Close close icon

Does Medicare Cover Chronic Obstructive Pulmonary Disease


Medicare will cover some medically necessary treatments for Chronic Obstructive Pulmonary Disease or COPD. Unfortunately, COPD isn’t curable. While this may be true, this condition is treatable. The good news is, your Medicare plan may offer coverage for costs of treatments. Part B offers coverage for a lung cancer screening with Low Dose Computed Tomography (LDCT). This screening is once per year for qualifying beneficiaries.

Qualifying beneficiaries are between 55-77 who are showing no signs of lung cancer, currently smoking or have quit smoking within the last 15 years. Beneficiaries with a tobacco history of smoking 1 pack a day, for 30 years also qualify. All patients must have a written order from their healthcare provider. Your doctor should accept Medicare assignment, so you pay nothing for the service.

Does Medicare Cover Pulmonary Rehabilitation?

Individuals with moderate or severe COPD may need a pulmonary rehabilitation program. If it’s prescribed as medically necessary by your doctor, Part B may cover costs. Rehabilitation programs help patients cope with their illness, grow stronger, and learn to breathe better.

Providing them with a happier, healthier life. Services can be in both, a hospital outpatient setting as well as your doctor’s office for Medicare to cover costs. Your doctor should be within the Medicare network, otherwise, you may be responsible for the bill.

Will Medicare Part D Cover Does Medicare Cover Chronic Obstructive Pulmonary Disease Medications?

Costs of prescription drugs for treating COPD can be costly, sometimes draining. If you need extra help with these costs, you’re not alone. You could benefit from enrolling in a Medicare plan that has prescription drug coverage, like the Part D program.

One option is to enroll in a stand-alone prescription drug plan to work alongside your Original Medicare benefits. Although, some medications like those for nebulizers might require Part D for the enrollee to receive benefits.

Do Medicare Advantage Plans Cover Does Medicare Cover Chronic Obstructive Pulmonary Disease Treatments?

Another option is to enroll in a Medicare Advantage plan to replace your Medicare benefits. Advantage plans are private medical insurance policies, that work with the government’s Medicare Program.

These plans are an alternative way to receive Original Medicare benefits and still receive prescription drug coverage. Advantage plans often offer additional benefits that Original Medicare doesn’t.

How to Get Help with Medicare Coverage for Chronic Obstructive Pulmonary Disease

When looking for what health insurance plan is best for your needs, the task can be overwhelming. Medicare is full of information, and many times things are changing. Don’t worry! We’re here to help you. Using a professional Medicare agent can save you time and potentially money. Learn about all your options, including Medicare Supplements.

Our team is dedicated to comparing plans and quotes for you and discussing options. We want to help you find the best coverage to fit your needs and budget. Give us a call today at the number listed above or fill out an online rate form.

Lindsay Malzone

Lindsay Malzone is the Medicare expert for MedicareFAQ. She has been working in the Medicare industry since 2017. She is featured in many publications as well as writes regularly for other expert columns regarding Medicare. You can also find her over on our Medicare Channel on YouTube as well as contributing to our Medicare Community on Facebook.

Comment

Your email address will not be published. Required fields are marked *