Nevada Prime Healthcare

Insurance & Medicare Coverage

We handle all the paperwork so you can focus on healing

Does Medicare Cover Lymphedema Pumps?

Yes. Medicare Part B covers pneumatic compression devices (PCDs) for the treatment of lymphedema. These devices are classified under HCPCS codes E0651 (segmental compression, 4 chambers) and E0652 (segmental with calibrated gradient pressure, 8 chambers). When your physician documents medical necessity, Medicare typically covers the pump and garments with standard Part B cost-sharing.

Insurance Plans We Work With

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Medicare & Medicare Advantage

Original Medicare Part B and all Medicare Advantage plans. We are an enrolled Medicare DME supplier.

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Medicaid

Nevada Medicaid, Montana Medicaid, and most state Medicaid programs.

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Commercial Plans

Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, Humana, and most major commercial insurance.

How It Works: From Referral to Delivery

1

Physician Referral

Your doctor writes a prescription for a pneumatic compression device. This can come from your primary care physician, oncologist, vascular surgeon, or lymphedema therapist.

2

Insurance Verification

We verify your coverage and benefits at no cost to you. We'll explain your expected out-of-pocket costs before moving forward.

3

Prior Authorization

We handle the entire prior authorization process, including gathering the required clinical documentation from your physician.

4

Equipment Delivery & Training

Once approved, we deliver your compression pump and provide thorough training on proper use, garment fitting, and maintenance.

5

Ongoing Support

We're here for questions, replacement garments, and support for the life of your device. Direct billing to your insurance — no surprise bills.

The Lymphedema Treatment Act

The Lymphedema Treatment Act, signed into law in 2024, expanded Medicare coverage to include compression garments for lymphedema treatment. This landmark legislation means Medicare now covers both pneumatic compression devices and the compression garments patients need for daily management — reducing out-of-pocket costs significantly.

⚠️ Important: Medicare Prior Authorization Update

Beginning April 2026, Medicare will require prior authorization for pneumatic compression devices. Nevada Prime Healthcare is fully prepared for this change and will manage the entire PA process on your behalf. Contact us with any questions about how this may affect your coverage.

What Documentation Is Needed?

Don't worry about gathering all of this yourself — we coordinate directly with your physician's office to obtain the necessary documentation.

Not Sure About Your Coverage?

We'll verify your insurance benefits at no cost — no obligation.

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