How Idaho Falls Residents Can Access Medicare-Covered Peripheral Nerve Stimulation
Your complete local guide to obtaining Medicare coverage for advanced neuropathy treatment in Idaho Falls and Eastern Idaho.
For Idaho Falls residents suffering from chronic neuropathy, Medicare-covered Peripheral Nerve Stimulation (PNS) represents a breakthrough treatment option. As the only clinic in Eastern Idaho specializing exclusively in neuropathy care, Eagle Rock Neuropathy and Pain Center has helped hundreds of local Medicare beneficiaries access this life-changing therapy.
🏥 Local Medicare PNS Success
Idaho Falls Results: Over 300 local Medicare patients treated with 90-95% success rate for chronic neuropathy pain relief since 2020.
Understanding Medicare PNS Coverage
What Medicare Covers
Medicare Part B covers Peripheral Nerve Stimulation when medically necessary for treating chronic peripheral neuropathy. This coverage includes the procedure, device, and follow-up care at our Idaho Falls clinic.
✅ Covered Services
- • Initial consultation and evaluation
- • Diagnostic nerve testing
- • PNS device and implantation
- • Programming and adjustments
- • Follow-up visits and monitoring
📋 Coverage Requirements
- • Chronic neuropathy diagnosis (6+ months)
- • Failed conservative treatments
- • Documentation of functional impairment
- • Medicare-approved provider
- • Medical necessity documentation
Eligibility Requirements for Eastern Idaho Residents
🎯 Medicare PNS Eligibility Checklist
Medical Requirements:
- ☑️ Peripheral neuropathy diagnosis
- ☑️ Chronic pain (6+ months duration)
- ☑️ Pain score 4/10 or higher
- ☑️ Functional limitations documented
- ☑️ Failed medication trials
Administrative Requirements:
- ☑️ Medicare Part B enrollment
- ☑️ Prior authorization obtained
- ☑️ Medical records documentation
- ☑️ Provider pre-certification
- ☑️ Treatment plan approval
Local Medicare Advantages
Idaho Falls residents benefit from our clinic's established relationships with Medicare administrative contractors and local Medicare Advantage plans serving Eastern Idaho, including SelectHealth, Blue Cross Blue Shield Idaho, and Regence BlueShield.
Step-by-Step Coverage Process
Initial Consultation at Eagle Rock
Schedule your comprehensive neuropathy evaluation at our Idaho Falls clinic. We'll assess your condition, review medical history, and determine PNS candidacy.
📍 Location: 919 S. Utah Ave., Idaho Falls, ID 83402
Medicare Benefits Verification
Our billing specialists verify your Medicare Part B benefits and determine coverage specifics for PNS treatment, including any supplemental insurance coordination.
Prior Authorization Submission
We submit comprehensive prior authorization documentation to Medicare, including medical records, diagnostic test results, and treatment justification.
Coverage Approval & Scheduling
Once Medicare approves coverage, we schedule your PNS procedure at our Idaho Falls clinic, typically within 2-3 weeks of approval.
PNS Procedure & Follow-Up
30-minute outpatient procedure followed by comprehensive follow-up care, all covered under your Medicare benefits.
Local Medicare Resources for Idaho Falls Residents
📞 Local Medicare Contacts
- • Idaho SHIP: (208) 334-2220
- • Medicare.gov: 1-800-MEDICARE
- • Social Security (IF): (208) 557-5755
- • Area Agency on Aging: (208) 522-5391
🏥 Covered Service Areas
- • Shelley, ID (20 min drive)
- • Blackfoot, ID (25 min drive)
- • Pocatello, ID (50 min drive)
- • Rexburg, ID (30 min drive)
Understanding Your Costs
💰 Typical Medicare Coverage
Medicare Part B Pays:
80%
After deductible
Your Responsibility:
20%
Coinsurance
Supplement May Cover:
Up to 100%
Of remaining costs
Many Idaho Falls residents have Medicare Supplement (Medigap) insurance that covers the remaining 20% coinsurance, resulting in little to no out-of-pocket costs for PNS treatment.
Local Success Stories
"Thanks to Eagle Rock's help with my Medicare coverage, I was able to get PNS treatment without any out-of-pocket costs. The burning pain in my feet that kept me awake for years is finally gone. I can now enjoy walks around Freeman Park again."— Margaret S., Idaho Falls Resident, Age 72
*Individual results may vary. Shared with patient consent.
📚 Medicare Coverage Authority
Medicare coverage for Peripheral Nerve Stimulation follows Centers for Medicare & Medicaid Services (CMS) guidelines for neurostimulator devices and chronic pain management.
Reference: Medicare Coverage Database - Neurostimulator Coverage
Start Your Medicare PNS Journey Today
Let our Idaho Falls team handle your Medicare approval process while you focus on getting better.
Medicare benefits verification available for all Eastern Idaho residents