If you’ve ever been browsing the online catalog of a medical equipment store and noticed the product you clicked on was taking you to an outside website, this usually means there’s a third-party payer involved. It’s important to know what third-party payers are and what kind of impact they’ll have on your shopping experience. This blog will fill you in on the important details! 

What is DME? 

DME stands for Durable Medical Equipment. In short, this is simply medical equipment that is used in the home to provide a better quality of life.  

Where Do Third-Party Payers Come into Play? 

If an entity pays medical claims on behalf of insured individuals, they are considered a third-party payer. This most often means insurance companies, but it also includes employers, government agencies and health maintenance organizations. The most common third-party payers are Medicare, Medicaid and commercial insurance companies. It’s important to know that while your insurance may have coverage for the equipment you’re requesting, there are also qualifications that are needed, such as a face-to-face visit with your provider. It’s also important to remember that deductibles and coinsurance still apply.  

What Criteria Does DME Need to Meet? 

In order to be considered DME, the item needs to meet the following criteria: 

  • Durable 
  • Used in your home 
  • Has an expected lifetime of 3 years or more 
  • Used for medical purposes 
  • Normally not useful for someone who isn’t injured or sick 

What DME Do Third-Party Payers Cover? 

Below are some examples of DME that third-party payers may cover. These are just a few examples of the many products that can be covered: 

  • Oxygen equipment 
  • Mobility aids (walkers, scooters, wheelchairs, canes, etc.) 
  • CPAP devices 
  • Patient lifts 
  • Nebulizers 

How Does Yorhom Use Third-Party Sites or Products? 

Our online catalog contains links to websites that are controlled by third parties who are not Yorhom Medical Essentials affiliates or subsidiaries. We always let you know when you are leaving our website so you’re aware that you’re being directed to another page.  

Does This Have Anything to Do with Endorsements or Sponsorships? 

No. Any third-party sites or products do not constitute as endorsements or sponsorships of any kind. This also does not create an affiliation or partnership between Yorhom and any third party.  

We hope this blog answered some of your questions about third-party payers and how we use them on our end. To learn more about this, visit the Terms of Use page on our website or contact us with any questions.