Medicare-covered programs:
Hero partners with medical practices that offer remote care programs, which include Hero’s smart dispenser and check-ins with licensed professionals. Eligible Medicare members can check their eligibility through the Hero Provider Directory. To confirm whether your Medicare plan covers Hero's remote care program: Individual eligibility decisions for Hero’s coverage within RTM programs are made by the assigned RTM provider, who evaluates criteria based on their partnership with your Medicare insurance. Specific questions about requirements should be directed to the RTM provider managing your case.
Visit Hero's provider directory: Hero Provider Directory.
Complete the application form available on the directory.
The system will verify if there is an eligible care provider in your area and inform you of the next steps.
These programs may be available for as low as $0 (co-pays, coinsurance, and deductibles may apply). If eligible, the program includes access to Hero's smart dispenser, routine check-ins with licensed professionals, and other supportive services, billed by remote care provider through your Medicare coverage. Billing for Hero devices under Medicare is handled by RTM - remote care providers. Questions regarding billing cases, including patient balance bills, should be directed to the assigned RTM provider. Hero itself does not manage these charges or billing processes.
Step 2: Follow Up on Your Application
Once you have submitted your application:
Save the phone number of the chosen remote care provider (you can find it in the recent email or SMS communication from Hero).
If you do not hear back from the provider within 48 hours, it is recommended to contact them directly to inquire about the status of your application. Your care provider plays a crucial role in managing your subscription and handling any Medicare-related concerns, such as co-pays, returns, and nurse check-ins. For issues with unexpected charges, contact the RTM provider to review billing details, and double-check your insurance coverage policy. Remember that Hero’s technical support team handles device or app-related issues, while everything else, including coverage details, is managed by your care provider. If eligibility is denied, contact your RTM provider to understand their decision. You may also explore applying with other RTM providers who might have different criteria. .
Private insurance:
Private insurance may or may not cover remote care programs. Check your eligibility through the Hero Provider Directory.
FSA/HSA Eligibility:
Hero is FSA/HSA eligible, meaning you can use an FSA or HSA card to pay for your subscription. Pro Tip: You can pay with a personal credit card and reimburse yourself from your HSA before interest accrues—this allows you to take advantage of tax-free payments and earn credit card rewards.
For more resources, check out our blog: Insurance & caregiver reimbursement.
What If Hero Is Not Covered by My Insurance Provider?
Hero does not directly collaborate with insurance providers (e.g., private insurers or Humana). However, you may qualify for a Hero dispenser at zero or low cost through providers' remote care programs (deductables, coinsurance, copays may apply). Check your eligibility through the Hero Provider Directory. If your insurance does not cover remote care programs (RTM), you can also utilize existing discounts for out-of-pocket subscription, such as those available for AARP members, or consider prepaying for additional discount.
AARP members can specifically access exclusive savings on Hero subscriptions by applying through Hero-provided link https://herohealth.com/aarp/. Discount rates may vary based on existing offers.
Medicaid
Medicaid is currently not accepted by remote care providers.