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FIRST STEP PLUS

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First Step Plus Therapeutic Overlay

First Step Plus Therapeutic Overlay is a lightweight,low air loss pressure redistribution system INTENDED USE: Provides pressure redistribution therapy in the form of an adjustable airflow mattress overlay with three individually controlled sections, to maximize patient comfort and achieve optimum results. CLAIMED FEATURES: Adjustable airflow mattress overlay with three individually controlled sections for maximized comfort and optimized therapy.

Product Information

Pressure reducing support surfaces are a type of medical equipment used for the care of pressure sores, also known as pressure ulcers or injuries. Pressure ulcers are lesions caused by constant pressure on areas in contact with the mattress, resulting in damage of skin and deep tissues.

Some pressure reducing mattresses overlays are powered by electricity (known as powered air mattress overlay) and others are not. They should be placed on top of a standard hospital or home mattress and not directly on a hospital bed frame. Powered pressure reducing mattresses have a surface designed to reduce friction and shear through technologies know as alternating pressure, low air loss, or powered flotation without low air loss. They have a pump or blower which provides either sequential inflation and deflation of the air cells or a low interface pressure throughout the overlay. They are indicated for persons with deeper pressure ulcers (stage II, III or IV) or after surgery, for persons who received a flap or skin graft to cover a wound.

Local Coverage Determination for Pressure Reducing Support Surfaces - Group 2 (L33642)


Pricing and Suppliers

Is it covered by Medicare Part B?

Medicare Part B (Medical Insurance) covers rental of powered air mattress overlays that are considered medically necessary for treatment of a superficial (stage II) or deep (stages III or IV) pressure injuries with skin loss, or following a flap or skin graft surgery. Rental reimbursement is capped at 13 months for pressure ulcers, and at 60 days for flaps or skin grafts. Medicare has guidelines that establish what is considered medically necessary and how often an item can be used.

Local Coverage Determination for Pressure Reducing Support Surfaces - Group 2 (L33642)

How can I purchase this product?

Powered air mattress overlay can be rented through Medicare from medical equipment stores. You can also purchase this product "out-of-pocket" (without insurance), from medical equipment stores. 

The table below shows highest and lowest Medicare pricing across the country
DescriptionMedicare DME co-payment Min / Max
Powered air mattress overlay $33.61 / $41.08
View medicare suppliers in or near ''
https://www.medicare.gov/medical-equipment-suppliers/results?location=&cba=false&keyword=
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Estimated out-of-pocket cost:

If your insurance does not cover this product, you can purchase it directly from any store. A list of online stores and prices is provided below for your convenience. For updated prices, find it on the internet at https://wrdev.azurewebsites.net/app/product?id=213

Other Stores

* Indicates whether store accepts Medicare or commercial insurance, but may not apply to this specific product. See coding, coverage and reimubursement for more information.
The information on this handout is for your convenience and educational purposes only. All product claims and specifications are those of the product suppliers. It does not constitute medical advice or a guarantee for reimbursement. Prices may have changed and suppliers may not have product in stock. Please confirm accuracy and appropriateness of information with insurance carrier and product supplier. Clinician and WoundReference assume no liability for inaccuracies or misstatements about products and insurance coverage.