Your FAQs

Our Expert Answers

We address your most pressing questions about iontophoresis, hyperhidrosis, urology supplies, and everything in between.
Will my insurance cover the fischer iontophoresis device?
Yes, The Fischer iontophoresis device is recognized as medically necessary by several major insurance providers, including Tricare, Aetna, Cigna, and Horizon BCBS, and others. Our Treatment Specialists are equipped to assess your insurance coverage and facilitate the prior authorization process for you. However, it's worth noting that some insurers may categorize hyperhidrosis merely as "discomfort" rather than a significant medical condition. In such cases, we can direct you to a retail partner where you can purchase The Fischer without insurance. Additionally, we've compiled an Insurance Reimbursement Guide to assist you in submitting the required documents to your insurer, potentially applying these expenses to your deductibles.
Will my insurance cover my catheters?
Yes, catheters and urology supplies often fall under insurance coverage, depending on your plan and medical necessity. At RA Fischer Co., we collaborate with Medicare to facilitate coverage for most of our patients. To gain a thorough understanding of what your specific insurance plan will cover, you can consult one of our Treatment Specialists who can liaise with your provider to determine eligibility and coverage options.
Can RA Fischer help me find out if insurance will cover the cost?
Certainly! If you have queries regarding your insurance coverage, our Treatment Specialists are here to help. We can reach out to your insurance provider to determine your eligibility for coverage. After gathering the information, we'll discuss all available options with you, allowing you to make an informed decision that fits your needs, timeline, and budget.
What information do you need to determine my insurance eligibility?
Once we have received your inquiry, we’ll need the following information: Your full name and date of birth of patient Your full name and date of birth of beneficiary, if different from patient Copy of the front and back of your insurance card Doctor’s name and contact information Copy of doctor’s prescription This information can be submitted via email to after submitting your insurance inquiry.
What is prior-authorization and do I need it for The Fischer?
Before acquiring an iontophoresis device, your insurance company may require prior authorization to confirm the medical necessity of the device. It's important to note that obtaining prior authorization doesn't ensure that your insurance provider will cover the costs. Reach out to us for more guidance on navigating the complexities of the insurance approval process.
Who can start my prior-authorization request?
A request for prior authorization can be initiated by you, your healthcare provider, or one of our Treatment Specialists at RA Fischer Co. However, be aware that some insurance plans stipulate that only the member or their doctor can initiate the process. In most cases, the prior authorization request will require supplementary information from your physician to demonstrate medical necessity. To streamline the process, your doctor can complete our Insurance & Physician's Packet.
Do I have Hyperhidrosis?
Do you struggle with excessively sweaty hands or perpetually damp socks? Hyperhidrosis is a medical condition characterized by abnormal sweating, unrelated to exercise or another medical issue. Most commonly affecting the hands, feet, or underarms, this condition not only presents physical challenges but also frequently leads to social anxiety and career setbacks, severely impacting overall quality of life. Our Treatment Specialists are here to offer both guidance and inspiring accounts of individuals of all ages who have transformed their lives through effective iontophoresis treatments.
Why do I need to self-catheterize?
The need for self-catheterization often arises when the body's natural process of emptying the bladder is compromised due to a medical condition or surgical intervention. Common issues may include urinary retention, nerve damage, bladder dysfunction, or a spinal cord injury. Self-catheterization enables individuals to empty their bladders safely and effectively, helping to prevent complications like urinary tract infections, kidney damage, or uncomfortable symptoms related to urinary retention. It provides a level of independence and allows for better control over one's health and daily schedule. Always consult with your healthcare provider for a diagnosis and treatment plan tailored to your specific needs.
What is iontophoresis?
Iontophoresis is a home-based solution designed to manage excessive sweating caused by hyperhidrosis. The technique uses a mild electrical current to introduce ions through the skin, employing tap water's natural minerals to create a barrier that inhibits sweat production at the pore level. This results in long-lasting dryness. Typically, a treatment session lasts between 15 and 20 minutes. Many patients notice a significant reduction in sweating within a two-week period. The clinical effectiveness of iontophoresis in treating hyperhidrosis has been proven since as far back as the 1950s. Contemporary research by experts like Dr. Fred Levit and Dr. Lewis P. Stolman further substantiates its efficacy. Curious for more details? Our Treatment Specialists are available to share clinical case studies with you.
What does an iontophoresis treatment feel like?
