Will Medicare pay for the purchase of a portable oxygen concentrator?

Medicare Part B provides coverage for durable medical equipment like portable oxygen concentrators – if you meet the qualifications. Although it helps pay for a variety of oxygen equipment and accessories, Medicare only covers portable oxygen concentrators under specific circumstances.

What diagnosis qualifies for home oxygen?

Long term supplemental home oxygen therapy is medically necessary for treatment of hypoxemia-related symptoms with qualifying laboratory values (see Note below) from chronic lung conditions including, but not limited to any of the following: Bronchiectasis; or. Chronic lung disease; or.

How do you qualify for supplemental oxygen?

To qualify for home oxygen therapy, in addition to conversing with your doctor and getting your medical records, you must participate in a study that proves your need for supplemental oxygen. This involves two tests, an arterial blood gas (ABG) and a pulse oximetry test.

Does Medicare pay for nasal cannulas?

Portable oxygen concentrator. Medicare will cover stationary oxygen units for use at home. This coverage includes: oxygen tubing. nasal cannula or mouthpiece.

How much does an oxygen concentrator cost?

New home oxygen concentrators vary in pricing and usually cost between $595 and $2000 depending on batteries and other accessories. Customers can opt to purchase a used home oxygen concentrator, with prices that range from $395 to $1500 depending on the hours, warranty and condition of the unit.

What is the Medicare requirement for oxygen saturation?

Room air at rest (awake) without oxygen. If this qualifies with an ABG less than or equal to 55 mm Hg or O2 saturation (fingertip pulse oximeter) equal to or less than 88%, no further testing is needed. If the patient does not qualify, then steps B or C below would be required.

Which of the following conditions qualify a patient for Medicare reimbursement for oxygen therapy in the home?

Oxygen equipment is covered by Medicare for patients with significant hypoxemia who meet the medical documentation, laboratory evidence and health conditions specified in the Medicare national and local coverage determination policies.

What medical equipment is covered by Medicare?

Typical DME that Medicare will cover includes hospital beds, wheelchairs, walkers and home oxygen equipment. Medicare will not cover any disposable supplies — unless the supplies are used in conjunction with recognized durable medical equipment that is used inside the home.

Are portable oxygen concentrators covered by Medicare?

Portable oxygen concentrators are covered by Medicare only if the DME supplier agrees to offer you a portable option. Because portable concentrators are more expensive than stationary ones – and because Medicare’s reimbursement rate to the supplier is the same either way – many suppliers will only offer stationary oxygen concentrators to

Can I bring my own medical oxygen supplies?

Yes, however, you are only permitted to bring sufficient amount for the duration of the journey. Please take note of the restrictions imposed on liquids, gels and aerosols by the airport authorities.

What are the Medicare requirements for oxygen?

Medicare does cover supplemental oxygen therapy if prescribed by your physician.

  • The equipment for patients only needing oxygen nocturnally is a home or stationary concentrator.
  • Patients needing oxygen 24 hours per day will be provided both a home concentrator and a portable solution.