Documentation support, made easier to navigate.

Ovena provides the documentation FSA, HSA, and insurance paperwork usually requires: itemized receipts, HCPCS code references for our collagen dressings (A6021, A6022) and 20-30 mmHg compression, and a Letter of Medical Necessity template to bring to your clinician. Eligibility and reimbursement decisions always rest with your plan.

What documentation comes with your order

  • Itemized receipt with product names and prices, available from your account dashboard.
  • HCPCS code reference for our collagen dressings and compression, in the table below.
  • Letter of Medical Necessity template, further down this page, ready to bring to your clinician.
  • Instructions for use in every box.

Quick lookup

HCPCS codes for Ovena products

Hand this code to your DME supplier, physician, or plan administrator when they ask.

ProductHCPCSDescription
Collagen Dressing 2×2, 4×4A6021Sterile collagen wound dressing, ≤16 sq in
Collagen Dressing 4×4 multi, 4×8A6022>16 to ≤48 sq in
Collagen wound filler, dry form (powder)A6024Collagen dressing wound filler; verify exact code with your supplier or payer
Compression Socks 20-30 mmHgA6531Gradient compression stocking, verify with payer
Sock aid (adaptive equipment)Not separately codedOften FSA/HSA eligible as adaptive equipment; check your plan

FSA / HSA reimbursement

FDA 510(k)-cleared Class II medical devices are commonly FSA/HSA-eligible. Eligibility varies by plan, so confirm with your administrator. Compression socks and the sock aid typically qualify too, but some plans require a Letter of Medical Necessity.

  1. Pay with your FSA / HSA card at checkout, if your plan supports SIGIS auto-substantiation, eligibility verifies automatically.
  2. If you paid out of pocket, request your order receipt from your account dashboard. Submit it as a claim through your plan administrator (HealthEquity, Optum Bank, etc.).
  3. If your plan requires a Letter of Medical Necessity, use the template below.

What varies by payer

Eligibility lists, substantiation rules, documentation requirements, and reimbursement timelines all vary by payer and by plan, and two members of the same administrator can have different eligibility lists. Confirm with your plan administrator before submitting a claim. Ovena provides documentation, not coverage decisions, and we cannot promise that any plan will reimburse a given purchase.

Medicare DME benefits for collagen wound dressings

Collagen wound dressings can be covered under Medicare Part B as a surgical dressing benefit when prescribed for an open wound. The prescription must specify quantity, size, frequency of change, and the wound being treated. Coverage runs through a Medicare-enrolled DME supplier.

Medicare does not typically cover compression stockings for vein disease alone, but may cover them after a lymphedema diagnosis or under certain venous ulcer protocols; coverage criteria are set by Medicare and its contractors.

Letter of Medical Necessity template

Many clinicians can complete one during a routine visit. Bring this to your next appointment:

"[Patient name] has [condition: chronic venous insufficiency / diabetic foot ulcer / pressure injury / lymphedema / post-surgical edema] and requires [product: 20-30 mmHg graduated compression stockings / collagen wound dressings / wound care kit] as part of their ongoing medical care. This is medically necessary and not for cosmetic purposes."

The LMN should be on the practice's letterhead, dated, and signed.

What Ovena can help with

We can:

  • Provide itemized receipts with product names and prices
  • Provide HCPCS code references for our products
  • Provide a Letter of Medical Necessity template
  • Answer documentation questions

We can't:

  • Guarantee reimbursement
  • Determine your plan's coverage
  • File claims on your behalf
  • Give medical or insurance advice

For facilities and providers

Clinics and facilities ordering in volume can start with our bulk ordering program. For documentation requests such as itemized invoices and spec sheets, contact our sales team. For product or clinical questions, contact clinical support.

By plan administrator

AdministratorFSA/HSA card works at checkout?Notes
HealthEquityTypically, where the plan supports SIGIS auto-substantiation; verify with your administratorIncludes legacy WageWorks accounts. Receipts sometimes requested post-purchase, save your order confirmation.
Optum BankTypically; verify with your administratorReceipts often required for compression items, LMN may be requested.
HSA BankTypically, where the plan supports SIGIS auto-substantiation; verify with your administratorSave your order confirmation.
Bank of America HSATypically; verify with your administratorSave your order confirmation.
Other / employer planVariesSubmit receipt manually; include LMN if plan requires.
Important: Eligibility rules can change. Verify with your plan administrator before submitting a claim. Nothing on this page is medical or insurance advice.

Frequently asked questions

Are Ovena collagen dressings FSA/HSA eligible?
Collagen dressings fall under HCPCS A6021 or A6022 and are typically FSA/HSA eligible; your plan makes the final determination. Itemized receipts are available from your account dashboard.
Are 20-30 mmHg compression socks FSA/HSA eligible?
20-30 mmHg medical-grade compression is often FSA/HSA eligible; some plans require a Letter of Medical Necessity from your clinician. The template on this page is ready to bring to your appointment, and your plan makes the final determination.

Still have questions?

We'll help you find what your plan is asking for.

Email support@ovenahealth.com, call +1 (888) 336-0490, or contact clinical support.

We can't determine what your specific plan will cover, but we can help you find the documentation your plan is asking for.