During iontophoresis treatments, patients often describe experiencing a tingling sensation, somewhat akin to the feeling of "pins and needles," similar to when a limb falls asleep. The sensation is generally tolerable, especially when you consider that sessions only last 15 to 20 minutes—easily endured while you catch up on your favorite TV show. It's crucial to adjust the device to a power level that feels comfortable to you; iontophoresis should not be a painful experience.
Why are their different lubrication styles of catheters?
Intermittent catheters come with varying types of lubrication to cater to different patient needs and preferences. Here are the main types: Uncoated Catheters: These require manual application of lubricant before use. They are often more economical but might be less convenient for some users. Hydrophilic Catheters: These catheters have a coating that becomes slippery when wet, reducing friction and making insertion and removal smoother. Just add water to activate the lubrication. Pre-lubricated Catheters: These come with a layer of lubricant already applied, providing a ready-to-use solution that is both convenient and hygienic. Understanding the differences in lubrication styles can help you choose the most comfortable and practical catheter for your needs.
Do I need a coude tip catheter?
For individuals who self-catheterize, a coude tip catheter might be a preferred choice for various reasons. Unlike straight-tip catheters, coude tip catheters have a slight curve at the end, which can facilitate easier navigation through the urethra, especially when encountering obstructions or narrow passages. This design is particularly helpful for men who may have an enlarged prostate or urethral strictures, as it allows for more comfortable and less painful insertion. Additionally, the coude tip can make it easier to bypass certain anatomical challenges in both men and women, providing a smoother catheterization experience. Therefore, if you're facing difficulties with traditional straight-tip catheters, consulting your healthcare provider about switching to a coude tip might be beneficial.
Do you need a prescription?
As an FDA-Cleared medical device provider, we require a prescription for all sales of iontophoresis machines and catheters within the United States. If you're based outside of the U.S., you can proceed with your order online or over the phone without the need for a doctor's prescription.
How much does The Fischer cost?
The cost of your iontophoresis device may vary based on factors like insurance coverage, deductibles, and co-pays. We recommend speaking with one of our Treatment Specialists to explore your insurance benefits and review available options. For those who may have out-of-pocket expenses, we provide a range of flexible options to fit your financial situation. A Treatment Specialist can guide you through these choices.
How much do catheters cost?
The cost of catheters often varies based on your insurance coverage, but they are frequently covered by many insurance plans. If you're interested in understanding your options better, one of our Treatment Specialists can help you review your insurance benefits. For those not covered or looking for alternative options, RA Fischer also offers discounted monthly subscription plans to make managing your needs more convenient and affordable.
How do I order?
Physicians who wish to refer patients can send the necessary documentation by fax to (818) 775-2941 or through our secure email at Patients are also welcome to initiate the process by calling us at (800) 525-3467. We accept various forms of payment including debit and credit cards to cover any patient responsibilities. Our insurance team will handle the prior-authorization request and insurance claims on behalf of the patient.
Do you offer monthly payment plans or financing?
Certainly! Financing options are available through referral to our partners like Affirm, allowing you flexibility in covering any remaining balances after insurance approval. Check your eligibility for 0% APR in less than five minutes. You'll receive loan confirmations and payment reminders via email and text for your convenience. Creating an account with Affirm involves using your name, email, mobile phone number, birthday, and the last four digits of your SSN. This information helps in identity verification and protection. Good news: Affirm's prequalification process doesn't impact your credit score. A 'soft' credit check is performed to verify your identity and determine your financing eligibility, without affecting your credit rating.
Is the catheter sample pack really free?
Yes! Experience the quality and variety of our catheters with our 3-Day Free Sample Pack. It's absolutely free, with no hidden costs or obligations. We even cover shipping. Each sample pack includes a total of 12 catheters, giving you the opportunity to try out three different styles. Discover what works best for you from our range, including hydrophilic and pre-lubricated options. It's an ideal way to find the right fit for your needs.
Is there a warranty with The Fischer?
Absolutely, The Fischer comes with a 4-Year Warranty for your peace of mind. This warranty specifically covers any defects that arise from manufacturing issues. While it doesn't extend to the usual wear and tear that any device may experience over its lifetime, you can rest assured that we've got you covered for any manufacturing-related concerns. And with our U.S.-based support team, navigating repairs is as hassle-free as it gets.
Can I get my money back if I'm not satisfied?
