LymphaCare Questionnaire

Lymphedema patients come from all walks of life.
Feel free to answer any or all of the questions.

We are diligently working to improve reimbursement
for lymphedema products, so your help is appreciated.

  1. Where do you have the Lymphedema or circulation disorder?
    • My Arm(s) or Hand(s)
    • My Leg(s)-Lymph nodes removed
    • My Leg(s)-It just developed over time
    • Other area
    • Not sure
  2. Do you currently have Medicare or Insurance Coverage?
    • Medicare is my primary
    • Private Insurance is my primary
    • Workman's comp is my primary
    • Medicaid is my primary
    • No coverage, but considering a pump
  3. Has your Physician already prescribed a Lymphedema Pump for you?
    • Yes, and I'm doing research
    • Yes, and no store has them near meYes, and I'm doing research
    • No, but I'm doing research
    • es, and I want one ASAP
    • Not sure
  4. What kind of information have you heard about Lymphedema Pumps?
    • Mostly Positive
    • Mostly Negative
    • My Physical Therapist says they're bad
    • My Physical Therapist says they're good
    • I'm confused by all the opinions
  5. If you know you want a Lymphedema Pump, are you having trouble getting/finding them?
    • Local Medical Stores are clueless!
    • Doctor doesn't know about it
    • No one will prescribe it
    • My insurance is giving me a hard time
    • Not sure about Medicare coverage
  6. Did you find the LymphaCare website generally helpful?
    • Yes, right to the key points.(Pictures & information)
    • No, Its confusing or too busy
    • Better than other similar Lymphedema sites
    • I didn't find what I was looking for
    • I'd rather email some comments or questions
  7. If you are looking to try a lymphedema pump, what information on this site did you find MOST helpful?
    • Knowing that my insurance should pay
    • Knowing that pumps are a safe and recognized treatment
    • Finding general information on lymphedema
    • Finding a company who can knowledgeably provide the pump
    • All of the above
  8. How can the LymphaCare website be improved?
    • It's just fine
    • More pictures or clinical information
    • More detailed product information
    • More insurance coverage information
    • Have a 'fill in' information request form, so we can send you brochures
  9. Would you like to be able to download more information, like brochures or medical info. as Acrobat or MS Word documents?
    • Medical Articles on Lymphedema
    • Product or Company Brochures
    • Insurance/Medicare information
    • Measuring Templates (for sizing garments)
    • All of the above
  10. If you had Manual Lymph Drainage with a Physical or Occupational Therapist, was a pump part of your treatment or even suggested to try?
    • It was never mentioned
    • It was tried or part of my treatment
    • I was told its bad and it'll damage my limb
    • Not sure
    • None of the above
  11. Has Manual Lymph Drainage or MLD Massage been part of your treatment plan?
    • Yes, and I would have it again
    • I went and it didn't seem to do much
    • I'm still considering trying it
    • No, it's too inconvenient for me
    • I can't afford it or insurance won't pay
Full Name: *
Email address: *



LymphaCare: Lymphedema Product & Reimbursement Resource
lymphedema@mac.com
Phone: (800) 288-1801

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