Customer Question: Will Medicare Pay for My Oxygen Concentrator?

Oxygen concentrators can be very pricey. You might be able to make payments, such as 90 days same as cash, or other payment plans like Paypal for you oxygen concentrator. You can also try having medicare cover at least part of the cost of the oxygen concentrator that your need.

Medicare is for those who are over the age of 65, and for those who have a special medical condition or a disability. It also requires that you have worked for a certain amount of time during your life, so you would have paid medicare taxes long enough to be granted access to it. Your premium (the amount you pay) also depends on certain factors. You can go to the official medicare website for more information:

Whether or not your portable oxygen concentrator is partially or fully covered under Medicare, depends on the severity of your condition, and how well documented it is in your medical records. Medicare will request your medical records from your doctor's office. They will look at how low your PaO2 levels are, and how long they stay under a certain level.

These levels were determined by an arterial blood gas (ABG) test at your doctor’s office. If it's at or below 88% while you are awake, or if it stays 88% or lower for 5 minutes after you fall asleep, this is severe enough for Medicare to at least partially cover your portable oxygen concentrator.

You will need to have your prescription for your portable oxygen concentrator when you go to a medical supplier to purchase it, whether in store or over the phone. You will most likely be asked to mail in the prescription or fax it if you are doing it over a distance, and you can't purchase it in person. You won't be able to get a medical grade portable oxygen concentrator without the prescription, and you won't be able to have it covered by Medicare without a signed and dated prescription from your doctor.

This ensures that the oxygen concentrator you purchase is the one that will adequately meet your oxygen therapy needs, which is what Medicare wants to see before they help you pay for such an expensive piece of medical equipment.

You will also need to make your doctor has well documented your condition in your medical records. Lung diseases that obstruct breathing or being able to inspire enough oxygen often require oxygen therapy, and if you have severe or very severe (stages III or IV) COPD, and if this is specified in your medical records, Medicare will most likely approve the coverage of your oxygen concentrator.

If you are over the age of 65, if your medical condition requiring oxygen therapy is well documented and severe, if you meet the work requirements and/or other disability requirements for getting Medicare, and if you have a prescription from your doctor to get an oxygen concentrator, you should be able to get assistance in purchasing an oxygen concentrator from Medicare.

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