Absolutely! While iontophoresis has been 98% successful in our experience, it doesn’t work for everyone. That’s why we offer a 60-Day Satisfaction Guarantee (less shipping) on The Fischer. Since most patients see drier results in 2-weeks, this 60-day window gives you more than enough time to determine if iontophoresis is right for you. What have you got to lose? Once we receive your device, it is subject to inspection. Please allow 10-15 business days for us to process your return and issue a refund of any patient responsibility. IMPORTANT NOTE: Please call us at (800) 525-3467 to obtain Return Authorization before shipping the device back to us. If you do not call us before you ship your device back to us, it may take longer to process your return and delay your refund.
What are my shipping options?
We ship via UPS, USPS or FedEx. Expedited shipping options are available depending on your situation.
Do you ship internationally?
We sure do! We ship globally via USPS Global services. Expedited shipping options may be available depending on your country. Please note that international shipping costs do NOT include any customs fees or taxes that may be charged when your package arrives at its destination.
How long does shipping take?
On average, we ship the same day or next day, and delivery takes between 3-5 business days depending on where you live. Shipping time for international orders may vary.
Are customs fees and taxes included in international order?
No, customs fees and taxes are not included in shipping costs. Taxes and fees are dependent on the country of delivery and are the responsibility of the patient.
How often should I be using The Fischer?
Everyone’s body is different, so it’s important that you talk to your doctor and your personal Treatment Specialist are RA Fischer Co. to establish a schedule that works for you. Most patients begin with 15-20 minute sessions 2-3x a week to start. However, in more severe cases, treating every day to start may be required. Once you’ve achieved your desired level of dryness, you can reduce to the schedule that works best for you – once a week, once a month. Begin at a low intensity – 1-3mA – and work your way up until you find a comfortable level. Most patients typically treat at 10-15mA for hands and 15-18mA for feet once they’ve reached their “maintenance schedule.” Keep in mind that iontophoresis is like going to the gym – you have to keep at it! Iontophoresis should never be painful, so treat at a power level that’s comfortable for you.
How often should I be self-cathing?
Every individual’s self-catheterizing needs are unique, and it’s crucial to consult with your doctor and a RA Fischer Co. Treatment Specialist to tailor a schedule that aligns with your specific requirements. Typically, patients start with sessions of 15-20 minutes, 2-3 times a week, with daily sessions sometimes necessary in severe cases. After attaining the desired level of dryness, the frequency can be adjusted to what suits you best, be it weekly or monthly. Start with a low intensity, between 1-3mA, gradually increasing to a level comfortable for you, usually around 10-15mA for hands and 15-18mA for feet during the maintenance phase. Remember, iontophoresis, akin to regular exercise, requires consistent effort. The experience should never be painful—find and maintain a power level that ensures your comfort throughout the treatment.
What power level should I set my Fischer to?
Begin at a low intensity – 1-3mA – and work your way up until you find a comfortable level. Most patients typically treat at 10-15mA for hands and 15-18mA for feet once they’ve reached their “maintence schedule.” Iontophoresis should never be painful, so treat at a power level that’s comfortable for you.
How much water should I put in the trays?
Fill each water bath tray so that they blue foam inserts are sufficiently damp. This usually equates to between 2-5 cups of water, depending on the area you’re treating.
How should I insert my catheter?
To properly insert your intermittent catheter, start by washing hands and preparing the catheter. Position yourself comfortably and clean the urethral area thoroughly. Gently insert the catheter into the urethra until urine flows and the bladder empties completely. Afterward, remove and dispose of the catheter as per instructions. Ensure you're relaxed during the process, and consult a healthcare provider or Treatment Specialist if you encounter discomfort, pain, or any issues during self-catheterization.
How long should I wear my external catheter?
The duration for wearing an external catheter can vary based on individual needs and medical advice. Generally, it’s suitable to wear one for 24-48 hours, but it’s crucial to follow your healthcare provider’s recommendation to prevent complications. Regularly check for signs of irritation or infection and change the catheter promptly if any discomfort occurs. Always adhere to hygiene practices when changing to a new catheter to maintain skin health and reduce infection risk.
When can I reduce the frequency of my iontophoresis sessions?
Most patients see a noticeable reduction in sweating within the first 2-weeks of consistent treatment. You can gradually reduce the frequency of treatments once you’ve achieved your desired level of dryness. Maintenance treatments will be required, and this will vary from person to person. Patients have reported treating just once a month as part of their regular schedule, while some may require once-a-week sessions.
Can I use The Fischer more than 1x a day?
Using The Fischer more than once a day is not recommended. There is an increased risk of sensitivity, skin redness and irritation, and chronic dry skin from overuse. Refer to The Fischer Instruction Manual for details on our recommended treatment schedule.
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