous room in the home of an aging adult or disabled person. Are there non-slip surfaces? Enough clear floor space for assistive mobility? Is the bathroom a safe place when using mobility equipment? Are the bathtub and shower controls reachable, easy to use and require little strength? Where are the grab bars in the bathroom? Are there grab bars near the toilet, shower and tub? Is a shower chair available and convenient? Ample space around the toilet?

Entrance solutions:• At least one entrance without steps and a flat or low threshold• A 5’ by 5’ maneuvering space at the stepless entrance • Clean, textured pathways that lead to and from the curb• Well-lit entry• Motion sensitive lighting outdoors• Handrails• Ramps, or gently sloping path

Interior solutions:• 32 inches of clearance through passage doors• 42-inch wide hallways where possible• Bedroom and bathroom on the main floor• Laundry on the main floor• No area rugs, and low-pile carpet with firm padding

Kitchen solutions:• Maneuvering space at doors: If in-swinging door obstructs a

bathroom or kitchen fixture, use offset hinges, swing door out, hinge door on opposite jamb or widen doorway.

• Increase the number of electrical outlets for additional lighting and alarm indicators, especially in bedrooms.

• Clear floor space in kitchen with a minimum 60-inch turning circle.• Lever faucet• Handles, not knobs, on cabinets and drawers • Adaptable cabinets to reveal knee space

Bathroom solutions:• 5’ by 5’ clear floor space in the bathroom• Non-slip flooring• Bathroom size of at least 5’ by 8’• Broadly applied bands of reinforcement inside walls around

toilets and bath fixtures for installation of grab bars• Textured grab bars by toilet, bathtub and shower• Offset controls in shower/tub to minimize bending and reaching • 48” by 56” toilet space with center line of toilet 18” from side wall• Shower bench• Hand-held shower head• Curbless shower, with non-slip surface and fold-down seat• Doors that can be unlocked from the outside• A bathroom telephone• Rounded counter edges

The Challenges Solutions

There are many simple modifications that can increase the safety and convenience of any home. More people are choosing to stay in their homes as they age. By implementing some of these creative solutions to mobility and daily living challenges, you or your loved ones can maintain independence.

Home Modifications: Modify your home for safety and independence.


Mod

ify Y

our

Hom

eM

odify

You

r H

ome

25

Bathroom Modifications

Before

1. Pocket door with loop handle is an alternative to out-swinging door that may obstruct hall or room circulation.

2. Frame width for pocket doors should be at least 36” to achieve a clear 32” opening. An accessible handle or a stop inside the pocket should prevent the door from sliding completely into the frame.

3. Switches and outlets in easy- to-reach accessible locations.

4. Lever handle faucet control.

5. Shallow sink with rear drain to permit knee space clearances.

6. Removable pipe protection and appearance panel to provide the necessary knee space for forward approach.

7. Toilet placed in corner of a 5’ x 5’ clear floor space is ideal, creating unobstructed areas in front and to one side. This allows greater maneuvering and transfer options for people using wheelchairs and those needing assistance.

8. Toilet seat height between a minimum of 15 inches and a maximum of 19 inches.

9. Whole wall areas of plywood or other solid reinforcing material allow grab bar placement at the best heights and angles to suit individual needs.

10. Incorporate additional “livability” features such as storage or shelving.

11. Hand-held shower head on adjustable height slide mount with off-set anti-scald valve and single-lever handle valve.

12. “Curbless” (roll-in) shower is a versatile fixture usable by people with differing abilities and necessary for some. 36” x 60” clear floor space for shower.

13. Enlarged reinforced areas provide more secure mounting for future installation of shower seats.

1

2

3

4

5

6 7

8

9

10

11

12

36” x 60” clear floor space for shower

5’ x 5’ clear floor space for toilet

Storage shelf or cabinet

48” deep clear floor space for entry door

Locate entry door as close as possible to adjacent side wall

After

Modified bathroom

Common problems• Narrow entry doors• Lack of turning space• Lack of maneuvering space to side of toilet• Toilet location obstructs bathing fixture• No knee space below sink• No reinforcing in walls for grab bars

Changes

• Incorporate entire adjacent right closet• Incorporate small “bump out” or mini- addition for shower• Relocate plumbing and all fixtures• New “curbless” roll-in shower• New wider out-swinging door

Modify your home

13

Know Your Options

Mob

ility

opt

ions

Mod

ify Y

our

Hom

e

26

1

2

45

6

7

8

9

10

11

1213

3

1. Covered entrance helps control water at low threshold and provides protection during inclement weather.

2. Provide adequate maneuvering space around screen or storm doors.

3. 5’ x 5’ minimum level landing area for maneuvering.

4. Walkway 4’ wide, sloped at 1:20 or less, slopes steeper than 1:30 necessitate handrails.

5. Using a combination of earth berm and retaining walls is an effective

method for providing a stepless route to the landing while maintaining an integrated appearance with the home and surrounding site.

