We continue to share medical insurance coverage information with you as we receive reliable information from our scrambler therapy colleagues across the country.
It is important to note that every insurance policy is unique and that coverage will vary according to the employer’s criteria.
HOW DO I FIND OUT IF I HAVE MEDICAL COVERAGE FOR CALMARE SCRAMBLER THERAPY?
Call the Member phone number located on the back of your card and speak specifically with a live person about your plan’s “Coverage.”
Tell them the CPT code you are calling about is 0278T.
The representative should tell you if it is a covered service and how you can obtain pre-certification. Here at Calmare Therapy NJ, our administrative team will be happy to provide you with any documentation your insurer may require.
Contact your insurance company before you proceed with treatment, if possible.
ANTHEM BLUE CROSS AND BLUE SHIELD
As of May 2015, Anthem Blue Cross and Blue Shield Association, a federation of 37 separate United States health insurance organizations and companies, has provided some degree of coverage for the treatment of several chronic pain conditions using Calmare scrambler therapy.
We have confirmed reports of coverage by these specific Anthem BCBS companies:
BCBS of Indiana
BCBS of Kentucky
BCBS of Missouri
BCBS of Ohio
BCBS of Wisconsin
BCBS of Minnesota
BCBS of North Carolina
We have several confirmed patient reports of coverage approval based upon the specific use of CPT Code 0278T.
Make no mistake, we’re not there yet. At the same time, we’re happy to begin to see some light at the end of the tunnel where some medical insurers are recognizing the cost benefit and effectiveness of Calmare’s scrambler therapy in comparison to:
- Exorbitantly expensive medications
- Invasive in-patient chronic pain treatments such as Ketamine therapy and spinal cord stimulators (SCS).
Meanwhile, we will keep fighting, getting the word out and getting patients to stand up to insurance companies and demand attend. This is a fight we are not going to surrender any time soon, rest assured.