Navigating the healthcare system to get a product, service, or prescription drug approved by your health insurance provider can feel overwhelming. This guide aims to be your roadmap to being your own best advocate for the health care and medical supplies you (or someone you are caring for) need.
Patient advocacy starts with you.
This toolkit explains your insurance benefits in clear, simple language. If you’re asking for a medical device or trying to understand your Medicare health insurance benefits, this guide will walk you through every step.
Patient advocates and health experts created this resource to be a guide based on real experiences.
Your voice matters—and with the right tools, you can use it powerfully.
Advocating for your care takes time, energy, and persistence—but you don’t have to do it alone. This toolkit is designed to be your roadmap, whether you’re navigating a single request or managing a complex condition long-term.
Bookmark this site. Share it with your provider. Refer to it often.
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How to be your own best advocate
This guide shows you how to be a strong advocate for yourself by working closely with your health care team and asking clear questions.
Guide to understanding your insurance coverage
When you know how to read your insurance paperwork, you can make informed decisions and be a stronger advocate for yourself.
Reasons for DME coverage denial
When your healthcare insurance provider denies coverage for a medical device, this means they will not approve or pay for the device.
Stakeholder engagement
There are many different people who can help you get the medical device you need approved.
Letters of medical necessity
A Letter of Medical Necessity can help explain why you need a specific device.
Glossary
This glossary includes clear definitions to help you better understand your coverage and the approval process.