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Palma Care DME: The 2026 Master Clinical FAQ

Expert Support Across All 6 Lines of Care

1. Continuous Glucose Monitoring (CGM)

Does Medicare cover the new 15-day FreeStyle Libre 3 Plus?

Yes. As of 2026, the 15-day wear cycle is fully integrated into Medicare Part B and NYRx billing. We synchronize your 90-day supply shipments to ensure you always have a "grace period" sensor on hand.

Can I switch from Dexcom to Libre (or vice versa) under NYRx?

Yes. Since both are "Preferred" on the NYRx PDSP list, we can facilitate a brand switch with a simple updated prescription from your doctor via Parachute Health.

2. Incontinence & Personal Care

How does the 250-count monthly limit work for NYRx Medicaid?

New York State allows a combination of briefs, pull-ups, and liners up to 250 units per month. We provide high-absorbency clinical brands (not grocery store brands) to ensure fewer changes and better skin health.

Are underpads (Chux) and wipes also covered?

Yes. We bundle these as part of your monthly personal care kit. We handle the "Medical Necessity" documentation to ensure these secondary supplies are covered alongside your primary briefs.

3. Diabetic Footwear & Custom Orthotics

What is the "Statement of Certifying Physician" required by Medicare?

To qualify for therapeutic shoes and L3000 custom orthotics, your primary doctor (MD/DO) must sign a specific form confirming they are managing your diabetes. We handle the paperwork directly with your doctor and podiatrist.

How often can I get new diabetic shoes and inserts?

In 2026, Medicare and NYRx typically cover one pair of shoes and three pairs of custom inserts per calendar year. We track your eligibility so you can refresh your footwear every 12 months.

4. Maternity & Postpartum Care

Does my insurance cover a hospital-grade breast pump or a portable model?

Most NY plans cover high-efficiency double electric pumps (like Spectra or Medela). We also verify coverage for postpartum compression and support belts, which are critical for recovery but often overlooked.

When is the best time to start my maternity order?

Start at 28 weeks. We secure the authorization early so your pump is dispatched and delivered before your due date, no last-minute stress.

5. Urological Supplies

What defines "Permanence" for catheter coverage in 2026?

For Medicare to cover long-term urological supplies, your physician must document that your condition is expected to last at least 3 months. We help your doctor phrase clinical notes correctly to meet this "Prosthetic Benefit" standard.

Can I get "Closed-System" catheters to prevent UTIs?

Yes. If you have a history of frequent UTIs, we can secure coverage for sterile, pre-lubricated closed systems. We coordinate with your urologist to prove medical necessity for these advanced kits.

6. Advanced Wound Care

How does Palma Care coordinate with local Wound Care Centers?

We are integrated with NYC and NYS clinics via Parachute Health. When your clinician changes your dressing type (e.g., from Foam to Collagen), we receive the update instantly and ship the new supplies within 24 hours.

Does insurance cover antimicrobial honey or silver dressings?

Yes, provided the wound shows measurable progress. We track your "Wound Logs" to ensure continued coverage and clinical compliance.

Universal Logistics & Fulfillment

I’m a NY resident currently in Florida/California. Can you ship my supplies there?

Absolutely. We are a New York specialist. As long as your insurance is NY-based (NYRx, Medicare, or private), we ship your supplies to any of the 50 states with free priority delivery.

How do I get my doctor to send a prescription to you?

Ask them to search for "Palma Care DME" on Parachute Health or fax it to 718-874-5874.

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