Reimbursement Support

Get assistance with funding your eXciteOSA.

There are 3 Ways you can fund your eXciteOSA purchase, and we can help with all options:

1. Cash Pay

If you do not want to use insurance, your provider may have financing options. We can connect you to your provider.

2. Health Savings Account (HSA) / Flexible Spending Account (FSA)

If you have an HSA or FSA account, please follow your normal HSA/FSA funding procedures. Optional:  you may wish to download this product description tool to add to your receipt.

3. Reimbursement  (Commercial Payer, Medicare or Medicaid)

For direct reimbursement assistance, please use the Support Tools below.

Your insurance policy may support funding of your eXciteOSA. Since eXciteOSA is a novel therapy, there is no current national coverage guidance for eXciteOSA.  Our team is working toward gaining formal reimbursement which includes a unique code and coverage.

What you can do today:  use the resources below to request reimbursement from your health insurance plan.

Need help?  For any questions, please contact a Signifier Medical Technologies Representative at reimbursement@signifiermedical.com or call 844-MILDOSA.

Commercial Payer Patients

Here you’ll find a complete set of resources dedicated to eXciteOSA® submissions to Commercial Payers.

 

View Downloads

Medicare Patients

Please use these templated materials and letters of medical necessity and appeals for Medicare

 

View Downloads

Medicaid Patients

Please use these templated materials and letters of medical necessity and appeals for Medicaid

 

View Downloads

Commercial Documentation Checklist for DME suppliers and physicians

Download

Payer Summary Reference

Download

Patient Reimbursement Guide for eXciteOSA

Download

Medicare Documentation Checklist for Physicians

Download

Medicare Documentation Checklist for DME suppliers

Download

Payer Summary Reference

Download

Patient Reimbursement Guide for eXciteOSA

Download

Payer Summary Reference

Download

Patient Reimbursement Guide for eXciteOSA

Download