FSA/HSA eligible
Getting EpiMonitor reimbursed in the US
Many of our users have successfully received partial or full reimbursement from their insurers using their EpiMonitor purchase receipt and documentation we provide. The content on this page is to guide you through the process and help families living with epilepsy achieve more affordable peace of mind.
Purchase and claim
Make your purchase, get your device and file your claim in a few simple steps
1. Purchase EpiMonitor
You can do so directly from our online store
2. Upload your prescription
Create your EpiMonitor account and upload your prescription to receive your device
3. Get a Letter of Medical Necessity
Ask your physician to complete our Letter of Medical Necessity template
4. Send to your provider
Share the letter of medical necessity alongside your EpiMonitor purchase receipt with your insurance provider to start filing a claim
Talk to your insurance provider
You can submit a predetermination request to your insurance provider before purchasing EpiMonitor to find out if it may be reimbursed. This optional step can give you a clearer understanding of your potential coverage.
We provide a predetermination letter template that your doctor can personalize and fill out on your behalf. You can send this directly to your insurance agent.
We recommend using HCPCS Code E1399
While Empatica is not a Durable Medical Equipment (DME) Supplier, some of our users have successfully received reimbursement using HCPCS Code E1399: Durable medical equipment, miscellaneous. Because E1399 is a miscellaneous code, coverage varies by plan and insurer.
In case you are asked to provide it, Empatica's Tax ID is EIN 46-2401194, and the registered address is Empatica Inc., 1 Broadway, 14th floor, Cambridge, MA 02142 US.
EpiMonitor is a prescription medical device, not a medical service, and Empatica is not a clinical provider. It is not associated with a CPT code or NPI number.
In case you are asked to provide it, Empatica's Tax ID is EIN 46-2401194, and the registered address is Empatica Inc., 1 Broadway, 14th floor, Cambridge, MA 02142 US.
EpiMonitor is a prescription medical device, not a medical service, and Empatica is not a clinical provider. It is not associated with a CPT code or NPI number.
Good news: You can buy EpiMonitor with FSA and HSA
Did you know you can use your FSA (Flexible Savings Account) or HSA (Health Savings Account) to purchase EpiMonitor?
Your benefits administrator may ask for an official invoice and the prescription provided by your doctor. You can find your order invoice in the email confirming your order.
Get your EpiMonitor today
Frequently Asked Questions
Can Empatica bill my insurance provider directly?
Empatica is not currently registered as a DME supplier, so we are unable to bill insurance providers directly. However, some of our users have successfully submitted reimbursement requests using their EpiMonitor purchase receipt and documentation we provide. We encourage you to check with your insurance provider and provide them with detailed support materials.
How much does EpiMonitor cost out of pocket?
EpiMonitor costs $399 for a one-off purchase of the EmbracePlus wearable, plus a monthly fee for a subscription. There are three subscription plans available, with the cheapest costing $17.40 per month. You can see all subscription options here and choose the one that best suits your needs. But rest assured, all subscription options include seizure alerting. All orders come with a 30-day trial period, so if you change your mind you can return your device to us and receive a full refund.
What is included in the Standard subscription plan?
The Standard plan is our most popular subscription plan. It costs $26.90 per month and provides automated seizure alerts, including an SMS with the user’s location, to up to 3 caregivers. It also includes a seizure diary, plus sleep and activity stats for the previous 7 days.
How can someone order and receive EpiMonitor?
Empatica handles all orders through its online store, where someone can select their wearable color and subscription plan. Once a purchase is made and a valid prescription is uploaded to the user's account, the EpiMonitor pack will be shipped to their address, including one EmbracePlus device and instructions on how to download the companion EpiMonitor app.
How can a doctor prescribe EpiMonitor and where do they send the prescription?
To prescribe EpiMonitor for their patients, doctors need to provide them with a paper or PDF prescription containing the information outlined here. The patients will then upload an image of this to the Empatica system after purchasing EpiMonitor, so a member of the Empatica team can review its validity and release the shipment. If the prescription is not valid, Empatica will contact the patient directly to explain why. If the patient is not able to provide a valid prescription to Empatica, their order will be cancelled and fully refunded.
I already have an EpiMonitor prescription, where do I need to send it?
You can upload your EpiMonitor prescription to your account, which you'll be asked to create after your purchase. Since EpiMonitor is FDA-cleared, we will need a valid prescription to ship your order. After completing your purchase, you can directly share your prescription copy alongside your purchase invoice with your insurance provider to request reimbursement. Please note that Empatica does not send prescriptions to insurance providers.
How can EpiMonitor support someone with their epilepsy monitoring?
EpiMonitor provides a range of features that can provide added safety to people with epilepsy, peace of mind to their caregivers, and reliable data insights to their healthcare providers. EpiMonitor’s seizure alerting capabilities can inform caregivers in real time if a loved one is having a seizure, and can thus expedite first response, which can prevent injuries. Detailed sleep and activity metrics, alongside a comprehensive seizure diary, can be visualized inside the EpiMonitor app and in a PDF report, providing the opportunity to uncover patterns related to a person’s lifestyle, and potentially adapt treatment plans.
