Some users have been able to successfully obtain reimbursement from insurance or purchase SAMi through a waiver. However, we've heard this is often an uphill battle, and may require an appeal. SAMi is not a medical device, and this is unfortunately the norm for motion monitors as a category - even those with FDA approval.
Luckily, there are many private organizations out there that exist to fill this gap, and purchase SAMi Kits on behalf of families and individuals of all kinds and circumstances. Click "Funding Partners" below to learn more.
If you are in need of additional help, or have questions, don't hesitate to send us a chat on our website or schedule a time for a call here.
Here is some information you may need if you wish to submit to insurance:
- CPT or HCPC Code: E1399 - NPI: 1437562881 - SAMi Legal Name: HiPass Design LLC - FEIN: 45-4602935
If you would like a template letter of medical necessity, that can be found here. Be sure to include the exact product name when writing the prescription:
Simple, easy, and empathetic organizations prepared to cover the cost of SAMi when cost is a barrier.
Danny Did
Elevating awareness of, and access to, technologies that enable early intervention and added safety when a seizure occurs.
Who qualifies?
DDF reserves its resources for low-income families who face significant financial need. Applications can be accepted from parents, caregivers, and adult patients.
Process
Applicants must complete an online application located on Danny Did's website using the red button below. The application requires information that details your financial need. The DDF process also includes a phone interview before a funding decision can be made.
Epilepsy Awareness of America's (EAA) mission is to help those with epilepsy have a better quality of life. EAA wants to help families defray the medical cost for epilepsy through medicine, devices, holistic approaches and surgery.
Who qualifies?
Any individual who suffers from epilepsy or other seizure disorders.
Process
Applicants must complete an online application located on Epilepsy Awareness of America (EAA) website. The application requires information that details your financial need. The EAA process also includes a personal interview before a funding decision can be made.
Josh Provides' mission is to improve the lives of those living with epilepsy or other seizure disorders
Who qualifies?
Children, families and individuals who suffer from epilepsy or other seizure disorders
Process
Please call 1-800-706-2740 to check on criteria, funding caps and availability. Once confirmed fill out the below application, and email it to info@joshprovides.org
ISF's mission is to help families who care for someone who has epilepsy, support organizations seeking to cure the disease and inspire others to lead
Who qualifies?
Families in the USA who care for someone with epilepsy
Process
Contact the Isaiah Stone Foundation, explain a bit about your situation, and indicate that you'd like to know how they can help you secure a seizure detection device
If you're based in Australia or New Zealand, you can purchase SAMi directly or receive an NDIS quote through our Australian distributor Seizure Alert Australia by clicking below.
"We’ve been working closely with SAMi for nearly 10 years now. During that time, our device grant program has helped over 750 epilepsy patients and caregivers to secure SAMi Kits.
We believe intervention during a seizure event may reduce the risk of SUDEP, reduce injuries, and allows caregivers to provide seizure first aid."
Tom Stanton, President Mary Duffy, Executive Director
The Chelsea Hutchison Foundation
" The SAMi The Sleep Activity Monitor has been an excellent option for many families… Imagine being able to show your neurologist or epileptologist exactly what is happening at night.
I've known the Andersons (inventors of SAMi) for over 10 years now and together we've helped hundreds of parents sleep a little safer with effective night-time monitoring
Julie Hutchison, Founder and CEO
Jon Shaw Foundation
"We are really excited about working with the Anderson family to produce and place the SAMi Kit in the hands of young people living with epilepsy in the UK.
SAMi continues to bring peace of mind to these families, who know SAMi will alert them if needed at night."
Wendy Shaw, Founder and CEO
Medicaid Waivers
State Medicaid Waivers provide financial assistance for specific medical or developmental needs. This is to help families like yours access necessary medical equipment, and in some circumstances, other helpful technology such as SAMi. They are run by individual States, so eligibility requirements and programs may vary.
If you are currently working with a DME Supplier and want to purchase a SAMi through them, please have them email us at partners@samialert.com
Here is some information you may need when submitting to insurance:
- CPT or HCPC Code: E1399 - NPI: 1437562881 - SAMi Legal Name: HiPass Design LLC - FEIN: 45-4602935
It may be helpful to include links to articles written about SAMi as well as our website to supplement.
If you're in the state of Arkansas, you or your case manager can contact Finnegan Health Services, a local DME familiar with SAMi if you're with any of the below.
- Arkansas total care - Care Source - Empower - Summit Community Care
SAMi can't accept Medicaid Waivers as payment directly, so we encourage you to reach out to our partners at George's Pharmacy. They will work with your case manager to get approval for SAMi and help faciliate the purchase
SAMi can't accept Medicaid Waivers as payment directly, so we encourage you to reach out to our partner Untied Needs & Abilities, who can work with you to determine Medicaid Waiver eligibility through the Developmental Disabilities Administration and facilitate your purchase of a SAMi.
