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. Medicare covers oxygen therapy in a hospital or at home when you meet specific guidelines. Below we discuss the requirements necessary to qualify for oxygen supplies.
Does Medicare Cover Oxygen Therapy
Yes, oxygen therapy, as well as oxygen therapy tank accessories, are covered under Part B. Oxygen equipment and all accessories are Durable Medical Equipment. Part B covers the rental and use of DME for beneficiaries to use within their homes. Medicare covers storage containers for oxygen, tubing, other oxygen accessories, and units that provide oxygen. Also, if the oxygen machine works with a humidifier, this may have coverage.
For Medicare to cover oxygen equipment and supplies, beneficiaries must have the following:
Have a prescription from your doctor
Have documentation from your doctor showing you have a lung disorder preventing you from receiving enough oxygen and that other measures have not been successful in improving your condition
Proof of gas levels in your blood from your doctor
It’s more cost-effective to rent your oxygen equipment from a participating DME supplier. Your rental payments will be paid up to 3 years. After that, the supplier will still own the equipment. However, they must still supply oxygen to you for an additional 24 months. If you still need oxygen therapy after 5 years, you can renew your contact with the supplier or find a new one.
If you use an oxygen concentrator, your Part B benefits will cover the cost of servicing your equipment every 6 months once the 36-month rental window has ended.
Does Medicare Cover Portable Oxygen Concentrators?
While Medicare covers small liquid portable tanks, oxygen concentrators are not part of the coverage. Oxygen concentrator devices are much more expensive. This is why suppliers choose to cover the smaller portable oxygen tanks instead since it’s much more cost-effective. Medicare will only approve one payment for oxygen therapy.
How Much Does Oxygen Cost with Medicare?
Typically, canned oxygen with a concentration of around 95%, runs at about $50 per unit. Canned oxygen could be costly if you were to rely on the constant use of an oxygen machine. Costs could quickly escalate to more than $1,160 per day and more than $426,000 per year!
However, with Part B coverage, you’ll only be responsible for the 20% coinsurance. Unfortunately, this can still be too much for most beneficiaries to spend out of pocket. This is why many choose to enroll in a Medicare Supplement plan, to cover this coinsurance as well as other cost-sharing such as deductibles.
Does Medicare Cover Hyperbaric Oxygen Therapy?
Hyperbaric Oxygen Therapy is a form of therapy where your whole body gets exposed to oxygen through increased atmospheric pressure. The oxygen distributes through a chamber. Medicare usually includes coverage for this therapy.
Will Medicare Advantage Offer Coverage for Oxygen Therapy?
Advantage plans must cover the same health services and equipment that Medicare includes. Fortunately, oxygen falls within this category. However, costs associated with coverage may vary since these plans are through private insurance companies. The best bet is to contact the carrier to determine the coverage guidelines for oxygen therapy. The carrier is the one who sets how much they cover. So, they may cover it, but they may cover less than what Medicare would’ve covered.
Do Medicare Supplement Plans Cover Oxygen Therapy?
Yes, supplement plans help cover the 20% coinsurance that Medicare doesn’t cover. It also covers other cost-sharing in the form of deductibles Choosing Medigap means you choose peace of mind. For those wanting to protect retirement savings, a Medicare Supplement plan will do just that.
How to Get Coverage for Oxygen Therapy Under Medicare
If you’re new to Medicare, or not new and just looking for better coverage, we can help! Our services are completely free. Our job is to educate you on all your options so that you can make the best decision on your healthcare. Give us a call today. Can’t call in now? No worries, fill out our online rate comparison form and discover all options available in your area.
About This Site
MedicareFAQ.com (hereinafter “the Site” or “this Site”) is an online resource for people seeking to learn more about their insurance options. Elite Insurance Partners LLC does not endorse any particular insurance plan, provider, or agent. Any information provided about any particular insurance plan, provider, or agent shall not be construed as an endorsement by Elite Insurance Partners LLC.
Copyright and Proprietary Rights Information
This website is owned and maintained by Elite Insurance Partners LLC. No content or images may be downloaded or reproduced without our prior and explicit consent.
