Prescribe Leva
The first step in helping your patients get the incontinence symptom relief they deserve is by sending in the Leva prescription. You can access the Leva prescription form here or select it within your EMR. Once we receive the prescription, our Leva Women’s Center will reach out to your patient and check her insurance coverage.
A prescription for Leva does not require your patients to move forward with treatment, but it is required to begin therapy and allows us to check their insurance benefits.
Prescription Form
- Be sure to include a diagnosis of urinary (UI) and/or fecal incontinence (FI) in the patient’s clinical notes.
EMR Guides
- Athena Health
- Eclinical Works
- NextGen
Patient Brochure
- By sending in a prescription any time you refer to a specialist and/or send a patient home with a brochure, it enables our team to reach out to the patient with any out of pocket cost information.
- Since Leva requires a prescription, you eliminate a step for you and your patient if she decides to move forward with Leva.
- Sets clear expectations on what to expect and next steps for the patient.
Once Our Team Receives The Prescription:
- Our Leva Women’s Center will contact your patient with the option to schedule a convenient time to speak with us.
- Your patients can always call us directly at (855-538-2594) to get started immediately.
- We will check their insurance coverage to determine what, if any, out of pocket costs they may have and determine the most affordable options for them.
- Leva has national and regional insurance coverage, plan dependent.
- Leva is HSA/FSA eligible.
- No interest payment plans.
- For cash paying patients, we offer a money back guarantee (to qualify patient must use the Leva twice a day for 30 consecutive days as prescribed).
If Your Patient Decides To Move Forward With Leva:
- Our team will facilitate the order and welcome them into the program.
- The patient’s device will ship from the supplier to their home in discreet packaging.
- Once they receive their Leva, the app provides a 15-minute orientation to get them started.
- The coach will support your patient throughout her 12 weeks of treatment. The first coaching call is 10-15 minutes and is strongly encouraged! Speaking with a coach can help build confidence, provide personalized tips, and set your patient up for success (however, it’s not required).
- You, the provider, will receive monthly reports to monitor your patients’ treatment, adherence and symptom improvement.