- DME is a category of medical equipment that is used to provide medical or therapeutic benefits to a patient and that can withstand repeated use. Examples of DME include wheelchairs, hospital beds, oxygen tanks, and blood sugar monitors
- If a Medicare beneficiary has a need for DME, their Medicare coverage will generally depend on the specific type of DME they are using and the medical condition it is being used to treat. Medicare generally covers DME that is medically necessary and meets certain criteria, such as being used in the treatment of a Medicare-covered condition and being prescribed by a Medicare approved healthcare provider.
- It is important to note that Medicare coverage for DME may vary depending on the specific Medicare plan a beneficiary has. Some plans may have limits on the number of covered DME items or may require the beneficiary to pay a copayment or deductible for certain items. It is also important to be aware that Medicare does not cover all types of DME, and the beneficiary may be responsible for paying some or all the cost out-of-pocket for certain items.
- If a beneficiary has any questions about their Medicare coverage for DME or about the types of DME that are covered by Medicare, it is recommended that they contact their Medicare plan or speak with a Medicare representative. The beneficiary may also want to discuss their DME needs and coverage with their healthcare provider to ensure that they understand what is covered and what they may be responsible for paying.
