Insurance support for lymphedema care
Let us help determine your compression garment coverage
Compression Care Center works with patients, caregivers, physicians, and lymphedema therapists to coordinate insurance verification and medically necessary compression garments.
- Benefit verification
- Documentation guidance
- Professional garment fitting
Start here
Choose the path that fits your needs
For patients and caregivers
Find out whether your insurance plan may cover lymphedema compression garments and what information we need to check your benefits.
Check My CoverageFor lymphedema therapists
Refer a patient and access garment measurement forms, order forms, and resources designed to support the referral process.
Referral & Therapist ResourcesPlans we work with
Insurance coverage for lymphedema garments
Coverage depends on eligibility, diagnosis, medical necessity, documentation, and the benefits of the individual plan.
Traditional Medicare
Medicare Part B may cover medically necessary lymphedema compression treatment items when Medicare requirements are met.
Blue Cross Blue Shield PPO
We work with qualifying BCBS PPO plans. Benefits, deductibles, coinsurance, and documentation requirements vary by plan.
BCBS Medicare Advantage
We accept qualifying BCBS Medicare Advantage plans for lymphedema compression garments. Individual benefits must be verified.
Diagnosis requirements
Do I qualify for insurance coverage?
Your medical records must support an eligible diagnosis. Compression Care Center currently works with the following lymphedema diagnosis codes for the insurance coverage described on this page.
You do not need to know your diagnosis code before contacting us. We can review your information and explain what documentation is still needed.
How it works
Three steps to check your benefits
Provide your information
Send your patient details, insurance cards, and the healthcare-provider information you have available.
We verify your plan
Our team checks eligibility, benefits, and plan-specific requirements for lymphedema compression garments.
We explain what comes next
We let you know what documentation is needed and guide you through the next step in the process.
Be prepared
What we need to check your insurance
Provide what you have available. If something is missing, we can explain what must be obtained before your coverage review can be completed.
- Patient's full name
- Date of birth
- Address and telephone number
- Photo ID for identity verification
- Primary insurance card, front and back
- Secondary insurance card, if applicable
- Physician's name and telephone number
- Lymphedema diagnosis, if known
- Prescription or Standard Written Order, if available
Ready to check your insurance coverage?
Send us your information and let our team determine the benefits and documentation requirements that apply to your plan.
Insurance verification is not a guarantee of coverage or payment. Final coverage is determined by the insurance plan and applicable eligibility, medical-necessity, documentation, deductible, and coinsurance requirements.
Request Your Insurance Benefits Review
For patients and caregivers. Complete the form below to get started.
Common questions
Insurance coverage FAQs
Does Medicare cover compression garments for lymphedema?
Medicare Part B covers eligible lymphedema compression treatment items when Medicare's requirements are met. Covered items can include standard and custom-fitted daytime and nighttime gradient compression garments, adjustable compression wraps, certain compression bandaging supplies, and necessary accessories.
Does Blue Cross Blue Shield cover lymphedema compression garments?
Coverage varies by plan. Compression Care Center works with qualifying BCBS PPO plans and qualifying BCBS Medicare Advantage plans for patients with lymphedema. We must verify the patient's individual benefits and coverage requirements.
Do I need a prescription for my compression garments?
Yes. A prescription, also called a Standard Written Order, is required for Medicare coverage of lymphedema compression garments. Supporting medical records must also document the patient's lymphedema diagnosis and medical need for the prescribed compression treatment items.
What documentation is needed from my doctor?
The treating practitioner's records must support the lymphedema diagnosis, identify the affected area, and document the medical necessity of the prescribed garments. When a custom-fitted garment is ordered, the records must also support why custom fitting is medically necessary.
What if I do not know my diagnosis code?
You do not need to know the code before contacting us. We can review the information you provide and explain what documentation may be needed from your healthcare provider.
Can you bill my secondary insurance?
When Traditional Medicare is primary, Medicare may automatically forward the processed claim to the secondary insurer. The secondary plan then processes the balance according to its own benefits and requirements. Please provide both insurance plans so we can review your coverage.
Does insurance verification guarantee that my garments are covered?
No. Verification does not guarantee coverage or payment. The plan makes the final determination after the claim is processed and applies its eligibility, medical-necessity, documentation, deductible, coinsurance, and other coverage requirements.