The ReBuilder, Prescriptions, and Insurance

You do not need a prescription to purchase The ReBuilder®, but one will be required to get it covered by insurance.  

 

Most Health Insurance Companies Cover the ReBuilder. 

ReBuilder treatments in a clinic and product re-imbursement for home use are routinely covered by most insurance companies under the codes used for electrical stimulation.

The ReBuilder is fully registered with the FDA as both a TENS device (Transcutaneous Electrical Nerve Stimulation) for "chronic pain", and separately as an EMS (Electrical Muscle Stimulation) for "muscle atrophy with intact nerve".  Most insurance companies recognize, understand, and prefer the TENS description.   ReBuilder is a prescription device for the following uses:

Symptomatic Relief for Chronic Intractable Pain

Post-Traumatic & Post-Surgical Pain Relief

Increasing Local Blood Circulation

Muscle Reeducation

Relaxation of Muscle Spasms
Prevention or Retardation of Disuse Atrophy
Immediate Post-Surgical Stimulation of Calf Muscles to Prevent Venous Thrombosis
Maintaining or Increasing Range of Motion

 

Unfortunately, Medicare is currently unavailable for coverage.

Model 300 It has been partially covered in the past, however newer Medicare regulations have restricted access to this wonderful product.  Unfortunate!


* Note1 : Normally, we do not bill your healthcare provider. You file a claim for reimbursement.

In our ongoing efforts to keep the cost down for the ReBuilder, we do not provide staffing to enable us to interact with insurance companies on your behalf.  (We do sometimes provide them with needed codes if they call us.)

NORMALLY, you will have to purchase the ReBuilder yourself, then file a claim for re-imbursement. However… IF your provider will pay an “out of network” supplier like us, then they just might pay us directly, up front, so we can send your ReBuilder without any money out of your pocket. (or perhaps with a deductible… every case is slightly different.)

Sometimes an insurer will not cover "out of network" purchases (a supplier of their own), or purchases from a non-registered D.M.E. supplier. (* D.M.E. = Durable Medical Equipment)  A D.M.E. agent supplies and sells medical equipment and bills insurance on your behalf.

* Note 2 : We are NOT a registered DME Supplier who bills insurance.  Nor is the factory.  Currently there are no DME Billing Agents that carry the ReBuilder.

 


PRESCRIPTIONS

Your health care practitioner may not be familiar with the ReBuilder. If they should require more information, we recommend that you refer them to this website, or print this page for him/her. We welcome their phone calls and are happy to have a conversation with them about the ReBuilder.

If You Do Not Have a Licensed Healthcare Provider…

Please contact us.  We may be able to locate a physician near you that is familiar with the ReBuilder.

 

Sample format and codes your physician will need are as follows.

1) Diagnosis:   "chronic intractable pain"  (DX Code: 338.4)  [Other Possible Diagnosis Codes: Other Chronic Pain (DX Code: 338.29),  Unspecified Idiopathic Peripheral Neuropathy”  (DX Code 356.9) ]

2) Sample Rx Language:

- “ReBuilder Model 300 (DME Code E0720) for treatment of chronic pain"

- “ReBuilder Model 2407 (DME Code E0730) for treatment of chronic pain"

- "ReBuilder Conductive Garment Socks (Left and Right) (DME Code E0731)" 

 

- CPT Code 97014   (Supervised Physical Medicine and Rehabilitation Modalities)

FDA description for ReBuilder is:  "TENS, ReBuilder, brand specific for chronic pain. (no generic substitutions)

FDA description for ReBuilder Garment:  Description is: "TENS or NMES with conductive fibers separated from patient's skin by layers of fabric".  And/or... "Area to be treated is too large for the normal electrodes."   And/or... "Patient cannot tolerate the adhesives of normal conductive electrodes."

For insurance purposes, ask for this also...

3) Medical Necessity:  "This device is medically necessary for the treatment of intractable pain unresponsive to drugs, surgery, and/or physical therapy.  Patient has responded well to this treatment."

 

(Optional Paperwork. Can strengthen claim.)

History of Failed meds: To further strengthen your claim, we suggest your doctor also include a brief history of failed medications or other attempted modalities.  (This can be part of the "medical necessity" letter.)

Evaluation Chart: To further strengthen your claim, your doctor may also include a brief evaluation study showing improvement. sample

click here for a printable version of this

 

 

Note:  Although the FDA groups the ReBuilder with normal TENS devices (because of their limited number of classifications) the function of the ReBuilder is exactly the opposite of a common TENS device.  TENS is meant to close nerve channels to block pain, while the ReBuilder is designed to open nerve channels again, which can create a reversal of symptoms.

 


Contact your provider if you are unsure if it is covered...

In order to know exactly IF and HOW MUCH will be covered, please contact your health care provider and ask what your coverage is for a "TENS device for pain. The DME Code is E0730".  (The cost is $799 or $1199 right now. Prices subject to change) They may know about the ReBuilder already.   Also, get the forms you will need to file your claim.


This is the fasted way to get reimbursed...

1. Confirm coverage with your provider and get required paperwork. 
 
2. Talk to your doctor about the ReBuilder and ask if he/she will write the prescription. 
     (If not, find a new physician that has your best interests in mind.  Or call us. )
 
3. Purchase the ReBuilder and then make a copy of your sales receipt to include with your claim.
 
4. Gather the sales receipt, the prescription, and any other supporting documentation, and then submit your claim. (Sometimes your doctor's office will file the claim for you, sometimes you do it.  Ask your doctor or provider about this.)

5. Reimbursement is sent to you by your health insurance provider.  

** The need for a "trial use" and a 30-60 day re-evaluation is required for some Insurance Plans.  Some plans will not pay until improvement benefit is documented by your physician. This is why many people use the ReBuilder for 30 days and then share results with their physician, then file the claim. This significantly strengthens your claim.

 

- END

 

 

Do you or a loved one suffer from peripheral neuropathy?

The road to recovery STARTS with the ReBuilder!
Aggressive Neuro-stimulus:  The ReBuilder

This amazing device is the closest thing to a cure you can find. The ReBuilder’s patented electrical signal device has been proven 94% effective in clinical studies in reducing painful symptoms of neuropathy.

FDA Approved  ♦  Covered by Most Plans with a Prescription 

 

   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Call Today   9-5 Pacific 

Statements made here about The ReBuilder not been reviewed by the FDA.