MEDICARE COVERAGE GUIDELINES FOR MEDICAL EQUIPMENT

MEDICARE COVERAGE GUIDELINES
FOR MEDICAL EQUIPMENT
　
Medicare Part B covers Medical Equipment & Oxygen at 80% (NOT Always 100% Covered)
Medicare Part B Requires a Once a Year Deductible ($140.00) to be met before covering any equipment
MUST BE PRESCRIBED BY A PHYSICIAN FOR COVERAGE (Written Order)
MUST Be Medically Necessary for Use IN THE HOME ONLY (Documentation MUST support this for coverage)
Medicare Requires a Documented Height, Weight & All Diagnoses on all Orders
Bariatric (extra-wide) equipment only covered if documented weight of over 300lbs
Commodes NOT COVERED if needed in bathroom over toilet or if patient can access their bathroom
Once a patient receives any Motorized Equipment (Lift Chair, Scooter, Powerchair) then they can Never get a cane, walker or wheelchair in the future or other motorized item.
Some items are considered a purchase and some are capped rental items
　
PURCHASED ITEMS (Patient Owns):
Bedside Commodes
Braces
Canes & Crutches & Walkers & Walker Seats
Foam & Gel Mattresses
Lift Chairs & Power Chairs & Scooters
Supplies- Nebulizer & C-Pap
　
　
CAPPED RENTAL ITEMS (Equipment is rented for 13 months then patient owns):
Wheelchairs
Hospital Beds & Trapeze
Hoyer Lift (Patient Lift)
Special Bed Mattress (Air Mattress & Low Air Loss)
Nebulizers, C-Pap, Bi-Pap, Suction Machine
OXYGEN CONCENTRATORS are rentals only for the first 36 months, then the DME must provide the equipment for the next 2 years without rental payment
　
　
© 2012 ABC Medical & Oxygen, Inc. Phone: (727) 863-0002