Pharmacy: (207)786-0138 Medical Supplies: (207)784-3700
Frequently Asked Questions
Below you will find answers to your most common questions about Medicare, Medicaid and services Bedard offers.
What is the difference between Medicare and Medicaid?
Medicare is an insurance funded by the federal government as an entitlement program which mainly focuses on the older population. The program also covers individuals with disabilities and any person with end stage renal disease regardless of age. Beneficiaries pay part of the cost through premiums and deductibles as well as coinsurance on covered items. Because it is run by the federal government it is essentially the same throughout the United States
Medicaid is different in a couple of ways. It is also an entitlement program funded partially by the federal government but also by the state and local governments. Medicaid is based on income and covers additional services that Medicare does not. It usually covers children, pregnant women, parents of eligible children, seniors and individuals with disabilities. Medicaid is a federal-state program. It is run by the state and local governments within federal guidelines, so it varies from state to state.
Some people can qualify for both Medicare and Medicaid. If you have questions,
How much does Medicare reimburse for each product?
After your annual Medicare Part B deductible is met, Medicare reimburses 80% of the allowed amount or 80% of the billed charges, whichever is lower.
Do I have to have insurance to purchase medical equipment and supplies?
No. You can purchase any medical equipment or supplies without insurance; however some equipment and supplies may require a prescription from a doctor. For more information on what equipment or supplies require a prescription call customer service at 207-784-3700 or 1-866-6BEDARD (623-3273).
What insurance plans do you accept?
Bedard Pharmacy & Medical Supplies accepts many major insurance plans.
Please call our billing department at (207)333-3270, or send an email to firstname.lastname@example.org for more information.
What is an Advance Beneficiary Notice of Noncoverage (ABN)?
If you have original Medicare and your supplier thinks Medicare probably won't pay for items or services, they may give you a written notice called an "Advance Beneficiary Notice of Noncoverage" (ABN). This form lists the items that Medicare isn't expected to pay for, an estimate of the costs, and the reasons why Medicare may not pay. The purpose of the ABN is to give the beneficiary the ability to make an informed decision on whether or not to obtain the product and understanding they may be held financially responsible for it.
There are 3 options when filling out an ABN and you must choose one of the options.
Option 1: You want the items or services that may not be paid for by Medicare. Your provider or supplier may ask you to pay for them now, but you also want them to submit a claim to Medicare for the items or services. If Medicare denies payment, you're responsible for paying, but, since a claim was submitted, you can appeal to Medicare.
Option 2: You want the items or services that may not be paid for by Medicare, but you don't want your provider or supplier to bill Medicare. You may be asked to pay for the items or services now, but because you request your provider or supplier to not submit a claim to Medicare, you can't file an appeal.
Option 3: You don't want the items or services that may not be paid for by Medicare, and you aren't responsible for any payments. A claim isn't submitted to Medicare, and you can't file an appeal.
An ABN is not an official denial and may be appealed if payment is denied when a claim is submitted.
What is Durable Medical Equipment?
Medicare Part B covers durable medical equipment (DME) that your doctor prescribes for use in your home. Only your doctor can prescribe medical equipment to you. DME must meet the following criteria:
Depending on your circumstances, Medicare covers the following, but isn't limited to:
Can I have my equipment and supplies delivered to me?
Yes, we offer free delivery of equipment and supplies in the greater Lewiston-Auburn area. If you are located out of our normal delivery area please contact us arrange delivery. You can also have your supplies shipped to you. A shipping charge may apply depending on the product being shipped.
What is Transitions?
Transitions at Bedard offers more than just a simple product solution. Certified and experienced staff members are here to help guide you through lifes obstacles. We can provide you with high-quality wigs, post-mastectomy prosthetics, compression garments, specialized skin care regimens, and mineral makeup lessons to help you maintain your look - or change it! Whether you suffer from hair loss, cancer treatments, or have a skin condition, our qualified staff will help guide you back to YOU.