Additionally, The Maryland Developmental Disabilities Administration (DDA) website is a helpful resource for individuals with developmental disabilities, their families, and caregivers in Maryland. It includes information about available programs and services, application guidance, and key contact details. Maryland is also served by regional offices, and each regional office can help support families through the application process. You can find program applications, regional office information, and additional contacts on the DDA website: https://health.maryland.gov/dda/Pages/home.aspx
SAMi can't accept Medicaid Waivers as payment directly, so we encourage you to reach out to our partner Mercarik who can work with any Medicaid Waiver plan.
SAMi can't accept Medicaid Waivers as payment directly, so we encourage you to reach out to our partner Gray Matters Alliance who can work with you to determine Medicaid Waiver eligibility and faciliate your purchase of a SAMi.
SAMi can't accept Medicaid Waivers as payment directly, so we encourage you to visit the North Carolina Department of Health and Human Services website, where all LME/MCOs, or Local Management Entity/Managed Care Organizations:
- Manage NC Medicaid Tailored Plans
- Coordinate certain services for NC Medicaid Direct beneficiaries
- Coordinate certain services for EBCI Tribal Option members
There is one LME/MCO for each county. To see which LME/MCO can assist you with purchasing a SAMi on a Medicaid Waiver, visit their website, identify your county, and contact the relevant LME/MCO listed at the bottom of the web page.
SAMi can't accept Medicaid Waivers as payment directly, so we encourage you to reach out to our partner TruCare Provider Services, who can work with you to determine Medicaid Waiver eligibility and facilitate your purchase of a SAMi.
To get in touch with TruCare Provider Services, you can reach them:
SAMi can't accept Medicaid Waivers as payment directly, so we encourage you to reach out to Childrens Health Home of Upstate New York. They can help you navigate acquiring a SAMi through Medicaid in some cases.
Talk to your case manager about the benefits of SAMi to see if it would be covered.. The funding pathway is different for every waiver, so talk to your case manager about the process. You or your case manager can contact us with questions at any time at help@samialert.com
If you currently are on Medicaid but you are not sure what waiver you are eligible for, please contact your case manager.
If you're not covered by Medicaid, these are excellent programs to provide financial resources for your loved one. Typically, your child qualifies solely based on their income, which means most children with disabilities will qualify.
Please keep in mind that waiver programs may have limited funding and/or waiting lists. It's important to start the process as soon as possible to maximize your chances of securing funding.
A Letter of Medical Necessity (LMN) is a letter written by healthcare professionals like your doctor, OT, PT, etc. These letters explain the specific needs and why SAMi is medically necessary.
Be sure to provide specific and detailed information about safety concerns, requirements, and how SAMi can help. If you or someone else wrote the LMN, make sure the healthcare provider who wrote the prescription signs it as well.
Quality matters more than quantity when it comes to LMNs. Focus on getting a detailed and informative letter and make sure that safety risks are defined and less costly alternatives are ruled out. The most common denial reason in documentation is that it is not detailed enough or deemed not medically necessary.
HSA and FSA Funds can often be used to cover qualified medical expenses, and many customers use them to purchase a SAMi device directly through our website. Because eligibility and reimbursement rules vary by plan, we recommend contacting your HSA or FSA provider to confirm what’s required before you purchase. In some cases, your provider may request a Letter of Medical Necessity from your doctor, especially for FSA reimbursement.
If your provider requires a Letter of Medical Necessity, you can share our template letter with your doctor to help speed up the process: SAMi Letter of Medical Necessity Template
Here's how HSAs work:
Pre-Tax Contributions You can contribute to your HSA on a pre-tax basis, reducing your taxable income
Savings for Medical Expenses The funds in your HSA can be used to pay for eligible medical expenses
Reach out to your HSA provider directly to inquire about the process of using your HSA funds for a nocturnal monitor. They will provide you with the necessary guidance, including any required documentation or forms.
Please note that each HSA plan may have specific rules and guidelines regarding eligible expenses and reimbursement procedures. It's important to familiarize yourself with your plan's terms to ensure a smooth funding process.
Here’s how FSAs work:
Pre-Tax Contributions You set aside pre tax dollars through payroll deductions to use on eligible health care expenses.
Use for Medical Expenses Your FSA funds can be used to pay for qualified medical costs as defined by your plan.
Reach out to your FSA provider directly to ask about reimbursement for a SAMi monitor. They can confirm eligibility and explain what documentation is required. Many FSA plans may require a Letter of Medical Necessity from your doctor for approval.
Please note that each FSA plan may have specific rules, deadlines, and reimbursement procedures. It’s important to review your plan’s terms so you know what qualifies and what you need to submit for a smooth funding process.
