Incontinence Management Resources - Unisex Siphoning Urinary Catheter

Muscular Dystrophy Association (MDA)

Learn more about MDA’s Durable Medical Equipment (DME) Grant Program
https://www.mda.org/care/resource-list/equipment-assistance/faq

Insurance Coverage & Reimbursement Notice

Some ALPep LLC products have been assigned HCPCS billing codes.
The assignment of an HCPCS code does not guarantee coverage, payment, or reimbursement by Medicare or any other insurance plan.

Coverage and payment depend on:
– Individual insurance plan policies
– Documented medical necessity
– A valid prescription/order from a healthcare provider
– Meeting all applicable coverage criteria (including Local Coverage Determinations for Medicare)
– Patient eligibility and deductibles

ALPep LLC currently sells directly to consumers and does not bill insurance on your behalf. You will pay full price at purchase. You may submit your receipt and prescription to your insurer for possible reimbursement, but approval and amount (if any) are determined solely by your plan.

We strongly recommend contacting your insurance provider before purchase to verify:
– Whether the product (HCPCS [insert code(s)]) is a covered benefit under your plan
– Required documentation or prior authorization
– Estimated out-of-pocket cost

Medicare beneficiaries: External urinary collection devices may fall under the Medicare DME benefit when medically necessary, but typically require purchase from a Medicare-enrolled DMEPOS supplier who accepts assignment for Medicare to pay the supplier directly. Direct-to-consumer purchases may not be reimbursable by Medicare.This information is provided for educational purposes only and is not a guarantee of coverage or payment.

For official verification of coverage, please visit the PDAC website.

DMEPOS Product Classification List

Product Name	Model Number	HCPCS Code(s)
UniSUC Disposable Liners 30-Pack	ALPP-US-22L1-30	A4520
50 PK Disposable Liners Dispenser Box	ALPP-US-22L1-50	A4520
Starter Kit	ALPP-US-22HPK2-1	A9999 + A4520
Whisper Fluid Collection System	ALPP-US-25WSP1-1	No HCPCS Code Assigned
New Admit Starter Kit 20-Pack	ALPP-US-24HNA1-20	No HCPCS Code Assigned