To substantiate medical necessity for the Abilitech™ Assist, clinicians will document — and insurance companies will review — coverage criteria and requirements and Letters of Medical Necessity on a case-by-case basis.
To qualify for the Abilitech™ Assist, patients must have an upper limb that is weakened but still has intrinsic strength equivalent to a manual muscle test score of
2 or higher in the shoulder and arm. Letters of Medical Necessity will also cite a patient’s interests and motivations for the technology and explain why other, standard orthotics aren’t able to adequately facilitate the patient’s desired activities of daily living.