Medicare Coverage Expiration FAQ
Why do Reemo users have to change to waiver or private pay to keep their devices working?
If an individual loses eligibility or terminates coverage through their Medicare plan, the Reemo subscription fees must be paid via other means such as waiver programs or private payment.
If termination is due to coverage changes by the payer, Medicare payers make annual decisions about the benefits for their Medicare beneficiaries each year. Impacted users are in Medicare plans that are discontinuing the Reemo solution for the upcoming year as a paid benefit, therefore continuing subscription costs must be covered by alternative sources such as qualified waiver programs or private payment.
If the user does not want to continue using the watch after January 1, do I need to let Reemo know?
No action is needed if their Medicare payer is no longer covering the subscription. It will automatically be deactivated on January 1.
If a user implemented the new features (Medication Reminder, One-touch call, Personalized messages) will they still have those when they switch to waiver or private pay?
Yes! They will still have all of the same settings – or can add them during the waiver transfer or personal pay enrollment process. These are part of the “Personalized Care & Connect” program at Reemo and they are grandfathered in.
If a user has Blood Pressure Monitor and/or Telemonitoring package, what happens with that?
They can keep the monitor and/or scale which will continue to be functional and integrated with the watch. However, if there are issues or it no longer works, we will not be able to replace or service the peripheral device(s) unless they are on private pay and choose to purchase a new one.
If a user does not have PERS but is otherwise eligible for a waiver, what do we do?
They must be implemented with PERS to qualify for waiver coverage as the coding is related specifically to the PERS functionality. When filling out the waiver transfer form, you will have the opportunity to add this functionality to match the authorization for it.
If the user has PERS now but coverage is terminating at the beginning of the year, when do they lose access to that service?
Their PERS functionality will be deactivated immediately on January 1 if no other payment mechanism (waiver or private pay) is implemented. They will have until January 15 to reactivate under new payment terms.
Why can’t they sign up for private pay now?
To avoid overpayment while the plan is still in effect, the private pay is not to be activated until after the benefit coverage terminates. We will collect payment information after December 1 so that the first payment will be effective no earlier than January.
Will Reemo be offering private pay for new users too?
Currently, we are only offering private pay for users that are rolling off of a benefit plan and only have the subscription payments due. We plan to expand private pay for new users in Q2 of 2026. We will let all care coordinators on our list know at that time and will also include it in our monthly newsletter.
MORE FAQ’s WILL BE ADDED AS WE RECEIVE INQUIRIES