ForeseeHome™ - AMD Monitoring Program

PRESCRIBING ForeseeHome

Achieve the best possible visual outcomes for your AMD patients by prescribing the ForeseeHome AMD Monitoring Program, now a Medicare covered* service for your Dry AMD patients at high risk for progression to Wet AMD.

For general support on prescribing ForeseeHome, please contact Notal Vision at 1-888-910-2020, or please read the information below on how to complete a prescription for your patients.

Prescribing ForeseeHome is as easy as 1-2-3…

1. Identify Appropriate Patients

  • Best corrected vision of 20/60 or better
  • Patients with Dry AMD eye(s) at high risk for progression to Wet AMD
    • Clinical characteristics may include large drusen; pigmentary abnormalities; and/or advanced AMD in fellow eye

 

2.  Prescribe ForeseeHome

For Current Prescribers:

  • If you do not have a prescription form, please click here to print and complete one for your patient.  Please make a copy of the completed prescription form for your patient to take home.
  • Once completed, please fax to Notal Vision at (888) 341-9400 or email to adminassist@notalvision.com
  • Instruct your patient that they will receive a call from Notal Vision to verify Medicare or other third-party payer coverage, and complete enrollment. 
  • We will send the ForeseeHome device to your patient and provide support to begin testing.^

For New Prescribers:

  • Please click here to read the Physician Responsibilities Description information for prescribing ForeseeHome to your patient.  
  • Please complete the online submission from requesting your clinic's contact information so we may know where to send testing and alert information on your enrolled ForeseeHome patients. Sign up here to become a ForeseeHome prescribing clinic.  
  • Please click here for the ForeseeHome prescription form to print and to complete one for your patient.  Please make a copy of the completed prescription form for your patient to take home.
  • Once completed, please fax to Notal Vision at (888) 341-9400 or email to adminassist@notalvision.com
  • Instruct your patient that they will receive a call from Notal Vision to verify Medicare or other third-party payer coverage, and complete enrollment. 
  • We will send the ForeseeHome device to your patient and provide support to begin testing.^

 

3.  Stay Connected

  • Notal Vision, Inc. will contact the physician in the event of a statistically significant change in patients’ test results so an exam can be scheduled
  • Notal Vision, Inc. follows up with patients for non-compliance
  • Notal Vision, Inc. sends physicians monthly reports of their patients' testing results and activity
  • Physician can log into the secure ForeseeHome Online website to view patients’ reports anytime

 

 

*The technical component of the ForeseeHome AMD Monitoring Program is covered by Medicare, subject to its coverage requirements for the test, to assess patients with Dry AMD who are at a high risk of developing Wet AMD.  Please refer to your local Medicare Administrative Contractor (MAC) for which the ordering physician resides concerning coverage availability for the physician professional services component of the test.

^Testing with ForeseeHome is recommended in addition to regular exam visits.