6. Original small stoop removed.

7. New porch landing set at same level as interior house floor, eliminates step at entry door.

8. Flush or low profile threshold, 1/2” high max.

9. Handrail with integral package shelf.

10. High contrast house numbers, easy to read from a distance.

11. Provide good overall lighting plus focused lighting at lock sets and house number for nighttime security and ease-of-use.

12. Both entry and screen door provide a minimum 32” clear opening - lever-handle hardware.

13. Additional lowered peephole for children and seated or shorter adults.

Remodeled Stepless Entry

Entry ModificationsM

odify

You

r H

ome

Know Your Options

Mod

ify Y

our

Hom

e

We accept most major health insurance plans.Feel free to ask us questions. We are here to help you.

Both Medicare and private health insurance plans pay for the majority of medical equipment, however, some items are not covered by Medicare or insurance. This guide will help you understand Medicare guidelines, and most health insurance plans have similar rules. Be aware that all private health insurance plans vary and the specific rules of an individual’s plan may differ from these.

DeductibleThe amount that must be paid annually, out-of-pocket by the beneficiary before coverage of costs begins. Defined under Medicare or each health insurance policy.

Co-payThe portion of each approved, covered charge that is the responsibility of the patient. Usually expressed as a percentage of covered charges. Applies over and above the deductible.

Lifetime maximum A limitation on benefits offered under the insurance coverage, which can apply to all covered costs or specifically to the durable medical equipment portion of costs.

Covered chargesThe charges for medical services and equipment that are acceptable to the health plan or Medicare. These form the basis for what the provider is paid and what the patient pays, usually an 80/20 split.

CMNA Certificate of Medical Necessity. Similar to a prescription, a CMN must be signed by your physician before medical equipment can be dispensed or paid for by the program.

ABNAdvanced Beneficiary Notice. This is a document required by Medicare in cases where the beneficiary wants to have a higher level of medical equipment than is medically necessary and agrees to pay a portion of the cost personally.

TERMS DEFINED

27

A Guide to Medicare & InsuranceA Guide to Medicare & Insurance

Know Your Options

Med

icar

e an

d In

sura

nce

Individuals 65 years of age or older qualify for Medicare, as do people under 65 with permanent kidney failure (beginning three months after dialysis starts), and people under 65, permanently disabled and entitled to Social Security benefits (beginning 24 months after the start of disability benefits).

Medicare Part A benefits cover hospital stays, home health care and hospice services. Medicare Part B benefits cover physician visits, laboratory tests and home medical equipment. Medicare Part D benefits cover prescription drugs. Under Medicare Part B, you can expect to pay the following: (a) a monthly premium, (b) an annual deductible, and (c) a 20 percent co-pay on most approved charges. Your medical equipment provider is prohibited by law from waiving your co-pay under Medicare. Medicare generally covers the basic level of equipment. For Medicare to cover medical equipment in the home, it must be considered a covered item and it must be prescribed by your physician.

Covered items under Medicare must: (a) withstand repeated use (excludes many disposable items), (b) be used for a medical purpose (meaning there is a condition the item will improve), (c) be useless in the absence of illness or injury (thus excluding any item preventive in nature), and (d) be used in the home (which excludes all items that are needed only when leaving the confines of the home setting). When a medical equipment provider “accepts assignment,” he or she agrees to accept Medicare’s approved amount as payment in full. In these cases, you will be responsible for 20 percent of that approved amount. This is called your

coinsurance. You also will be responsible for the annual deductible. There are some items billed to Medicare that require a physician’s order on a special form called a Certificate of Medical Necessity (CMN), and sometimes additional documentation will be required. For some items, Medicare requires your provider to have completed documentation (which is more than just a prescription from your doctor) before they can be provided to you. For most types of equipment, there are options and upgraded features available, and you can elect to purchase the equipment with the upgraded features you desire. In those cases, you have the option to pay a little extra money to get a product that you really want. This upgrading is done via the Advance Beneficiary Notice, or ABN. The ABN details how the products differ, and requires a signature to indicate that you agree to pay the difference in the retail costs between two similar items. Normally when you upgrade through use of an ABN, Medicare pays the cost of basic equipment and you pay the difference between the basic and upgraded equipment.

Important information about coverage

We are available to answer any questions you have about Medicare and insurance coverage. We accept most health insurance plans. We would be happy to work with you and your family so you will understand how your plan works.


Med

icar

e an

d In

sura

nce

Med

icar

e an

d In

sura

nce

Medicare Insurance Guide

Bathroom safety equipment No**

BiPAP Yes

Breast prosthesis Yes

Canes, walkers Yes

Cervical traction Yes

Commode Rarely

Compression stockings Sometimes

CPAP Yes

Diabetic supplies Yes

Emergency communicators No

Enteral or parenteral nutrition Yes

Grab bars No

Van lifts and ramps No

Hospital beds Yes

Incontinence/adult diapers No

Lift chairs Rarely

Testing and physician documentation of sleep disorder.

