Frequently Asked Questions For Catheter Users
Do I need a prescription for catheters?
Yes, a prescription is required to get a catheter. Since we are committed to your health, we will handle the entire prescription process for you.
We have an entire department that will work with your doctor to get all the necessary paperwork required for your insurance provider to cover your catheters.
We work and communicate politely with your primary care physician or urologist in order to get your catheters to you as efficiently as we can.
How long does it take to get my catheters?
The most ideal situation is to have your complete order sitting on your doorstep within 48 hours. To accomplish this, we contact your doctor’s office within 2 hours of verifying your insurance coverage.
If your doctor’s office can complete and return the necessary paperwork by the end of the business day, it is very possible that you will receive your first order within 24 hours!
It is important to note that doctor’s offices vary in size, and it depends on their availability to determine how fast they can return the required paperwork back to us.
If your order is particularly urgent, you are more than welcome to reach out personally to your provider. It is common that hearing from patients directly can speed along the paperwork process.
What do I do if my insurance doesn’t cover catheters?
Since insurance coverage can change from month to month, it is possible that it has changed in regards to your catheter supplies eligibility.
We are happy to contact your insurance provider to learn of your most updated plan and the current status regarding your catheter coverage.
If we are not able to work with your specific provider, we can set up follow-ups with them and will notify you of any changes in your insurance policy’s coverage for catheters.
As always, we welcome you as our patient, regardless of any changes to your insurance plan!
What if the catheter I am using no longer works for me?
We are willing and happy to send different samples of our products so that you can find the best fit for you!
Once Premier Catheter Supplies has my paperwork on file, does that cover my catheter supplies for life?
Most insurance coverage plans require an annual doctor’s appointment to assess your catheter usage.
We will remind you 3 months before your paperwork on file expires so that you don’t have to experience any delays in receiving your orders.
How do I know when my next order of supplies will ship?
We will contact you up to 14 days before your upcoming order to let you know when it is eligible for shipping.
We have different contacting options depending on how you’d like to be reached, including phone calls, emails, and text messages.
Can anyone sign a prescription/RX and/or addendum to chart notes?
Insurance guidelines are strictly enforced, so only the medical provider who has seen the patient can sign their prescription.
There is an exception to this – under Medicare, another medical provider can prescribe catheters to a patient that they have seen in the past six months.
Why do insurance companies need justification for coude tip catheters?
Insurance companies will only reimburse for coude tip catheters if a patient has certain needs to be met. Some of these needs include BPH, prostate cancer, and urethral strictures.
Why does Premier Catheter Supplies request Addendums to Chart Notes?
We must ensure that patient prescriptions and chart notes match in terms of both criteria and qualifications. For example, Medicare is strict about their requirements for specific wordage about catheter type, frequency of use, and diagnoses that are included in the Chart Notes.
How do I know what catheter is best for me? There are so many brands to choose from.
Our team of experts are eager to help you find the most effective catheter for you specifically. We are always happy to assist you in finding the choice that best fits your situation and circumstances.
I have insurance. Why am I getting a bill for my catheter supplies?
We are required to bill you for any unpaid coinsurance and/or deductible for your order of supplies. Luckily, you may fill out a financial hardship form to see if you qualify for free supplies!
How do I find out if my catheter items are covered by my insurance?
Our finance department will contact your insurance company directly to discuss and verify the catheter benefits on your policy.
Why did my insurance company send me a check after I ordered catheter supplies?
Sometimes, claims to insurance providers may be processed as an out of network provider. There are some insurance policies that pay you directly because of our status as an out of network provider instead of distributing the reimbursement to us. When this happens, we will send you a convenient, pre-paid envelope so that you can forward the payment for the cost of your supplies to us.