Individual and Group Health Insurance
Nationwide, most individual health insurance plans, and group health insurance plans, will pay for provision of a GEMS-TENS, if it is medically necessary.
For example, Blue Cross/Blue Shield
has issued a medical coverage guideline addressing when a TENS is medically necessary. The medical coverage guideline can be accessed by clicking here
also addresses when a TENS is medically necessary. Cigna Healthcare's coverage position can be accessed by clicking here
will reimburse for a TENS, when medically necessary, as outlined here
Patients and providers should check the terms of the policy, to determine if a GEMS-TENS is implicitly included, or specifically excluded, by the specific language and terms of each policy.
Automobile, Homeowners, or Property Insurance Claims
If a person was injured as a result of an automobile collision, a slip and fall at home, or a slip and fall elsewhere on insured premises, if a TENS is considered to be medically necessary, most insurers will find the provision of a GEM-TENS indicated, and accordingly the insurer will usually pay for the injured person to obtain relief from pain.
Employees who sustain an industrial injury are generally entitled to treatment necessary to cure or relieve them from the effects of the industrial injury. Being as workers' compensation insurance laws vary widely from state to state, and these laws change on a regular basis, the provision of a TENS is often subject to specifically approved state treatment guidelines. The treating physicians, in each state, are generally well versed in whether their specific state treatment guidelines indicate whether a GEMS-TENS is medically necessary for different industrial injuries or illnesses.