While every effort is made to ensure the accuracy of the content of medicarefaq.com, we cannot be held accountable for typographical errors, errors of fact, or any other error or inconsistency found on this website. We hereby disclaim all liability from any damages resulting from the use of this website, or any services provided on any Elite Insurance Partners LLC website.
Links to Third Party Sites
This Site may contain links to sites that are controlled by third parties. These linked sites are not under the control of Elite Insurance Partners LLC, and Elite Insurance Partners LLC is not responsible for the contents of any linked site or any link contained in a linked site.
Information Collected by Elite Insurance Partners LLC
Elite Insurance Partners LLC uses this website to collect personally-identifiable information. When you use our service, you are authorizing the sharing of your inquiry and your personal information with Elite Insurance Partners LLC. The personal information we collect may include, but is not limited to:
These technologies help companies measure the effectiveness of ads, content, user experience and other marketing activities.
How Information Is Collected
We only collect your personally-identifiable information when you choose to share it with us. We will not collect any personally-identifiable information without your consent. The information you choose to share with us may be collected through this website, another website in the Elite Insurance Partners LLC network, or collected over the phone by one of Elite Insurance Partners LLC licensed insurance agents.
Cookies and other technologies, such as web beacons or tags, may be sent to visitors of this website. “Cookies” are text-only pieces of information that a website transfers to an individual’s hard drive or other web site-browsing equipment for record-keeping purposes. Cookies allow the website to remember important information that will make your use of the site more convenient. A cookie will typically contain the name of the domain from which the cookie has come, the “lifetime” of the cookie, and a randomly generated, unique number or other value. A “beacon,” “tag,” or “tracking pixel,” is a one pixel by one pixel image placed on a web asset or email. When your browser connects to a web page and the web page contains a web beacon image, your browser makes a request to the web server to download that image — and with this request, the server logs certain details like your IP address, the date and time, and more.
With cookies, web beacons and other technologies, the information collected and used is always anonymous and does not enable any third-party to identify you individually.
How Information Is Used & Opting-Out
By choosing to submit your personally-identifiable information to us, you are authorizing Elite Insurance Partners LLC to use this information for any purpose in our sole discretion. An Elite Insurance Partners LLC licensed agent may contact you by phone, email, mail, or other form of communication to fulfill your inquiry and provide you with other offers you may be interested in. You expressly consent to receive these communications whether you are on any Federal or state DNC (Do Not Call) and/or DNE (Do Not Email) list or registry.
Although it is our hope that you find this service valuable, if you would prefer not to participate, you can opt-out of this activity at any time by following the browser-specific instructions at the following link: https://www.usa.gov/optout-instructions
If you no longer wish to receive further communications from Elite Insurance Partners LLC, you may “opt-out” at any time and we will remove you from our mailing list within 10 days. You may opt-out of receiving emails by following the “Unsubscribe” link at the bottom of our emails, or by contacting us via the information below.
Elite Insurance Partners LLC 34125 Us Highway 19 North – Unit 200 Palm Harbor, FL 34684 firstname.lastname@example.org 1 (800) 845-2484
Changes to This Policy
This website is owned and operated by Elite Insurance Partners LLC.
Aetna Health and Life Insurance Company (An Aetna Company)
American Continental Insurance Company (An Aetna Company)
American Retirement Life Insurance Company (A Cigna Company)
Anthem Blue Cross Blue Shield
Blue Cross Blue Shield
Central States Indemnity (A Berkshire Hathaway Group Company)
Continental Life Insurance Company (An Aetna Company)
ForeThought Life Insurance
Gerber Life Insurance
Government Personnel Mutual
Individual Assurance Company
Loyal American Life Insurance Company (A Cigna Company)
Mutual of Omaha
New Era Life Insurance
Omaha Insurance Company (A Mutual of Omaha Company)
Philadelphia American Life Insurance
SilverScript (A CVS Caremark Company)
Standard Life and Casualty
Stonebridge Life Insurance (A TransAmerica Company)