Durable medical equipment

We understand that your patients may need Durable Medical Equipment (DME) to help them with a health condition. We cover some DME to help your patients improve their quality of life or help them heal.

Is DME covered by Culinary insurance?

Yes. We cover DME if it is prescribed by a provider. If your patients’ DME costs over $500, prior authorization is needed. Prior authorization must be obtained before they get the equipment.

How do I help my patients get DME?

If your patients’ DME costs $500 or more:

1. Prescribe them DME.
2. Fax a completed prior authorization request formDownload PDF to NHS at 702-691-5614.
3. Once prior authorization is obtained, your patients can get their DME from one of our DME providers.

If your patients’ DME costs under $500:

1. Prescribe them DME.
2. Your patients can then take their prescription to one of our DME providers to get their DME.

How much will it cost my patients?

• If your patients get their DME from an in-network provider, they will pay 10% of the costs.
• If your patients get their DME from an out-of-network provider, they will pay all of the costs.

Where do my patients get their DME?

There are many places where your patients can get their DME. But to keep their costs low, they should use one of our in-network providers. Your patients can use our provider directory to find an in-network durable medical equipment supplier.