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Durable medical equipment

Your employees may need Durable Medical Equipment (DME) to help them with a health condition. DME can help improve their quality of life or help them heal.

What is Durable Medical Equipment (DME)?

It is special equipment that helps with a health condition. For example, if an employee has problems breathing, they may need oxygen equipment. Doctors order these devices for their patients to use at home. Your employees may need to use DME every day or for a long period of time.

Some examples of DME are:

  • Wheelchairs
  • Crutches
  • Oxygen equipment
  • CPAP machines
  • Blood testing strips for diabetes

Is DME covered by Culinary insurance?

Yes. We cover DME if it is prescribed by a doctor. But, if your employees’ DME costs over $500 it must be approved before they get it. This is called prior authorization.

How do my employees get DME?

If your employees’ DME costs $500 or more:

  1. They should ask their doctor to prescribe them DME.
  2. They should then tell their doctor to fax a prior authorization request to NHS at 702-691-5614.
  3. Once your employees have prior authorization, they can get their DME from one of our DME providers.

If your employees’ DME costs under $500:

  1. They should ask their doctor to prescribe them DME.
  2. Then your employees can take their prescription to one of our DME providers to get their DME.

How much will it cost my employees?

  • If your employees get their DME from an in-network provider, they will pay 10% of the costs.
  • If your employees get their DME from an out-of-network provider, they will pay all of the costs.
The Fund pays all of the costs for formula and medical food for enteral nutrition services.

Where do my employees get their DME?

There are many places where your employees can get their DME. But to keep their costs low, they should use one of our in-network providers. Your employees can use our provider directory to find an in-network durable medical equipment supplier.