Why You May See Monthly Claims on Your Medicare EOB
Why do I need to read this information?
What you can expect to see regarding recurring monthly claims and Medicare EOB statements related to your Mechanical Compression Device.
This page will explain:
- Why recurring monthly claims may appear on your EOB’s
- Why Gabel Distributors may be listed on your EOB
- How Medicare’s monthly rental billing process works
We would like to provide a brief summary regarding how Medicare covers these devices and explain what you may see on future Medicare EOB statements.
Your Mechanical Compression Device was provided under Medicare’s monthly rental payment structure. Unlike a traditional purchase, Medicare generally pays for covered devices through a series of monthly rental payments rather than through a single lump-sum payment.
Following delivery of your device, Medicare will continue processing monthly rental claims for a rental period of up to 13 months. As a result, it is normal to see recurring monthly claims related to your device appear on your Medicare Explanation of Benefits (EOB) statements during that period.
An Explanation of Benefits (EOB) is not a bill. It is simply a statement from Medicare explaining how a submitted claim was processed and what portion Medicare paid.
You may also notice that Medicare EOB statements related to your Mechanical Compression Device reference Gabel Distributors. Gabel Distributors serves as DME Authority’s contracted billing partner for these devices. Medicare claims associated with your Mechanical Compression Device may therefore appear under the name Gabel Distributors on your Medicare EOB. This is expected and does not indicate a separate charge, provider, additional device order, or duplicate billing.
Once the Medicare thirteen-month rental period has been completed and all coverage requirements have been met, the rental billing period concludes and no additional rental claims, copays or fees related to the rental period will be submitted or required. Once concluded, the devices are yours to keep and all outstanding patient obligations are paid in full.
Frequently Asked Questions
Q: Why am I still seeing monthly claims on my Medicare EOB?
A: Medicare covers Mechanical Compression Devices through monthly rental billing rather than a single lump-sum purchase payment, much like a monthly payment plan works. Following delivery of your device, Medicare may continue processing those monthly rental payments for up to 13 months. As a result, those recurring monthly payments related to your device may appear on your Medicare EOB during that period.
Q: Is my Medicare EOB a bill?
A: No. An Explanation of Benefits (EOB) is not a bill. It simply explains how Medicare processed a claim or payment, and what amount Medicare paid.
Q: Why does my Medicare EOB list Gabel Distributors instead of DME Authority?
A: DME Authority works with Gabel Distributors as its contracted billing partner for Mechanical Compression Devices. Medicare claims related to your device may therefore appear under the name Gabel Distributors on your EOB. This is expected and does not represent an additional order or a separate charge.
Q: How long can rental billing continue?
A: Medicare generally covers these devices through monthly rental payments for up to 13 months following delivery of the device prior to surgery.
Q: What should I do with my Compression Devices once I have recovered and no longer need them?
A: Mechanical Compression Devices provided through Medicare are generally billed through their monthly rental payment structure which may continue for up to 13 months following delivery of the device. If the Medicare rental period has been completed and all coverage requirements have been met, the device is yours to keep and does not need to be returned. If you have questions regarding your Medicare billing or your EOB statements, our team is ready to help. If you are considering returning your device before the thirteen-month Medicare rental payment period is complete, please contact DME Authority at (866) 995-7778 so we may review any return-related medical device reprocessing costs and discuss the options available to you.
Q: What do I need to do if I just want to return the devices, so Medicare rental payments are stopped?
A: If you are considering returning your device before the thirteen-month Medicare rental payment period is complete, please contact DME Authority at 866-995-7778 so we may review any return-related medical device reprocessing costs and discuss the options available to you.
You can contact DME Authority at:
(866) 995-7778 -or- info@dmeauthority.com
Thank you for allowing us to participate in your post-op recovery care.