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Follow the instructions below to help ensure success with your insurance claim.
Complete these 3 easy steps before submitting your claim:
Obtain a prescription from your doctorMost insurance companies will require a prescription from your doctor listing the product name and prescription codes (See below).
Obtain itemized receiptsYour insurance will need to see that you purchased a specific Belly Bandit product for a specific amount. Not to worry — you can use the receipt we email you for this part.
Get your claim formTo submit an insurance claim you will need to fill out your provider's claim form. We are unable to tell you exactly where to find it, but try logging in to your provider's website and searching there.
Please share the information below with your doctor in order to complete your prescription. (Feel free to take a screenshot!)
HCPCS Codes:2-in-1 Bandit™ – L0621Belly Wrap (any) – L0621Breastfeeding Hot and Cold Compress - A9273C-Section & Postpartum Recovery Undies – A4467C-Section Recovery Briefs – A9999C-Section Short - A4467Compression Socks (any) – A6530Luxe Wrap - L0621Postpartum Sculpting Girdle - A4467Silicone Skin Defense - A6205Silicone Breast Therapy - A6205Silicone C-Section Therapy - A6205Sleep-On-Side-System - E0190Upsie Belly® – L0621V-Sling - L8310V-Cool - A7273
ICD-10 Codes:Low Back Pain – M54.5Unspecified Low Back Pain – M54.50Vertebrogenic Low Back Pain – M54.51Other Low Back Pain – M54.59Postpartum Back Pain – 099.89 & M54.5Posture Disorder – R29.3Rectus Diastasis – M62.08Pubic Symphysis – O71.6Round Ligament Pain – O99.89 & R10.2Vulvar Varicosity – O22.10Hemorrhoids – O22.40Varicose Veins of Lower Extremities – O22.00Postpartum Edema – O12.0Pelvic joint pain R10.2Perineal pain R10.2Vulvar varicosity O22.10Venous complications in pregnancy, unspecified, third trimester O22.9Sleep disorder CM G47Sleep apnea adult G47.33Snoring R06.83
If you are purchasing from a DME (Durable Medical Equipment) Provider, you will need to get insurance coverage clarification directly from your point of purchase. DME's have specific requirements, so be sure to discuss with a store associate prior to purchasing.
Our Upsie Belly®, 2-in-1 Bandit™, The B.F.F. Belly Wrap, The Bamboo Belly from Viscose Wrap, Original Belly Wrap, Luxe Belly Wrap, C-Section & Recovery Undies and C-Section Recovery Briefs, Anti Bra's, V-Sling, V-cool, Proof Leakproof Underwear, Belly Boost and the Hot/Cold Gel Pack are also eligible for reimbursement under your FSA (Flexible Spending Account) or HSA (Health Savings Account).
Please note our BellyBandit.com online store does not accept HSA/FSA Debit Cards. If you use an FSA Debit Card, please head to http://bellyband.it/fsa to make your purchase.
Still confused or have questions? Please contact your insurance carrier as we are unable to answer eligibility questions and/or issues.
Please note Belly Bandit does not handle any medical billing.
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Holds up to 1/2 Regular Tampon
or 1/2 Teaspoon of Liquid
panty liner replacement
Holds up to 1 Regular Tampon
or 2 Teaspoons of Liquid
Holds up to 2 Regular Tampons
or 4 Teaspoons of Liquid
moderate bladder leaks
Holds up to 4 Regular Tampons
or 8 Teaspoons of Liquid
substantial bladder leaks
Holds up to 5 Regular Tampons
or 10 Teaspoons of Liquid
maximum overnight protection