Renting and buying DME - Medicare Interactive
Renting and buying DME. Depending on the type of durable medical equipment (DME) you need, Medicare may require that you either rent or buy it. Most equipment is initially rented, including many manual and power wheelchairs. Original Medicare covers 80% of the cost of a monthly rental fee for 13 months. You pay a 20% coinsurance.
Special rules for oxygen equipment rental, repairs, and maintenance
The fee includes all equipment, oxygen, supplies, and maintenance. You must pay 20% of each month’s rental fee. After the 36-month rental period, you pay no more rental fees, although the supplier still owns the equipment. You keep the equipment for up to 24 additional months. If you use oxygen tanks or cylinders, you must continue to pay a ...
DME repairs and maintenance - Medicare Interactive
Owning DME: If you purchased your equipment or otherwise own it, Medicare covers needed repairs and maintenance when a professional is required and the services are not covered by a warranty. Original Medicare covers 80% of the Medicare-approved amount when you use a DME supplier that takes assignment. You pay a 20% coinsurance.
Durable medical equipment Medicare covers for home use
Medicare usually covers DME if the equipment: Is durable, meaning it is able to withstand repeated use. Serves a medical purpose. Is appropriate for use in the home, although you can also use it outside the home. And, is likely to last for three years or more. To be covered by Part B, DME must be prescribed by your primary care provider (PCP).
DME overview - Medicare Interactive
DME overview. Medicare Part B covers durable medical equipment (DME), which is equipment that serves a medical purpose, is able to withstand repeated use, and is appropriate for use in the home. There are many important things to know about Medicare’s coverage rules for DME. Use the information below to learn whether/how you are covered.
Replacing DME - Medicare Interactive
Replacing DME. Medicare will pay to replace equipment that you rent or own at any time if it is lost, stolen, or damaged beyond repair in an accident or a natural disaster, so long as you have proof of the damage or theft. Replacing equipment means substituting one item for an identical or nearly identical item. For example, Medicare will pay ...
Durable medical equipment (DME) - Medicare Interactive
Durable medical equipment (DME) Access monthly virtual presentations on current Medicare topics hosted by the Medicare Rights Center. Bookmark your favorite courses and answers for quick reference. Access exclusive toolkits full of useful fliers, infographics, presentations, and more to help you navigate complex Medicare topics.
DME supplier basics - Medicare Interactive
Medicare Advantage DME suppliers. If you have a Medicare Advantage Plan, you must follow the plan’s rules for getting DME. Your plan may require that you: Receive approval from the plan before getting your DME. Use a supplier in the plan’s network of suppliers. You may get little or no coverage if you use an out-of-network supplier.
Eligibility for DME coverage - Medicare Interactive
Eligibility for DME coverage. Whether you have Original Medicare or a Medicare Advantage Plan, Medicare covers your durable medical equipment (DME) if you meet the following two conditions: Your primary care provider (PCP) must sign an order, prescription, or certificate. In this document, your PCP must state that: Your face-to-face visit, when ...
Capped Rental Item - Medicare Interactive
A capped rental item is durable medical equipment (DME) (such as a wheelchair) that Medicare covers initially for rental, rather than for purchase, often because of its high cost. Medicare pays the rental fees for these items in monthly installments. You can keep a capped rental item as long as it is medically necessary. After you rent for 13 ...