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Understanding Durable Medical Equipment: A Guide for Medicare Counselors

Medicare Part B covers durable medical equipment (DME) when prescribed by a health care provider for extended use in a person's home. DME includes items such as:

  • Wheelchairs and motorized scooters (when needed for use inside the home)
  • Walkers
  • Home oxygen equipment
  • Hospital beds
  • Blood sugar monitors and test strips
  • Sleep apnea and CPAP devices

Depending on the type of equipment ordered, Medicare pays for durable medical equipment in different ways. Some DME may only be rented, while other equipment and supplies must be purchased.

Medicare will only cover durable medical equipment if a beneficiary's doctors and DME suppliers are enrolled in Medicare. Doctors and suppliers have to meet strict standards to enroll and stay enrolled in Medicare. 

The following resources have been developed  to help Medicare counselors better understand the rules around Medicare's coverage of DME and how to help beneficiaries navigate the ordering and replacement of equipment.

ResourceAudience Link
Fact Sheet: Helping Beneficiaries Access Diabetes SuppliesProfessionals        PDF
Fact Sheet: Helping Beneficiaries Access Oxygen EquipmentProfessionalsPDF
FAQ: Durable Medical EquipmentOlder Adults, ProfessionalsPDF
Handout: Medicare Coverage of DMEOlder AdultsPDF
Train the Trainer: DME Overview Slide DeckProfessionalsPPT

 

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