Modern Medical provides durable medical equipment (DME), disposable supplies (wound care, ostomy, etc.), electrotherapy, orthotics & prosthetics, home health care services, IV therapy services, outpatient therapy services, transportation services, language services, and pharmacy benefits management.

Modern Medical provides all services nationwide.

Monday through Friday from 7:30am to 9:00pm EST. Modern Medical can be reached 24 hours per day, 365 days a year via the emergency paging option available through the off-hours answering system.

Through the Ask-a-Pharmacist program, the Clinical Services Department can answer your drug information question. Requests can be submitted either via the web-based request form or by emailing: pharmacist@modernmedical.com.

Experienced clinical pharmacists conduct three types of medication reviews: a Basic Medication Review, an Independent Pharmaceutical Evaluation (IPE), and a Drug Indications Report. Both the basic medication review and the IPE identify drug-related problems, appropriateness of drug treatment, and provide cost effective recommendations. The Drug Indications Report is an opinion of drug coverage based upon CMS Medicare Part D guidelines for Medicare Set Asides

Our flexible formulary program offers customized plans with or without step therapy, diagnosis-based formularies, a standard drug plan, and state drug lists.

Yes. The Access card provides information regarding formulary controls and billing through our online adjudication system. A valid prescription is still required.

Yes. Over 60,000 pharmacies are included in our pharmacy network, including all major chain pharmacies, and claimants may present the Access card at any network pharmacy to receive approved medications through our program. We do, however, have the ability to limit a claimant to a specific dispensing pharmacy if such control is requested by the claims professional.

Yes. Bankable items, such as cold therapy units, traction units and electrotherapy units, once purchased, may be retrieved from the claimant when no longer medically necessary and banked in the Modern Medical warehouse. Modern Medical will then refurbish the item, replace any disposable parts, and store it until it is needed by another claimant. When we receive another referral for that type of equipment, we will then ship the item to the claimant at no additional rental or purchase charge. A minimal fee of $33.00 is charged at the time of shipping for the refurb, storage and shipping.

Yes. Regardless of the type of service requested, a Modern Medical associate will make an introductory phone call to the claimant, explain our role in his/her care, and explain the next steps (delivery and/or shipment, pharmacy card, network pharmacy location, etc.). We also follow up with each claimant to verify delivery and satisfaction.

We are able to offer same-day services in most cases. Our DME provider network is extensive and typically can provide same-day service for standard equipment items. Bariatric or specialty equipment requests often will require more lead time.

You may submit a request via phone, fax, our website, or through electronic data interchange.

Per FDA regulations, bone and spinal growth stimulators are single-patient use only and therefore are purchase-only items. They cannot be banked for use by other patients and are disposed of by the manufacturer after patient use.

When the pharmacist attempts to adjudicate a medication claim through our system and receives a rejection notice, the notice provides Modern Medical’s name, contact information and a rejection code, and asks the pharmacist to contact us for authorization. When Modern Medical receives a call from a pharmacist regarding a rejection, we will seek authorization information for the medication or contact the prescriber, depending on the reason the medication is rejecting.

Yes. Modern Medical can provide any type of home health services including, but not limited to: RN, home health aide, medical social work, PT, OT, speech therapy, respiratory therapy, oxygen therapy (CPAP, BiPAP, concentrators, portable O₂, etc.) and wound V.A.C. therapy. We also offer IV therapy services to include antibiotics, pain management and anti-coagulation therapy services. Additionally, housekeeping services to assist claimants may be arranged through Modern Medical. (This particular service does not require a prescription.)

No. However, Modern Medical will contact the approved physician or discharging hospital to obtain the orders for the requested service.