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COVERAGE OF THESNAP THERAPY SYSTEMBY PAYOR HEALTH PLAN
KCI REIMBURSEMENT EDUCATION HOTLINE SUPPORTSTHE BUSINESS OF WOUND HEALINGOnly KCI has a team of reimbursement professionals to help you through every step of the process. Whether it’scoverage assistance for non-published coverage criteria, processing support, or education on insurance codingand guidelines, KCI is committed to supporting its customers’ needs.For more information about SNAP System coverage for a particular health plan, please contact theKCI Reimbursement Education Hotline* at: 1-800-668-6812 for assistance.*KCI Reimbursement Hotline applies to our portfolio of wound care therapies. Utilizing the hotline willallow KCI to perform a benefits and eligibility insurance coverage verification (B & E) which is completedbefore each application of SNAP System. Payor coverage will be researched to determine if there iscoverage for the SNAP System when coverage is non-published on unclear.Coverage based on MedicalNecessity (Medical Policy isSilent or no LCD exists)†PayorPlan TypeAARP Medicare PlansAcordiaAdvantraAetna Affinity Health PlanAffinity Medical GroupAIG Workmen’s CompAIM Mutual InsuranceAllegiance Alliant Health PlansAllied Benefit SystemsAllWays Health PartnersAlta Bates Medical Group (Brown and Toland Physicians)Altius Health PlanAltius Health PlanAmbetter New Hampshire Healthy FamiliesAmerican RepublicAmerigroup Real SolutionsAmeriHealth Insurance CompanyAmerisure Mutual InsuranceAnthem Blue Cross Blue Shield of OhioAnthem Blue Cross CAMedicare SupplementCommercialMedicare AdvantageMedicare AdvantageCommercialCommercialWork CompWork CompCommercialCommercialCommercialManaged MedicaidCommercialMedicare AdvantageCommercialManaged MedicaidMedicare SupplementMedicaidCommercialWork CompMedicare AdvantageMedicare AdvantagelAnthem BlueCross BlueShield of MissouriAnthem East New HampshireApex Health SolutionsArbella Insurance Ascension HealthAssurant HealthAsuris Northwest HealthAtlantic CharterBankers Life and Casualty Barnabas Health PlanBlue Care NetworkBlue Care Network of MichiganBlue Cross of IdahoBlue Cross Blue Shield of AlabamaBlue Cross Blue Shield of ArkansasBlue Cross Blue Shield of FloridaBlue Cross Blue Shield of GeorgiaBlue Cross Blue Shield of IdahoBlue Cross Blue Shield of IllinoisMedicare AdvantageMedicare ommercialWork CompMedicare SupplementCommercialCommercialManaged MedicareMedicare ommercialCommerciallCoverage withMedical Policyor LCDlllllllllllllllllllllllllllllllllllllll
Coverage based on MedicalNecessity (Medical Policy isSilent or no LCD exists)†PayorPlan TypeBlue Cross Blue Shield IowaBlue Cross Blue Shield KansasCommercialCommerciallBlue Cross Blue Shield of MassachusettsBlue Cross Blue Shield of MichiganBlue Cross Blue Shield of MinnesotaBlue Cross Blue Shield of MontanaBlue Cross Blue Shield of NebraskaBlue Cross Blue Shield of New HampshireBlue Cross Blue Shield of New MexicoBlue Cross Blue Shield of North DakotaBlue Cross Blue Shield of OklahomaBlue Cross Blue Shield of OklahomaBlue Cross Blue Shield of Rhode IslandBlue Cross Blue Shield of TennesseeBlue Cross Blue Shield of TexasBlue Cross BlueShield of WyomingBlue Shield of CaliforniaBoon - ChapmanBoston Medical Center HealthNet PlanBoston Medical Center HealthNet PlanBravo HealthBuckeye OhioCahaba Government Benefit Administrators , LLC A/B MAC For: AL,GA,TNCare Improvement PlusCare Improvement PlusCare OregonCare OregonCare1st Health PlanCareFirst BlueCross BlueShield Caresource OhioCareSource lCommunity Health Network of WashingtonConifer Health Solutions ConnecticareContinental LifeCoordinated Care County Care Health PlanCoventry Health CareDean Health InsuranceMedicare AdvantageMedicare ommercialCommercialCommercialMedicare AdvantageMedicare AdvantageMedicare anaged MedicaidCommercialMedicare AdvantageMedicaidMedicareCommercialMedicare AdvantageMedicare AdvantageManaged