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My Prosthetist Says I Am A Good Candidate For An Elevated Vacuum Suspension System. Will My Insurance Company Pay For That? What Are The Benefits Of This Type Of System?

An elevated vacuum suspension system, such as the Harmony system by Ottobock, controls the volume of the residual limb and prevents volume fluctuations.

The systems create an elevated vacuum environment between the socket and the liner by removing air. Therefore, the amputee has a better socket fit throughout the day.

The benefits of an elevated vacuum suspension system are generally related to a better socket fit, including more comfort. The system also helps relieve pressure on load-bearing areas.

It can help eliminate the need to add socks or spots throughout the day. The system also helps give more confidence in walking.

As with any medical device, the insurance company may refuse to pay for the elevated vacuum suspension system. However, medical studies have found that for many patients, using elevated vacuum suspension systems helps to regulate volume in a patient’s residual limb.

This will help prevent discomfort, skin breakdown, bad walking patterns, pistoning, and more. Therefore, it most likely can be shown the device is medically necessary, especially if you have had problems with fluctuating volume.

If your insurance company is denying your claim for an elevated vacuum suspension system, you may have a legal claim against the insurance company.

The company may be acted in bad faith, and you may have a cause of action against the company for damages. Call Conal Doyle, Amputation Attorney, at 310-385-0567.

I am an amputee, and therefore understand the issues you have, because I have either dealt with them personally or have helped amputee clients. Call to learn more.

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