Private Insurance
Although SAMi has many benefits for families, private insurance will typically only reimburse a device like ours for significant safety concerns or other well documented behaviors that could cause injury. In our experience, most SAMi customers have purchased SAMi directly and submitted their claim directly to insurance for reimbursement.
While a prescription for SAMi is not required to purchase, your health insurance may ask for one. Reach out to your insurance proivder directly to see what they need to approval a reimbursement.
If you're based in Australia or New Zealand, you can purchase SAMi directly or receive an NDIS quote through our Australian distributor Seizure Alert Australia by clicking below.
Here is some information you may need when submitting to insurance:
CPT or HCPC Code: E1399 NPI: 1437562881 SAMi Legal Name: HiPass Design LLC FEIN: 45-4602935
It may be helpful to include links to articles written about SAMi as well as our website to supplement.
We suggest reaching out to your insurance provide first to confirm if SAMi would potentially be covered for an out-of-pocket reimbursement. If they say yes, ask what they might need to approve it.
Obtain a prescription from your doctor (the prescription should be written for the exact model you want) and make sure your doctor documents the safety concerns and need for SAMi in their medical notes. Recommended Models: 1) SAMi-3 Camera 2) SAMi-3 Complete Kit (US / CA)
A Letter of Medical Necessity (LMN) is a letter written by healthcare professionals like your doctor, OT, PT, etc. These letters explain the specific needs and why SAMi is medically necessary.
Be sure to provide specific and detailed information about safety concerns, requirements, and how SAMi can help. If you or someone else wrote the LMN, make sure the healthcare provider who wrote the prescription signs it as well.
Quality matters more than quantity when it comes to LMNs. Focus on getting a detailed and informative letter and make sure that safety risks are defined and less costly alternatives are ruled out. The most common denial reason in documentation is that it is not detailed enough or deemed not medically necessary.
Here is some information you may need when submitting to insurance:
- CPT or HCPC Code: E1399 - NPI: 1437562881 - SAMi Legal Name: HiPass Design LLC - FEIN: 45-4602935
It may be helpful to include links to articles written about SAMi as well as our website to supplement.
It's very common to get a denial on first submission. If this happens to you, don't worry, you're not alone! Many families have successfully appealed and won.
If you're unable to successfully appeal, don't fret!
This is an all-too common outcome when it comes to useful devices and products like ours.
Luckily, there are many organizations out there who's mission is to address this exact issue by providing funding where insurance companies won't.Regardless of your income level or personal situation, cost should never stand between you and the devices you need to stay safe.
Scroll up to our "Funding Partners" section for a list of these organizations, and instruction on how to get in touch.
Buy Now & Pay Later
We have partnered with Affirm and ShopPay to offer 0% APR financing to most who apply. These options are available at checkout.
1. Select "Pay in Monthly Installments"
2. Click "Continue to Payment Plans"
3. Complete the application with NO impact to your credit.
1. Select "Pay in Monthly Installments" 2. Click "Continue to Payment Plans" 3. Complete the application with NO impact to your credit.
"Rates from 0–36% APR. Payment options through Affirm are subject to an eligibility check and are provided by these lending partners: affirm.com/lenders. Options depend on your purchase amount, and a down payment may be required. CA residents: Loans by Affirm Loan Services, LLC are made or arranged pursuant to a California Financing Law license. For licenses and disclosures, see affirm.com/licenses. For example, a $800 purchase could be split into 12 monthly payments of $72.21 at 15% APR.”
"Rates from 0%-36% APR. Payment options through Shop Pay Installments are subject to an eligibility check and are provided by these lending partners: affirm.com/lenders. Options depend on your purchase amount, and a down payment may be required. State notices to consumers affirm.com/licenses. For example, a $800 purchase could be split into 12 monthly payments of $72.21 at 15% APR or 4 interest free payments of $200 every 2 weeks.”
The quickest way to get your SAMi is to purchase directly through our website.
45 day Risk Free Returns
365 Day Support
1-Year Warranty
Sleep Safely With SAMi
Try for 45 days, risk-free!
What would you do for 3+ extra hours of sleep each night? Safer sleep is right around the corner. Setup in just a few minutes with no technical skills required! We'll ship everything you need right to your door, and be with you every step of the way should you need it.
After the alarm is triggered a live view is shown so you or someone else can take action if necessary
Gather Evidence
See and hear exactly what's happening (and how often + how long)
Track Progress
Put those video to work!Confirm whether you're headed in the right direction.
Please Note - SAMi is a nocturnal movement monitor and will detect all types of movement regardless of the movement’s origin. HiPass Design LLC does not guarantee the effectiveness of SAMi for any particular application and use of SAMi is solely at your own risk. SAMi has not been evaluated or approved by the U.S. Food and Drug Administration or any other government agency for any purpose. SAMi is not a medical device and is not intended for use in the prevention, diagnosis, mitigation, treatment, or cure of any disease or other conditions. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