MedicaidCommercialCommercialMedicare AdvantageManaged MedicaidCommercialManaged MedicaidCommercialMedicare AdvantageMedicareMedicare AdvantageCommercialManaged MedicaidWork CompCommercialCommercialMedicare AdvantageManaged MedicaidManaged MedicaidCommercialCommercialMedicare SupplementManaged MedicaidManaged MedicaidCommercialCommercialDeseret MutualCommerciallElderPlanEMI Health Employee Benefit Management ServicesEvercareMedicare AdvantageCommercialCommercialMedicare AdvantagelCelticare Health Plan of Massachusetts, Inc. Center for Elders IndependenceCenterLight HealthcareCGS Administrators, LLC A/B MAC For: KY, OHCigna CMI Workers’ CompensationCNIC Health Solutions Columbia United ProvidersCommonwealth Care AllianceCoverage withMedical Policyor llllll
PayorPlan TypeFallon Community Health PlanFallon Health Plan of MAFamily Health NetworkFidelis Care First Carolina CareFirstCoast Service Options, Inc. A/B MAC For: FL, PR, VI**FirstPlusFrontpath Health Coalition Gallagher Bassett Services, Inc.Geisinger Health Plan CommercialMedicare AdvantageManaged MedicaidCommercialMedicare AdvantageMedicareMedicare AdvantageCommercialCommercialMedicare AdvantageCommercialCommercialCommercialMedicare AdvantageCommercialMedicare AdvantageCommercialMedicare AdvantageMedicare AdvantageCommercialCommercialManaged MedicaidMedicare AdvantageCommercialMedicare AdvantageCommercialCommercialManaged mmercialMedicare AdvantageCommercialManaged MedicaidMedicare AdvantageCommercialMedicare AdvantageCommercialCommercialMedicare AdvantageCommercialCommercialManaged MedicaidMedicare icare AdvantageCommercialMedicare AdvantageCommercialMedicare AdvantageManaged MedicaidCommercialMedicaidCommercialGovernment Employees Health Association Group and Pension AdministratorsGroup Health Hartford Worker’s CompensationHarvard Pilgrim Stride (HMO) Medicare AdvantageHarvard Pilgrim Health CareHealth Alliance Plan MedicareHealth Net Health Partners Health Plan of MichiganHealth Plan of Nevada MedAdvantageHealth Plan Select, Inc.HealthTeam AdvantageHealthScopeHealthcare Management AdministratorsHealthChoiceHealthPlusHealthSmart Highline Medical Services OrganizationHighmark Blue Shield Highmark BlueCross BlueShield West VirginiaHorizon BlueCross BlueShield of New JerseyHumana Independence Blue Cross Blue Shield of PennsylvaniaIndependence Blue Cross Independent Care Health PlanIndependent Health Association Independent Health AssociationInternational Brotherhood of Electrical WorkersIowa Department of Human ServicesKeystone Health Plan East (Independence Blue Cross of Pennsylvania)Liberty Mutual InsuranceLifeWise Health Plan of WashingtonMail Handlers Benefit PlanMaineCare (Medicaid Maine)Martin’s Point Health Care Medical Mutual MedStar HealthMeridian Health PlanMinuteman HealthMinnesota Health NetworkMODA HealthCoverage based on MedicalNecessity (Medical Policy isSilent or no LCD exists)†Coverage withMedical Policyor llllllllllll
Coverage based on MedicalNecessity (Medical Policy isSilent or no LCD exists)†PayorPlan TypeMolina HealthcareMountain Health Coop Link (uses University of Utah Health Plans as TPA)Mutual of OmahaNational Association of Letter CarriersNational Government Services, Inc. (NGS) A/B MAC For:CT, IL, MA, ME, MN, NH, NY, RI, VT, WINeighborhood Health Plan Managed MedicaidCommercialMedicare SupplementMedicare SupplementMedicarelManaged MedicaidCommercialMedicarelNoridian Healthcare Solutions, LLC A/B MAC For:AK, AZ, CA, HI, ID,MT, ND, OR, SD, UT, WA, WYNovitas Solutions, Inc. A/B MAC For:AR, CO, DE, DC, LA, MD, MS, NJ, NM, OK, TX**Optima Health Optum OptumCare PacificSource Health PlansllllllMedicarellSecure BlueSelect Health Sierra Health and LifeState Compensation Insurance FundState of AlaskaManaged MedicaidMedicare AdvantageMedicare AdvantageMedicare AdvantageCommercialMedicareCommercialMedicare AdvantageManaged MedicaidMedicare SupplementMedicare AdvantageCommercialMedicare AdvantageMedicare