What does Medicare cover for “ Durable Medical Equipment”
Medicare Part B covers medically necessary durable medical equipment (DME) if your doctor prescribes it for use in your home.
DME that Medicare covers includes, but isn’t limited to:
Blood sugar monitors
Blood sugar test strips
Canes
Commode chairs
Crutches
Hospital beds
Infusion pumps & supplies
Nebulizers & nebulizer medications
Oxygen equipment & accessories
Patient lifts
Walkers
Wheelchairs & scooters
Only your doctor can prescribe durable medical equipment that meets these criteria:
Durable (can withstand repeated use)
Used for a medical reason
Not usually useful to someone who isn’t sick or injured
Used in your home
Generally has an expected lifetime of at least three years.
If your DME supplier accepts Medicare assignment, you will pay 20% of the Medicare-approved amount, and the Part B deductible applies. Medicare pays for different kinds of DME in different ways, depending on if you need to rent or buy the equipment. If your DME doctors or suppliers aren’t enrolled in Medicare, Medicare won’t pay the claims submitted by them, so it’s essential to ask your suppliers if they participate in Medicare before you get DME.
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