Medicare Part B covers

80%

Of the Medicare-approved amount after your annual deductible is met.

Your responsibility

20%

Coinsurance remaining, unless covered by supplemental insurance.

Medicare Advantage (Part C)

Varies

May offer lower copays or fixed fees. Prior authorization may be required.

Rental vs. Purchase

Monthly

Some DME is rented rather than purchased, resulting in monthly coinsurance payments.

CDI provides a full range of durable medical equipment and works with individuals to help navigate coverage requirements. Our team can help explain your Medicare benefits, review documentation requirements, assist with HCPCS code identification, and connect you with the right equipment for your needs. Reach us at info@centerfordisabilityinnovations.com.

If your claim is denied, you have the right to appeal. The Medicare appeals process includes several levels — redetermination, reconsideration, ALJ hearing, and beyond. Start by reviewing your denial notice, then work with your healthcare provider to strengthen the medical necessity documentation. Your supplier can also assist with resubmission or alternative equipment options that may qualify.

CDI provides a full range of durable medical equipment and works with individuals to help navigate coverage requirements. Our team can help explain your Medicare benefits, review documentation requirements, assist with HCPCS code identification, and connect you with the right equipment for your needs. Reach us at info@centerfordisabilityinnovations.com.

Durable Medical Equipment (DME) refers to medical equipment prescribed by a healthcare professional for home use to support a medical need. To qualify as DME, an item must:

• Be durable and withstand repeated use

• Serve a medical purpose

• Not be useful to someone without an illness or injury

• Be appropriate for use in the home

• Have an expected lifespan of three years or more

Examples include walkers, wheelchairs, rollators, hospital beds, and oxygen equipment.

Medicare Part B covers most DME when it is medically necessary, prescribed, used in the home, and obtained from a Medicare-approved supplier. Part B covers 80% of the approved amount after your deductible is met.

Medicare Advantage (Part C) plans must cover at least the same DME benefits as Part B, and some may offer additional coverage or lower out-of-pocket costs. Rules vary by plan.

Medicare Part A generally covers DME only during an inpatient hospital stay or skilled nursing facility care — not for home use after discharge.

Medicare Part D covers prescription medications only and does not cover Durable Medical Equipment.

Learn more atmedicare.gov/basics/medicare-basics/parts-of-medicare