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.
| Product | HCPCS | Description |
|---|---|---|
| Collagen Dressing 2×2, 4×4 | A6021 | Sterile collagen wound dressing, ≤16 sq in |
| Collagen Dressing 4×4 multi, 4×8 | A6022 | >16 to ≤48 sq in |
| Collagen wound filler, dry form (powder) | A6024 | Collagen dressing wound filler; verify exact code with your supplier or payer |
| Compression Socks 20-30 mmHg | A6531 | Gradient compression stocking, verify with payer |
| Sock aid (adaptive equipment) | Not separately coded | Often 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.
- Pay with your FSA / HSA card at checkout, if your plan supports SIGIS auto-substantiation, eligibility verifies automatically.
- 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.).
- 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:
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
| Administrator | FSA/HSA card works at checkout? | Notes |
|---|---|---|
| HealthEquity | Typically, where the plan supports SIGIS auto-substantiation; verify with your administrator | Includes legacy WageWorks accounts. Receipts sometimes requested post-purchase, save your order confirmation. |
| Optum Bank | Typically; verify with your administrator | Receipts often required for compression items, LMN may be requested. |
| HSA Bank | Typically, where the plan supports SIGIS auto-substantiation; verify with your administrator | Save your order confirmation. |
| Bank of America HSA | Typically; verify with your administrator | Save your order confirmation. |
| Other / employer plan | Varies | Submit receipt manually; include LMN if plan requires. |
Frequently asked questions
Are Ovena collagen dressings FSA/HSA eligible?
Are 20-30 mmHg compression socks FSA/HSA eligible?
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.