Free Eligibility Verification

Verify your Medicare or insurance coverage for wound care services before your first visit—no cost, no obligation.

Why Verify Coverage Before Treatment?

Verifying insurance coverage before starting wound care prevents surprise bills, ensures you understand your out-of-pocket costs, confirms providers are in-network, identifies any prior authorization needs, and gives peace of mind knowing treatment is covered. Healix360 provides complimentary eligibility verification for all new patients—we handle the phone calls, paperwork, and insurance company communications so you don't have to.

What We Verify

  • ✓ Active insurance coverage status
  • ✓ Deductible amount and what's been met
  • ✓ Copay or coinsurance amounts
  • ✓ Coverage for wound care services
  • ✓ Network status and authorization needs
  • ✓ Coverage for advanced treatments (NPWT, biologics)
  • ✓ DME benefits for supplies and equipment
  • ✓ Any exclusions or limitations

What Information We Need

To verify your coverage, please have ready: Insurance card (front and back photos), Medicare card if applicable, date of birth, social security number or member ID, current address and contact information, and list of current wounds or conditions requiring treatment. You can provide this information by phone, through our secure patient portal, or in person before your first visit.

Verification Process Timeline

1

Submit Information

Call us or complete our online form with your insurance details. Takes 5 minutes.

2

We Verify Coverage

Our billing team contacts your insurance. Usually completed within 24-48 hours.

3

Receive Results

We call you with coverage details and your estimated costs before scheduling.

Common Coverage Scenarios

Medicare Part B Only

You pay 20% coinsurance after $240 annual deductible. Typical wound care visit: $20-40 out-of-pocket.

Medicare Part B + Medigap

Medigap covers the 20% coinsurance. You typically pay $0 out-of-pocket after deductible.

Medicare Advantage

Fixed copays ($0-50 per visit) instead of coinsurance. Must verify network status and any authorization needs.

Private Insurance

Coverage varies widely. We verify network status, deductible, copay/coinsurance, and any pre-authorization requirements.

What If I Don't Have Insurance?

Healix360 offers self-pay options with transparent pricing. We provide detailed cost estimates upfront and can discuss payment plans for ongoing care. Many patients without insurance qualify for Medicare or Medicaid but aren't enrolled yet—we can help connect you with enrollment assistance. Don't let insurance concerns delay wound treatment, as untreated wounds worsen rapidly and become more expensive to treat.

Ready to Verify Your Coverage?

Get started today—verification is free and takes just a few minutes.

We'll respond within 24 hours (often same day) with your coverage details.

Frequently Asked Questions