Breast prosthesis (one per two years), mastectomy forms (one every six months) and mastectomy bras covered.

Mobility limitations, please call us for specifics.

Patient has impairment and home traction has proven effective.

Only if patient is confined to an area with no toilet facility.

Covered when used to treat open venous ulcers. Otherwise, not covered.

Covered upon sleep study results and physician order.

Covers glucose monitor, lancets, test strips, control solution and replacement batteries. Does not cover insulin injections or pills (except as may be covered under Part D).

Enteral covered for patients unable to swallow, delivered via tube. Not covered for those taken orally.

Bathroom safety equipment is not covered.

Covered if one of these conditions is met: (1) medical condition requires body positioning not feasible in ordinary bed, (2) patient requires head of bed elevated more than 30 degrees most of the time due to a medical condition, or (3) patient requires traction equipment.

Only covered if patient is unable to stand up from any chair, but once standing he or she can walk. Medicare pays only for the lift mechanism, not the chair portion.

Many home medical products are covered by Medicare. Often, what Medicare does not cover secondary insurance will. Use the table below as a guide. Generally you pay 20 percent of the Medicare-approved amount. The amount you pay may vary because Medicare pays differently on different items. In some cases, you may be able to rent the equipment.

29

Equipment/Item Covered* Normal Coverage Requirements

& Medicare Insurance Guide

Know Your Options

Med

icar

e an

d In

sura

nce

Lymphedema pumps Yes

Manual wheelchairs Yes

Mobility equipment

Nebulizer Yes

Orthopedic shoes Sometimes

Ostomy supplies Yes

Oxygen Yes

Patient lifts Sometimes

Power wheelchairs Often

Raised toilet seats No

Scooters Sometimes

Stair lifts No

Support surfaces Usually

TENS unit Yes

Therapeutic shoes Yes

Urological supplies Yes

Wound care Yes

* For items that are covered by Medicare, Medicare pays 80 percent, patient is responsible for 20 percent. For private insurance, percentage of coverage varies by plan.

** Flexible Health Savings Account (FSA) dollars may be used to pay for some bathroom safety equipment like grab bars and tub grips.

The appearance of any equipment item in this brochure does not guarantee the item is available through your insurance carrier. All customers are encouraged to call our store to verify insurance coverage on any item.

30

Equipment/Item Covered* Normal Coverage Requirements

Covered for treatment of true lymphedema and chronic venous insufficiency.

Usually covered. We can help assess patient needs.

Covers the least level of equipment needed to help patient be mobile within his or her home and accomplish daily activities. Canes and crutches are the lowest level, followed by walkers, followed by manual wheelchairs, followed by scooters, followed by power wheelchairs. Requires face-to-face evaluation by physician and home evaluation.

Covered for patients with medical need, as are some medications and accessories.

Paid when needed to attach shoe to leg brace.

Covered for patients with colostomy, ileostomy or urostomy.

Covered for patients with significant hypoxemia when blood gas or oxygen levels indicate a need. Equipment rental paid for a limited period of time.

Covered if transfer between bed and chair requires assistance of more than one person and patient would otherwise be confined to bed. Electric lift mechanisms are not covered.

Several specific criteria. We can help assess patient needs.

Bathroom safety equipment is not covered.

We can help determine coverage.

Many coverage criteria, all based on medical necessity.

For certain chronic pain lasting more than three months.

Shoes, inserts and modification covered for diabetic patients with specific foot conditions.

Covered for permanent urinary incontinence.

Covers primary and secondary dressings.Must have surgery/debridement.

Med

icar

e an

d In

sura

nce

Know Your Options

Rec

ord

Kee

ping

31

Contact information

Medication Date Prescribed Dosage Frequency Comments

Medication information

Company

Policy type

Policy number

Phone

Insurance information

Company

Policy type

Policy number

Phone

Doctor Name Phone

Doctor Name Phone

Doctor Name Phone

HME Provider Name Phone

Physical Therapist Name Phone

Dentist Name Phone

Emergency Contact Name Phone

Hospital Name Phone

Pharmacy Name Phone

Know Your Options

Rec

ord

Kee

ping

A guide to the information you need to make educated decisions about the rental or purchase of home medical equipment.

• Home Medical Equipment Options

• Mobility Equipment

• Aids to Daily Living

• Bathroom Safety

• Home Modification

• Needs Assessment

• Medicare/Insurance guide

• Helpful Resources

• Record Keeping

When you or a loved one has special needs, our caring staff is here to help you through the process. Customer wellness and satisfaction are our top priorities.

We’re here to help you.

Safety, confidence, independence...

Opt

ions

Know Your

Options

Documents

Know Your A guide to home O tions medical equipment, home ... · for you and your loved ones. We can also explain what is and isn’t covered by insurance. We look forward to answering