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Frequently Asked Questions
Can I use adaptABLE if I have home care services?
Unfortunately, no, unless you are able to pay privately. While adaptABLE services may take place in your home, we are considered outpatient therapy. Insurance does not cover home care and outpatient therapies occurring simultaneously. If your home care therapist is not comfortable writing you a Letter of Medical Necessity for new equipment, you may choose to use adaptABLE's services out of pocket.Â
Do you accept health insurance?
Yes, adaptABLE is in-network with Medicare B, Blue Cross Blue Shield, and Neighborhood Health Plan. If you would like to use adaptABLE as an out-of-network provider through your commercial insurance plan, please note that you may have an out of pocket cost that is higher than working with an in-network physical therapist. We are happy to provide a private pay discount which may be reimbursed by your out-of-network insurance. We do not accept patients with any type of United Healthcare insurance.Â
Why should I use adaptABLE when I already have an outpatient physical therapist I like?
Many physical therapists do not have specific experience writing Letters of Medical Necessity, and they may refer you to adaptABLE just for your medical equipment evaluation. This way, you will not lose valuable treatment time with your regular physical therapist collecting measurements, and you will notice more efficient processing of your new equipment.Â
How can I prepare for my Evaluation?
Prior to the evaluation, you may need to provide adaptABLE with a copy of your most recent annual physical exam. It is recommended that you wear comfortable, loose-fitting clothing for efficient assessment. If you know you typically require assistance moving into and out of your current equipment, please have someone who usually helps you present. Please note that some measurements may be taken from a supine, or "laying down," position.
What is a Letter of Medical Necessity (LMN)?
A Letter of Medical Necessity is a highly-detailed document written by a licensed medical professional outlining your medical history and diagnoses currently impacting your daily function. It also addresses impairments in strength, range of motion, balance, or any other area leading to the need for the proposed equipment. The Vendor provides a list of customizations requiring justification. Every detail of your new equipment must be accounted for to ensure you get exactly what you need. For example, in a letter requesting a wheelchair, customization such as specialty brakes, pressure-relieving seat cushions, and tilt-in-space or recline functions all serve a specific purpose to maximize the independence of the user.
What is Complex Rehabilitation Technology (CRT)?
Complex Rehab Technology describes individually customized, medically necessary equipment including power wheelchairs, manual wheelchairs, scooters, gait trainers, standing frames, adaptive strollers, and more.Â
What if I don't want to go through my insurance?Â
Depending on your insurance, we may be able provide our services at our discounted private pay rate of $200. If you choose this method, we will request payment in full at time of service.Â
What forms of payment do you accept?
We accept exact change cash, check, and major credit cards at the time of service.Â
What is your cancellation policy?
Please call us at (401) 903-2433 as soon as you know you cannot make your scheduled appointment. A $50 no-show fee is applied to patient accounts that do not provide 24-hour notice for cancellations. Outstanding balances must be paid before documentation for equipment is submitted for insurance processing. Patients with 2 consecutive no-show appointments will not be able to schedule future appointments.Â
What if my equipment is denied by insurance?
We have over a 90% approval rate for equipment submitted on the first attempt, however we will submit one appeal/addendum in the case of a denial if you choose.Â
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