Medicare Portable Oxygen Coverage Guidelines

However there are several prerequisites that may determine specific coverage.

Medicare portable oxygen coverage guidelines.

If you have medicare and use oxygen you ll rent oxygen equipment from a supplier for 36 months. If you travel by plane your oxygen supplier isn t required to give you an airline approved portable oxygen concentrator and medicare won t pay for any oxygen related to air travel. Yes your medicare oxygen benefit covers the cost of portable oxygen. Medicare part b medical insurance includes coverage for medically necessary services and supplies including benefits for durable medical equipment dme.

Medicare s coverage criteria were influenced by the patient population and results of the nott study. You may be able to rent a portable oxygen concentrator from your supplier. Dependent edema suggesting congestive heart failure or pulmonary hypertension or cor pulmonale or. Coverage and payment related to covid 19 medicare original medicare.

For medicare to consider paying for oxygen therapy the beneficiary must meet one of the following background on medicare s oxygen coverage group 1 an arterial po2 at or below 55 mm hg or an arterial oxygen saturation at or below 88. Also rentals are available through online companies that work with most airlines. Medicare covers oxygen therapy in a hospital or at home when you meet specific guidelines. Medicare coverage for oxygen therapy is available when your doctor prescribes it to treat a lung or respiratory condition.

Oxygen therapy can serve as a source of relief for those with severe asthma copd emphysema or other respiratory diseases. If someone prefers to purchase a portable oxygen concentrator. Medicare s oxygen coverage criteria divides beneficiaries into three coverage groups group i. They don t pay more money for more equipment.

If you have coverage through original medicare part a and part b you may be able to rent oxygen therapy equipment and supplies for use in your home under medicare part b medical insurance. After 36 months your supplier must continue to provide oxygen equipment and related supplies for an additional 24 months. However the portable oxygen benefit can be satisfied with small liquid tanks larger gaseous tanks or a portable oxygen concentrator. Dme includes a wide range of medical equipment including oxygen supplies such as the systems storage containers tubing and associated accessories needed to transport the oxygen.

Arterial po2 is 56 59 mm hg or saturation is 89 and. Medicare may also help cover oxygen and supplies if you own oxygen therapy equipment. No medicare will not cover a portable oxygen concentrator in addition to the oxygen tanks you most likely already receive. Medicare part b which includes a variety of outpatient services covers medically necessary clinical diagnostic laboratory tests when a doctor or other practitioner orders them.

Arterial po2 is 55 mm hg or less or saturation is 88 or less group ii.