Why a DME Prescription Is Important

A Durable Medical Equipment (DME) prescription, often called a DME script, is a required document for many medical equipment items covered by Medicare and other insurance plans. This form allows your healthcare provider to clearly document medical necessity, ensuring you receive the equipment that best supports your health, safety, and independence.

Without a properly completed DME prescription, insurance coverage may be delayed or denied—even when the equipment is medically necessary.

What the DME Prescription Does

A completed DME prescription helps to:

  • Confirm that the equipment is medically necessary

  • Specify the exact type of equipment required

  • Support Medicare Part B or Medicare Advantage coverage

  • Reduce delays caused by missing or incomplete documentation

  • Ensure the equipment is appropriate for safe use in the home

Who Should Complete the Form

The DME prescription must be completed and signed by a licensed healthcare professional, such as a physician, nurse practitioner, or other qualified provider, depending on Medicare and insurance requirements.

When You Should Use This Form

You may need a DME prescription if you are:

  • Applying for Medicare or insurance coverage for medical equipment

  • Replacing or upgrading existing equipment

  • Recovering from surgery or injury

  • Managing a chronic condition that affects mobility, balance, or daily living

How to Use the DME Prescription Form

  1. Download the DME Prescription Form below

  2. Bring the form to your healthcare provider for completion and signature

  3. Submit the completed form along with any required documentation

Once received, the prescription can be used to help process your DME request efficiently.

Important Note

A completed DME prescription does not guarantee insurance coverage. Coverage decisions depend on medical necessity, plan guidelines, and supplier participation.

For official Medicare information, visit www.medicare.gov.

Prescription Template

Download the DME Prescription Form
Providing complete documentation helps avoid delays and ensures a smoother process.

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