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Glossary

DME — Durable Medical Equipment

Reusable medical equipment your doctor orders for use at home, such as walkers, wheelchairs, hospital beds, oxygen equipment and CPAP machines. Part B covers it; with Original Medicare you usually pay 20% of the Medicare-approved amount after the Part B deductible.

Definition. Equipment that is durable, used for a medical reason, not usually useful to someone who isn't sick or injured, used in your home, and generally expected to last three years or more. Medicare Part B covers it when a Medicare-enrolled doctor or provider orders it.

What it means

Common examples include walkers, canes, crutches, manual and power wheelchairs, scooters, hospital beds, oxygen equipment, CPAP devices, nebulizers, blood sugar monitors and test strips, and infusion pumps. Depending on the item, Medicare may pay for you to rent it or buy it.

Use a supplier that is enrolled in Medicare. If a supplier "accepts assignment," it can't charge you more than the deductible and coinsurance. Suppliers that don't accept assignment can charge more, and a supplier that isn't enrolled in Medicare won't be paid by Medicare at all. Medicare Advantage plans must cover the same equipment but may require prior authorization and use of their contracted suppliers.

Sources

Frequently asked questions

How do I find a Medicare supplier for equipment?

Ask your doctor to order the item, then use the supplier directory on Medicare.gov or call 1-800-MEDICARE. Ask whether the supplier is enrolled in Medicare and accepts assignment.

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Wendi Schoonover

Wendi Schoonover

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Tulsa, OK

Colin Lewis

Colin Lewis

5.0 out of 5 stars (1 review on MedicareAgents.com)

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Independent licensed insurance agent in Oregon

Littleton, CO · English

Mark Sims

Mark Sims

5.0 out of 5 stars (1 review on MedicareAgents.com)

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Independent licensed insurance agent in Oregon

Kent, WA · English

Austin Torres

Austin Torres

Accepting new clients

Independent licensed insurance agent in Oregon

Burien, WA · English

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