Yes, portable oxygen concentrators can be covered by Medicare under certain conditions. Medicare Part B may cover a portion of the cost for durable medical equipment (DME) like oxygen concentrators if they are deemed medically necessary. However, Medicare generally only covers portable oxygen concentrators if your supplier agrees to provide them as part of their contract with Medicare. Here’s how it works:
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Medical Necessity: Your doctor must certify that you have a medical condition that requires oxygen therapy, such as chronic obstructive pulmonary disease (COPD) or other severe respiratory conditions.
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Medicare-Approved Supplier: You must get your oxygen equipment from a supplier that is enrolled in Medicare and accepts assignment.
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Coverage and Cost: Medicare typically covers 80% of the approved amount for the rental of oxygen equipment, including the portable concentrator. You would be responsible for the remaining 20%, as well as any applicable deductibles.
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Rental Basis: Medicare generally pays for oxygen equipment on a rental basis rather than purchasing it outright. The rental period usually lasts for 36 months, after which the supplier is responsible for providing the equipment for an additional 24 months.
However, it's important to note that not all suppliers offer portable oxygen concentrators through Medicare, so availability can vary. You should check with your supplier and Medicare plan for specific coverage details.