US Funding: How it Works

In recent years over 20,000 Firefly products have been funded in the US through insurance (Medicaid or Private) or Early Intervention Programs.

The insurance application process can be daunting when going through it for the 1st time, and can be frustrating as a positive insurance approval is not guaranteed. It's truly a team effort and you will be supported by your Therapist / Clinician & your Assistive Technology Professional (ATP).

Firefly works in partnership with every leading Complex Rehab Technology (CRT) provider in the US, so our CRT partners can supply Firefly products & experienced ATPs can guide you through the insurance application process.

 

The steps below illustrate key stages in the funding application process, and give an idea of what to expect in terms of timeframe

 

 

  1. Typical Timeframe : 1 week

    Discuss child’s needs with an Expert

     

    • Talk about suitability of products with an ATP or Therapist

    • If you need help in contacting some, complete Firefly’s request form and we will put you in touch with a local ATP / Supplier

    • 1. Discuss child’s needs with a Firefly Expert

  1. Typical Timeframe : 1-3 weeks

    Evaluation

     

    • Assessment and measurement by an ATP
    • Therapist performs clinical assessment
    • Insurance verified
    • Select product configuration (size, color etc.)

    • 2. Evaluation

  1. Typical Timeframe : 3-6 weeks

    Documentation Submission

     

    • ATP requests quote from Firefly
    • Clinician reviews info and Letter of Medical Necessity (LMN)
    • ATP submits quote and LMN to funding source / insurer

    • 3. Documentation submission

  1. Typical Timeframe : 3-10 weeks

    Funding Approval Decision

     

    • Funder may ask ATP for additional information
    • Yes or no decision made on each individual case
    • Denial decision can be appealed if additional information can be submitted

     

    (over 80% of Firefly insurance submissions are successfully funded)

    • 4. Funding Approval Decision

  1. Typical Timeframe : 2-5 weeks

    Order Placed

     

    • Complex Rehab Technology provider orders Firefly product
    • Product received and quality checked

    • 5. Evaluation

  1. Typical Timeframe : 1 week

    Firefly Product Delivered

     

    • Delivery and fitting

    • 6. Firefly product Delivered to family

Total Estimated Timeframe:

11-26 weeks

This is the typical estimated timeframe, in some cases it can take shorter or longer.

 

If you are unsure about any steps in the process, please contact your local Complex Rehab Technology provider / ATP. If you aren’t sure who that is then please complete our Insurance Information Request form.

Complete Form