The Tennant Biomodulator is a Class II Medical Device. It is FDA accepted as a TENS device for pain and requires a prescription from a licensed medical professional. Although classified as a TENS, it uses a very different technology to address pain. While a standard TENS device masks the pain signal from the nerves to the brain and can actually inhibit the healing process, the Biomodulator uses microcurrent technology in a unique way that engages the body’s natural resources to assist the processes of pain management and rehabilitation, breaking the “pain cycle.” The Biomodulator therapy stimulates the body at the cellular level, restoring cellular metabolic activity in the area of treatment.
Although a prescription device for pain, Senergy Medical Group does not contract with any insurance carrier and would be considered “out-of-network” by your health plan. In some instances, depending on whether your health insurance provides “out-of-network” coverage or a “flex-out” plan, they may cover a portion of your purchase. Senergy Medical Group is a “sole-source provider” (meaning we are the exclusive distributor of the Biomodulator). In some instances, the insurance company may consider reimbursement as if we are “in-network”. Be sure to ask the insurance company about this.
Please note that Senergy does not file insurance paperwork or accept insurance assignments. You will have to initiate the pre–authorization process and submit your own claim. While some people have been successful in receiving some reimbursement for their device, it is rare. A TENS device is considered to be Durable Medical Equipment (DME) and may have different coverage under your insurance policy.
Your health insurance policy is a contract between your employer and the insurance company and terms of coverage and reimbursement are part of the contract. It is up to you to speak with your insurance company and find out what coverage is provided. You do however have the right to appeal any decision that is made by the insurance company, in the event of a denial of benefits. If this happens, you may wish to speak with a case manager, usually a nurse. They can gather additional information and present to a medical review board. Usually, once your appeal has gone through the various appeal layers, the final decision is made by the Medical Director.
The process can take 30 to 45 days and sometimes longer and requires persistent follow-up with your insurance company. Please note that your insurance company will not even consider reimbursement for anything other than a pain diagnosis. Most people choose to purchase their device regardless of whether insurance will reimburse.
To better assist you in communicating with your insurance company, we have prepared some information that may be helpful to you attached in the Insurance Information PDF which you may print for your use or you may contact us for further information.