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