AdvantageCommercialManaged MedicaidCommercialCommercialCommercialCommerical, ManagedMedicare, ManagedMedicaidMedicare SupplementMedicare SupplemeWork CompCommercialMedicare AdvantageMedicare AdvantageCommercialMedicare SupplementWork CompMedicaidState of ArizonaState of ArkansasMedicaidMedicaidlState of ColoradoState of DelawareState of HawaiiState of IdahoState of ate of IowaState of KansasState of KentuckyState of MaineState of MarylandState of MassachusettsState of MichiganState of MinnesotaState of dMedicaidMedicaidMedicaidMedicaidlPalmetto GBA A/B MAC For: SC, NC, VA, WVParamountParamountParkland Community Health Plan, Inc.Physicians Mutual InsurancePhysicians United PlanPremera Blue Cross PrimeTime Health PlanPriority HealthPriority PartnersProfessional Benefit AdministratorsProvidence Health PlanRegence Blue Cross Blue Shield of Oregon and UtahRegence BlueCross BlueShield of UtahReserve National InsuranceRoyal Neighbors of AmericaSAIF CorporationScott & White Health PlanCoverage withMedical Policyor LCDllllllllllllllllllllllllllllllllllllllllll
Coverage based on MedicalNecessity (Medical Policy isSilent or no LCD exists)†PayorPlan TypeState of NevadaState of New HampshireState of New JerseyState of New MexicoState of OhioState of OregonState of Rhode IslandState of South CarolinaState of South DakotaState of UtahState of VirginiaState of WashingtonState of WyomingSummaCare Superior Healthplan caidCommercialManaged Medicare,Managed Managed MedicaidWork CompCommercialMedicare AdvantageMedicare AdvantageCommercialCommercialMedicare anaged MedicaidCommercialCommerciallWork CompCommercialManaged MedicaidCommercialMedicarelSutterSelectTall Tree AdministratorsTexas Municipal LeagueThree Rivers HealthTotal Health CareTravelersTricare True BlueTufts Health PlanUcare MinnesotaUnited HealthCare United Medical Resources University of Pittsburgh Medical CenterUniversity of Utah Health PlansUS Family Health PlanUS Health and Life Insurance CompanyWashington State Department of Labor & IndustriesWebTPAWell Sense Health Plan Wellmark BlueCross BlueShield Wisconsin Physician Service Insurance Corporation (WPS) A/B MAC For:IA, IN, KS, MI, MO, NElllllllllllllllllllllllllllllllllllFor more information, call the KCI ReimbursementEducation Hotline at: 1-800-668-6812 (7am-7pm CST)or email: ReimbursementEducation@kci1.comDisclaimer: The information provided by KCI is general reimbursement information only. It is not legal advice, nor is it advice about how to code,complete or submit any particular claim for payment. Although we supply this information for your convenience, it is the provider’s responsibility todetermine and submit appropriate codes, charges, modifiers, and bills for services rendered. Payors or their regional offices may have their own codingand reimbursement requirements and policies. Before filing any claims, providers should verify current requirements and policies with the payor.Payors coverage listed is based on Medical Necessity and were compiled from a list of payors who provided an authorization for application ofSNAP Therapy System between 2013 and 2019. Inclusion on this list is specific to an authorization provided; it does not indicate a claim was billedand/or payment received. It is recommended that benefits and eligibility insurance coverage verification is performed before each application ofSNAP Therapy System.†Copyright 2017, 2019 KCI Licensing, Inc. All rights reserved. Third party trademarks are the property of their respective owners.Unless otherwise noted, all trademarks designated herein are proprietary to KCI Licensing, Inc., Systagenix Wound Management, Ltd., or CrawfordHealthcare, Ltd. PRA-PM-US-00135 (10/19)Coverage withMedical Policyor LCDl
coverage assistance for non-published coverage criteria, processing support, or education on insurance coding and guidelines, KCI is committed to supporting its customers’ needs. For more information about SNAP System
