AZ Blue Best Life Plus (HMO): Durable Medical Equipment (DME) and Related Supplies

• Medically necessary durable medical equipment covered by Original Medicare: 20% coinsurance

• Prosthetic devices 20% coinsurance

• Medicare Covered diabetes monitoring supplies:

  • 0% coinsurance for preferred brands

  • 20% coinsurance for non-preferred brands

Diabetes supplies and services are limited to Medicare preferred monitoring devices and supplies.

For the DME/Supply order

1. The provider will send the DME/Supply order to a network supplier directly.

2. The DME/Supply order will need all of the following information:

• Date

• Member's legal name

• Member's date of birth

• DME-related diagnosis and associated ICD-10 codes

• Provider's NPI

• Requested DME/Supply product(s)

• Length of need/refills

• Provider signature with date

For HEAVY DME items (wheelchair, hospital bed, lifts, etc.), the provider order will also need to include:

• Member height and weight

• Provider reason for the DME item

• Associated provider progress notes/chart notes

For OXYGEN THERAPY, the provider will also need to include:

• When to use oxygen therapy (at rest, during sleep, or continuously).

• Flow rate (in liters per minute).

• An itemized listing of all equipment or supplies required for oxygen therapy delivery.

For WOUND CARE, the provider order will also need to include:

• # of refills (if applicable)

• Associated provider progress notes/chart notes

• Location and measurements of the wound

• *Note that a new order/prescription is required for continuations (continuation is needed after all refills have been utilized)

If you would like to see a list of network DME suppliers in your area, click here.

If you have questions or need assistance with DME/Supply orders, the AZ Blue Best Life Plus Team is available to support you. Any member of the Care Team can research and respond to inquiries and questions regarding DME/Supplies. Issues will be escalated to your Care Manager if needed.

Contact the AZ Blue Best Life Plus Team at 1-800-446-8331 (TTY 711).