Edit Content
Search
[give_form id="19690"]

Ask The Doc: Insurance Coverage For Pelvic Floor Strengthener

QUESTION: MY INSURANCE DID NOT COVER MY PELVIC FLOOR STRENGTHENER, THE LEVA PELVIC HEALTH SYSTEM, IS THERE ANYTHING I CAN DO?

ANSWeR:

Answer: 

Bladder leakage (urinary incontinence (UI)) is more than an inconvenience, it is a medical condition that should be taken seriously and should be treated as such!  Some more advanced and invasive treatments for UI are covered by insurance, however, less invasive first-line options like absorbent products and companies focused on pelvic floor health  are working hard with insurance companies to get coverage for those who have been diagnosed with UI. 

The good news is The Leva Pelvic Health System is now covered by Cigna*, Highmark*, and BCBS of North Dakota*, and is working to add more. Many patients take advantage of the year end benefits of having met their deductible and utilizing the insurance benefits to start experiencing symptom improvement.

However, if you have  a plan that doesn’t cover Leva or you were denied  coverage for Leva, you can join the many women joining the call to demand expanding access and coverage by emailing their insurance provider directly.

We invite you to join in these efforts by personalizing the prewritten letters below. Simply copy the most relevant pre-written letter and add your information (or download them here) The more you include of your own experience or story the better.  Hearing directly from patients goes a long way in helping to obtain broad insurance coverage and helping more women get access to Leva.  

When you have finished personalizing your letter, simply email or mail the relevant letter to your insurance company.

EXAMPLE EMAIL #1: REQUEST FOR LEVA COVERAGE/DENIED COVERAGE

Subject line: Please Cover Leva, UI Treatment

Dear _[insert insurance company name]_________ Policy Team,

I am writing to urge __[insert insurance company name]____to broaden its coverage to include treatment options for women’s urinary incontinence (UI), specifically the Leva Pelvic Health System. Leva is an at-home, first-line, FDA-cleared therapy that is clinically proven to reduce bladder leakage in women.

[insert personal experience/story]

My doctor recommended Leva to me as an effective first-line option for my UI based on extensive clinical research – but unfortunately, due to the current lack of insurance coverage, I was unable to pursue Leva. Without treatment, my UI could worsen, leaving me with fewer viable solutions that are costly or more invasive than the convenience and effectiveness that Leva offers.

I kindly ask that you consider including Leva in your coverage to benefit all women who live with UI and are looking for treatments that help them regain confidence and restore their health.

Thank you for your attention.

[add your name]

EXAMPLE EMAIL #2: DENIED COVERAGE FOR LEVA & PAID OUT OF POCKET

Dear _[insert insurance company name]_______ Policy Team,

I am reaching out to urge __[insert insurance company name]     to provide comprehensive coverage for women’s health as part of the ___[insert insurance company name]___ plan – particularly for the Leva Pelvic Health System, an FDA-cleared and clinically proven at-home treatment option for women suffering from urinary incontinence (UI). Leva is a non-invasive, prescription-required treatment for UI that empowers women – like me – to treat urinary incontinence from the comfort and privacy of their own home.

[insert personal experience/story]

I chose to pay out of pocket for my treatment because __[insert insurance company name] _____ denied my request to cover this therapy. The Leva treatment improved my UI symptoms, helped me regain control of my health, and gave me the freedom and confidence to live my life again. Unfortunately, many women will not have that same experience because of the lack of insurance coverage. And because of that, their condition may worsen until they’re left with no other treatment option, but costly medications with side effects or expensive and invasive surgery. Women deserve access to Leva with little to no out-of-pocket costs. I request that you update your medical policy to make this a reality.

I appreciate your consideration.

[add your name]

Source: Leva Pelvic Health

*Plan deductibles, co-pays, and benefit exclusions may apply.

About the author:

Ask The Doc - NAFC Logo.The NAFC Ask The Doc series provides answers to some of our reader’s most common questions from a group of experts in the fields of urology, pelvic floor health, bowel health, and absorbent products. Do you have a question you’d like answered? Click here to Ask The Doc!

Comments

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Related Articles

PBE Tranquliity Ask The Expert

Ask The Expert: Do You Have Any Tips For Helping My Elderly Parents With Clothing & Absorbents Changes?

Q: My elderly parent(s) experience incontinence, and for the first time, I am being asked to help with their clothing and absorbent product changes. I feel like I’m in over my head. Do you have any tips or suggestions?

A: When it comes to helping your aging loved ones with managing incontinence changes and cleanups, the conversations around these intimate activities can be awkward for both sides. It can even change the dynamics of your relationship. Here are a few tips to make it easier on you and on them.

Lori Mika

Caring For Caregivers

One of the things that doesn’t get enough attention when it comes to living with incontinence is caregiving. Those who assist their loved ones managing their symptoms – the emotional ones as well as the physical ones – often don’t get the support they need, and that can take a tremendous toll on their own wellbeing. Today’s guest is Lori Mika, a certified dementia practitioner and a passionate caregiver herself as well as an account executive for Tranquility Incontinence Products, who shares with us about the things you can do to flourish in the caregiving role.

Tenderheart Mental Health Study

The hidden side of incontinence: Mental health challenges

When most people think about the symptoms of incontinence, they think about physical things like urgency and leaks. But what’s every bit as real – and every bit as troubling – are the mental health symptoms that so many patients live with. Incontinence is significantly associated with depression, anxiety and other mental issues, and addressing them can be a particular challenge.

Today’s guest is Tina Harris from Tenderheart Health Outcomes, here to share with us important information that the team at Tenderheart has learned about mental health from their research and patient surveys. She discusses what patients and caregivers commonly experience and offers strategies to help lighten the mental burden.

PBE Tranquliity Ask The Expert

Ask The Expert: Do You Have Any Tips For Helping My Elderly Parents With Clothing & Absorbents Changes?

Q: My elderly parent(s) experience incontinence, and for the first time, I am being asked to help with their clothing and absorbent product changes. I feel like I’m in over my head. Do you have any tips or suggestions?

A: When it comes to helping your aging loved ones with managing incontinence changes and cleanups, the conversations around these intimate activities can be awkward for both sides. It can even change the dynamics of your relationship. Here are a few tips to make it easier on you and on them.

TaKE BACK CONTROL

Learn about treatment options for Urge Incontinence and Overactive Bladder