Ordering guide
How to order compression garments with Scotts
What happens between the first call and the first delivery, what your prescriber has to document, and how resupply runs afterward. Written for patients and the people helping them.
Key takeaways
- Three things have to line up: a need, a prescriber’s order, and documentation in your chart. We handle the third with your prescriber so you do not have to.
- We verify coverage before anything is delivered and tell you what your plan says your share is.
- Resupply runs on the policy’s schedule, tracked by us and confirmed with you before each shipment.
How it works, step by step
- Tell us what you need. Call (800) 304-7030, start in the order wizard, or have your clinician send a referral with the documents attached. If you already use a product, the manufacturer code on the box is the most useful thing you can give us: it settles size, style and fit without guesswork.
- We verify your benefits first. Medicare Part B, Florida Medicaid, Medicare Advantage and most commercial plans. Before anything ships you hear what the plan covers and what your share is, and if it is not covered we say so and quote a private-pay option instead.
- We collect the order and the documentation from your prescriber. For compression garments that usually means:
- A written order stating the compression class (mmHg), the garment style, and the limb
- For lymphedema garments, documentation of the lymphedema diagnosis and the treating clinician’s measurements
- For venous disease, documentation of the underlying condition — venous insufficiency, post-thrombotic syndrome, or an active or healed venous ulcer, as applicable
- Current limb measurements, taken first thing in the morning before swelling builds
- Delivery or shipping. Delivered and set up across South Florida, or shipped across Florida, with the instructions you need and a phone number for the questions that come later.
- Resupply, if it applies. Supplies that recur are tracked on the policy’s schedule. We check in before each shipment; nothing ships that you did not ask for. How automatic resupply works.
What Medicare looks for
Lymphedema compression (CAA 2023 benefit) is covered under Medicare policy LCD statute, Lymphedema Treatment Items — standard benefit effective 2024-01-01, no LCD. In plain words, the chart has to show this: Lymphedema diagnosis + prescription. daytime and nighttime may both be billed when ordered. Select the exact body region, garment length, compression level, standard/custom construction and side. Bilateral extremities must become separate RT and LT claim lines, never RTLT on one line. Add SC only after statutory and reasonable-and-necessary requirements are met. the diagnosis trigger alone does not earn it. RA is only for a lost, stolen or irreparably damaged replacement. The diagnoses it names include lymphedema, not elsewhere classified, post-mastectomy lymphedema, hereditary lymphedema. How often the policy allows a replacement depends on the item: 1 per calendar year; 6 per calendar year.
Pneumatic compression device is covered under Medicare policy LCD NCD 280.6 / L33829, Pneumatic Compression Devices. In plain words, the chart has to show this: CLINICAL REVIEW — do not infer pump coverage from the diagnosis. For lymphedema, document a four-week conservative-treatment trial that includes an appropriate compression garment or bandage, exercise and elevation, with objective measurements before and after and the treating practitioner's ongoing oversight. For chronic venous-insufficiency ulcers, the required conservative-treatment period is six months and must document the qualifying ulcer and failed care. Select one compatible pump/appliance pairing. hand or foot segments incorporated into an appliance are not separately billed. Add SC only after every coverage requirement is verified, never from this diagnosis trigger alone. The diagnoses it names include lymphedema, not elsewhere classified, post-mastectomy lymphedema, hereditary lymphedema, varicose veins of lower extremity with ulcer, varicose veins with ulcer and inflammation. How often the policy allows a replacement depends on the item: capped rental, 13 months; one-time purchase.
Policies change and plans differ; the link above is the current text. We do not publish allowances or quantity limits here because the number that applies to you depends on your plan and your chart. Ask us and we will tell you yours.
Products people order
The manufacturers’ own photographs, shown under our dealer agreements. Pick one to check coverage and order it; sizes and pack counts come next.
JOBST®JOBST® Ultrasheer Compression Stockings, knee high, 20-30 mmHg, black, XL full calf
JOBST®JOBST® Opaque Compression Stockings, thigh high, 30-40 mmHg, black, small
Therafirm™Therafirm™ Unisex Core-Spun Support Socks, knee high, 20-30 mmHg, white, XXL
JOBST®JOBST® Opaque Maternity Compression Stockings, knee high, 15-20 mmHg, black, large
Therafirm™Therafirm™ Unisex Core-Spun Short Support Socks, knee high, 15-20 mmHg, white, small
JOBST®JOBST® ActiveWear Athletic Compression Socks, knee high, 20-30 mmHg, white, mediumAll compression & lymphedema product families
Brands we carry
JOBST, Therafirm, BSN Medical, Medline, Drive Medical.
Questions people ask
What compression strength do I need?
How do I get measured?
I cannot physically pull a stocking on. What are my options?
Related
About this guide
This is general information written to be useful, not medical advice, and it is not a coverage determination. It does not replace what your own clinician has told you about your own situation — where the two differ, follow your clinician.
We deliberately publish no prices, allowables or fee-schedule figures. Those vary by plan, state and year, and a stale number is worse than none. Call (800) 304-7030 and we will verify your actual benefit.
Not sure where to start?
Call us and tell us what happened — a surgery, a new diagnosis, a discharge date, a supply you keep running out of. We will tell you what is usually needed, check your benefits, and ask your prescriber for the order if you do not have one yet.
