How To Get a Portable Oxygen Concentrator Covered By Medicare

Article was written by Alex Alexandrovich

Revolutionary portable oxygen concentrators (POCs) have been a game-changer for people with chronic respiratory illnesses, freeing them from the burden of heavy oxygen tanks and enabling them to breathe more easily! Not only have these devices improved the lives of those with respiratory issues, they've also provided them with the essential support they need.

POCs offer the freedom and mobility that those in need have been searching for, allowing them to experience activities that were previously out of reach. Instead of being weighed down by cumbersome oxygen equipment, individuals now have the opportunity to enjoy everyday activities such as dining out, shopping, and even flying! Unfortunately, the high price of POCs can make them inaccessible to seniors who rely on Medicare coverage. Nevertheless, POCs provide a sense of freedom and mobility that was never thought possible before.

Medical Oxygen Outlet on Wall
Source: Photo by Stephen Andrews

Portable Oxygen Concentrators

POCs are an incredible feat of technology! Like miniature oxygen factories, they pull in air from their surroundings and convert it into concentrated oxygen, delivered to the patient through tubes or a mask. Not only that, but they're ultra-convenient - portable, rechargeable, and never requiring a refill of oxygen, as they make their own! Truly remarkable!

Medicare and Medicare Advantage

Medicare is a vital government-run healthcare program that provides essential coverage for nearly all seniors aged 65 and above, as well as those with serious disabilities. Not only does Medicare cover medical treatment from doctors and hospitals, but also many durable medical items like wheelchairs, walkers, special tools, appliances, and even breathing devices such as oxygen machines. It's important to note that there are specific regulations that apply to the benefits provided by Medicare, so let's dive in and take a closer look.

When first established, Medicare only included Part A and B, which had certain restrictions. To supplement coverage, the government created Medicare Advantage (Part C) to make accessing a POC easier. These plans are managed by private health insurance companies, providing a simpler and more accessible way to get a POC covered.

Medicare Rules and Procedures

Uncover Medicare's official guidelines on coverage for medical devices like POCs.

Medicare Part B (Medical Insurance) will provide you with the rental of oxygen equipment and accessories prescribed by your doctor, so you can use them in the convenience and comfort of your own home. This durable medical equipment (DME) is covered.

If you satisfy all the criteria, Medicare can lend a helping hand with covering the cost of your oxygen equipment, contents, and supplies.

Your doctor has shared the news that you have been diagnosed with a serious lung condition, or that your oxygen levels are falling short.

Oxygen therapy could be the secret to enhancing your wellbeing.

Your arterial blood gas level is within the normal range, just as expected!

Previous attempts to explore different solutions have failed.

If you meet the criteria outlined above, Medicare will foot the bill for your oxygen equipment.

are incredibly important.The life-sustaining oxygen delivered by systems to patients is an incredible necessity.

can be used to regulate air supplyContainers designed to store oxygen can help maintain a steady air supply.

Supplying oxygen-enriched air to patients with specialized tubing and accessories, we provide the essential oxygen they need.

Medicare Coverage

Portable oxygen concentrators (POCs) have revolutionized the lives of people with chronic respiratory illnesses, granting them the freedom to breathe easier. Forget the days of lugging around cumbersome oxygen tanks - POCs provide an efficient, lightweight solution that allows those with respiratory issues to reclaim their independence.

Ensuring fair representation of people of color is a crucial aim, however, there are certain restrictions and boundaries that must be respected.

Although Medicare will not cover the cost of purchasing a POC, they will finance the rental of one.

Since Medicare's coverage of rental costs is limited, patients may need to pay a portion of the expense out of pocket.

If you're looking to rent medical equipment covered by Medicare, your only option is a Medicare-authorized supplier, offering restricted access to this service.

Many of these suppliers give you the opportunity to rent out pre-owned, professionally restored machines.

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