Portable oxygen concentrators (POCs) have revolutionized the lives of those with chronic respiratory illnesses, who no longer have to be weighed down by bulky oxygen tanks - now they can use a POC to help them breathe easily! These devices have greatly improved the quality of life for these individuals, providing them with the support they need.
POCs provide those in need with a newfound sense of freedom and mobility, opening up a world of previously impossible activities. With traditional oxygen equipment, bulky and cumbersome apparatus often kept those in need from enjoying basic everyday activities like eating out, shopping, and even flying on a plane. Understandably, those needing supplemental oxygen want these devices. Still, the high price of POCs makes them out of reach for many seniors who rely on Medicare coverage to provide access to them.
Portable Oxygen Concentrators
POCs are truly an extraordinary technological marvel! They work like tiny oxygen factories, taking in air from the environment and producing concentrated oxygen, which is then delivered to the patient via tubes or a breathing mask. They are also super convenient - they're portable, rechargeable, and never need to be refilled with oxygen as they make their own!
Medicare and Medicare Advantage
Medicare is the nationwide government-run healthcare program that provides essential coverage for almost everyone aged 65 and over, as well as those with severe disabilities. In addition to doctors, hospitals, and medical treatments, Medicare also offers coverage for various durable medical equipment, including wheelchairs, walkers, special tools and appliances, and even breathing equipment, such as oxygen devices. However, these benefits are subject to certain regulations, which will be discussed in detail.
When it was first established, Medicare only included Part A and Part B. However, these programs had certain restrictions, so the government created Medicare Advantage (Part C) to provide supplemental coverage. These plans are offered and managed by private health insurance companies, and some may make it simpler and more accessible to get a POC covered.
Medicare Rules and Procedures
Discover the official rules outlined by Medicare on coverage for devices like POCs.
Medicare Part B (Medical Insurance) will provide you with the rental of oxygen equipment and accessories prescribed by your doctor to be used in the comfort of your own home. This durable medical equipment (DME) is covered.
If you meet all the requirements, Medicare can help cover the cost of your oxygen equipment, contents, and supplies.
Your doctor has informed you that you have been diagnosed with a severe lung disease, or that you are not receiving the necessary amount of oxygen.
Oxygen therapy could be the key to improving your health.
Your arterial blood gas level is within the expected range.
Other attempts at alternative solutions have been unsuccessful.
If you satisfy the requirements listed above, Medicare will cover the cost of oxygen equipment:
Systems that deliver life-sustaining oxygen to patients
Oxygen-storing containers
Delivering oxygen and oxygen-enriched air to patients with tubing and specialized oxygen accessories.
Medicare Coverage
Portable oxygen concentrators (POC) have revolutionized the lives of those suffering from chronic respiratory illnesses, granting them the freedom to breathe easier. Instead of relying on bulky and heavy oxygen tanks, POCs provide an effective and lightweight alternative, giving those with respiratory issues the chance to take back their lives.
Ensuring coverage of POC is an important goal, but there are certain limits and boundaries that must be adhered to.
Medicare will NOT provide financial support for the purchase of a POC; however, they will cover the cost of renting one.
Due to Medicare's limited coverage on rental costs, patients may need to cover part of the expense with their own money.
Medicare-authorized suppliers are your only option for securing covered equipment rentals, providing limited access to this type of service.
Most of these suppliers offer the option of renting out pre-owned, reconditioned machines.