Getting a Prescription for HFCWO

How to Get Your SmartVest

SmartVest is available by prescription only. Request a Patient Packet, with forms included, to bring to your next appointment to discuss symptoms and if you could have a chronic lung condition like bronchiectasis. To properly diagnose bronchiectasis, ensure your doctor requests a HRCT scan of your lungs and airways.

Our support team is ready to walk you through the process. Whether you want to discuss your symptoms with one of our Respiratory Therapists, want to learn more about the prescription process, or questions about insurance, we’re here every step of the way.

We require minimal information to begin the prescription process. Ask your doctor to complete the required forms and fax all completed documents to Electromed at 866.758.5077 or submit via GoScripts.

SmartVest Prescription Forms

A woman leans over a man with a smile while he uses SmartVest

Clinic Support: Getting SmartVest for Your Patients

Download prescription forms to get your patients on track with SmartVest HFCWO therapy. Each form is designed with input from clinicians and payers to capture prescription details efficiently and accurately.

Our reimbursement team is available to assist your healthcare team throughout the documentation and reimbursement process to ensure your patients’ SmartVest is delivered safely to their door, and they’re able to start their HFCWO therapy immediately with the help from a personal Registered Respiratory Therapist (RRT).

Patient Demographics Form →

Complete the patient demographics form with the patient’s insurance information and healthcare team details.

Patient Agreement and Consent Form →

This form grants us permission to review a patient’s health plan information and coordinate reimbursement on their behalf. For an example, please see our guide. For an example, please see our guide.

Prescription and Certificate of Medical Necessity Form →

This form provides information about a patient’s condition and treatment plan. For an example, please see our guide. For an example, please see our guide.

Medicare Covered Diagnoses: ICD-10 Codes Covered for HFCWO →

For patients with Medicare, this document outlines how patients with bronchiectasis and other diagnoses can qualify for reimbursement of their SmartVest system.

Electromed has been helpful talking with patients and working through authorizations. The design, the implementation, the company philosophy: my favorite choice has been the SmartVest.

Dr. Carla Rotering

Read Dr. Rotering's Story

Is SmartVest Covered by Insurance?

Insurance providers that cover our HFCWO therapy device include:

Private insurance
Medicare
State Medical Assistance
A combination of the above insurance carriers
U.S. Department of Veterans Affairs

Contact Reimbursement Support

To ensure coverage, patients living with bronchiectasis will need documentation of:

Frequent exacerbations requiring antibiotic therapy (i.e. more than twice annually) OR daily productive cough

High-resolution computed tomography (HRCT) scan confirming a bronchiectasis diagnosis

Failure of standard treatments to mobilize secretions

Financial Assistance for Getting a SmartVest

To help ease the process of getting a SmartVest and keep you focused on your therapy, you’ll have access to a dedicated patient care team member, who will work directly with your insurance provider to help streamline the reimbursement claim.

In order for your insurance to cover SmartVest, you’ll need documented failure of a standard treatment, such as breathing techniques, to mobilize retained secretions.

Our mission is to help every patient enjoy life’s most important moments, one breath at a time. We offer financial assistance programs and will work with you to find a plan that best suits your situation.

Lifelong Support from Your SmartVest Team

Throughout your SmartVest journey, you’ll receive the support, guidance, and effective therapy you deserve to manage your symptoms and start living each day to its fullest potential.

Call our Patient Care Advocate Team, who are also Respiratory Therapists, at 1.855.528.5690 to learn more about the process.

Contact our Support Team

Product Support

Feel supported in your therapy with a team of respiratory therapists who are available to answer your questions and provide you with the guidance you need to breather easier and live better.

High-Quality Products

Our generators and garments are engineered and built in Minnesota at our state-of-the-art facility.

Personalized Customer Care

Accredited by The Joint Commission, our team is committed to providing safe and effective care of the highest quality and value.

Request an Informational Packet Today!

Find relief from your chronic cough, recurring respiratory infections, and other bronchiectasis-related symptoms with SmartVest. Request a packet to share with your doctor!

Have questions now? Call our Patient Care Advocates, who are Respiratory Therapists, at 1.855.528.5690 or schedule a time to chat and see if SmartVest could be the right option for you.

Request an Informational Packet Today

1 Sievert C et al. Respiratory Therapy, Vol. 11 No 4, 34-38, 2016.

2 Comparison of Oscillatory Trough Pressures Generated by High Frequency Chest Wall Oscillation (HFCWO) Systems: A White Paper.