Device Consideration Process

Getting comfortable with a new technology is a learning process for every customer. Below is a simple guide, and if you have any questions, please contact us via chat, email or phone.

Fisher Wallace

Buying a Device

Buying a Device

If you buy a device for $599 or $699, you may return it for a full refund within 30 days of receipt. The $599 price applies to customers who have Medicare, Medicaid, or are military veteran or first responder family members.

The following licensed healthcare practitioners are qualified to authorize the purchase of a Fisher Wallace Stimulator®:

  • Primary Doctor
  • Psychologist
  • Psychiatrist
  • OBGYN
  • Chiropractor
  • Acupuncturist
  • Nurse
  • Physician’s Assistant
  • Or access online authorization at: purchase-authorization.com

How to Purchase a Device and Start Your 30-Day Trial

If you purchase a device, you may return it for a 100% refund (excluding shipping) within 30 days of receiving the device in the mail. The device is effective for most customers within the first two weeks of daily use, but some customers may require three or four weeks to experience results. If you need a few extra days, call us and we will gladly extend the refund period.
Step
1
Find Out if You Qualify
to Use the Device

Answer a few simple questions on purchase-authorization.com.

This process takes less than 3 minutes.

Step
2
Obtain Purchase Authorization

Go to purchase-authorization.com to obtain same-day authorization, or have your provider fax or email a prescription or completed authorization form to Fisher Wallace. The FDA requires authorization for US patients.

Finance Your Purchase with or .

If you prefer PayPal, checkout with PayPal and choose PayPal Credit for no payments due for six months. Or checkout with Bread to finance your purchase for up to 24 months. Applying for Bread will not affect your credit score.


Insurance Reimbursement

Many private insurance companies, such as Aetna, United Healthcare and Blue Cross often reimburse patients for the purchase of a Fisher Wallace Stimulator® when it is prescribed for the treatment of pain using the procedure code E0720.

When the device is authorized for depression / anxiety / insomnia AND pain, patients will be able to have the device reimbursed more easily.

Fisher Wallace Laboratories is not in network with any insurance. Fisher Wallace Laboratories does not process reimbursement paperwork on behalf of its customers, but will assist customers throughout the process.

After purchasing your device, call your insurance company, provide them with the device reimbursement code (procedure HSPCS code) E0720 and the diagnosis code which should be supplied by your healthcare professional on the written authorization form. The insurance company will typically mail you a DME (Durable Medical Equipment) claim form that needs to be filled out and attached to the proof of payment. Your emailed receipt from Fisher Wallace contains all the information you will need, with the exception of the diagnosis code. The following information is often required by insurance companies to process a reimbursement (or payment) request:

Federal Tax ID # for Fisher Wallace Laboratories, LLC: 20-8131183
Device Reimbursement Code (Procedure HSPCS Code): E0720

Patients who encounter difficulty receiving insurance approval may enhance their claim by submitting a letter from their doctor that describes the necessity of the device. You may want to download a template of this letter. Your doctor will need to edit the template to reflect your particular situation.
The letter should be signed by your doctor and printed on the doctor's professional stationery.

Office Visit Codes for receiving treatment by a doctor in the office:

G0283 Electrical Stimulation (unattended), to one or more areas for indications other than wound care, as part of a therapy plan of care.

Medicare

Medicare patients qualify for a $100 discount on the purchase of a Fisher Wallace Stimulator® ($599 instead of $699). Unfortunately, Medicare will not reimburse patients for the purchase of our device at this time. However, if you have a secondary insurance plan in addition to Medicare, that plan may cover the device.

To apply for coverage from your secondary plan, you first need to receive a denial of coverage from Medicare. To receive your denial, submit this 1490S Medicare form. In addition to the form, you will need your prescription, proof of payment and a cover letter stating that you are requesting a denial. All information needs to be sent to the Medicare Durable Medical Equipment address in your state. The address for each state is listed on the form.

Once you receive a denial from Medicare, you can submit it to your secondary insurance carrier.

Medicaid

Medicaid patients qualify for a $100 discount on the purchase of a Fisher Wallace Stimulator® ($599 instead of $699). New York State Residents with Medicaid coverage may be able to secure coverage if they have a secondary insurance plan that works with Integra Partners. Integra Partners is a full-service network connecting Orthotics and Prosthetics (O&P) and Durable Medical Equipment (DME) providers. You can find insurers that work with Integra Partners using this form. When requesting coverage, make sure your prescription is written for chronic pain, and use E1399 (miscellaneous electrical stimulation) as the equipment code.

Some medical supply companies will obtain devices directly from us and provide them to patients. Rainbow Medical Supply in Brooklyn, New York is one supplier that can purchase a Fisher Wallace Stimulator® from our company and ship it to a Medicaid patient in New York State. Rainbow Medical Supply can be reached at (718) 375-5875.

Other states may have programs like the one in New York. You can inquire with your local Medicaid administration or visit the Medicaid Central Office. You can also look up Medicaid information unique to your state.

Uniformed Service Members

TRICARE is the health care program for uniformed service members (active, Guard/Reserve, retired) and their families around the world. TRICARE has covered the Fisher Wallace Stimulator® in the past if the prescription is written for anxiety, depression or insomnia. Submit your claim directly to TRICARE and use E0720 as the equipment code.