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Attention Univera Healthcare Amputees

by zuchlewski

Press Release 06/15/16

Wed, Jun 15th 2016


Press Release

June 15, 2016

Contact: Jack Martin (716-433-7688) email: [email protected]

For Immediate Release


Prosthetic Home Services No Longer To Service
Univera Healthcare Amputees, Citing Reimbursement Rates


CLARENCE, NY -- Effective June 13, 2016, Prosthetic Home Services is no longer accepting Univera Healthcare amputee patients as a result of the healthcare provider's low reimbursement rate for custom measured prosthetic devices.


"The decision to terminate our contract with Univera was made after several failed attempts to negotiate a realistic and rational rate for the types of specialized custom services amputees require," according to Mark Zuchlewski, President - Prosthetic Home Services.


Univera Healthcare's payment reimbursements for custom measured, designed, and hand fabricated prosthetic devices are paid at the same rate as "off the shelf" durable medical supplies (i.e. canes, commode chairs, blood sugar test strips, etc.).  "We tried to convince Univera Healthcare that prosthetic limbs cannot be purchased and sold in bulk for a discount. In the end, they held to their position that all durable medical products are the same, and therefore; so is their reimbursement," he stated.


Univera Healthcare's non-negotiable fee schedule for all durable medical products including custom designed prosthetics is the Medicare rate minus 24%, forcing prosthetic providers to lose money every time they provide a prosthesis for a Univera amputee.


"There are no New York State laws or regulations that forbid insurance companies from setting financially destructive fees for services. Insurance companies, like Univera Healthcare, cannot legally be held accountable for this type of fee-setting practice," Zuchlewski explained.  "In the absence of any State monitoring of reasonable fees, insurance companies are left unchecked and are given the freedom to victimize providers who specialize in helping amputees."


Zuchlewski promised to work on behalf of all Western New York amputees by reaching out to both local and State government representatives to help change the fee schedule for prosthetic devices. Government responses will be made available at prosthetichomeservices.com.