Do you need durable medical equipment (DME)? Medicare covers DME, such as wheelchairs, hospital beds, pumps and more. Keep reading to learn about the types of DME that are covered and how to find what you need. Intelligent guidance, based on what you study Accelerate Ace exams faster, with practices that adapt to you Guided help for each grade, topic or textbook Leave a question or upload your notes Learn faster with guided worksheets Practice tests and pass grades Which of the following options are included in the Medicare-approved list of durable medical equipment (DME)? A. Comfortable chair The Medicare prescription drug list includes items that are medically necessary and that have been prescribed.
by a doctor. Among the options offered, the only item on the list that is normally covered by Medicare is the toilet chair. Other items, such as walk-in tubs, grab bars for showers and outdoor wheelchair ramps, are not covered by DME guidelines. Durable medical equipment (DME) is a category of medical equipment covered by Medicare for patients who need them to carry out their activities of daily living due to a medical condition.
An important part of the DME is that it must be prescribed by a doctor and considered medically necessary. In general, walk-in bathtubs aren't classified as DME under Medicare guidelines. Shower grab bars are considered household modifications rather than DME. Outdoor wheelchair ramps also fall outside of standard DME coverage and are considered more like home improvements. Therefore, the toilet chair is the right answer among the options offered in connection with the Medicare-approved DME.
The Medicare-approved DME list includes items prescribed by doctors that are necessary for patient care. Among the options offered, the toilet seat is the only item that is normally covered by Medicare. Walk-in bathtubs, grab bars for showers and outdoor ramps for wheelchairs are not included in the DME coverage. In conclusion, of the options listed, the toilet chair is the only item that Medicare usually approves of for coverage as durable medical equipment.
For example, an armchair with a toilet is beneficial for elderly patients who have difficulty getting to a normal bathroom due to mobility issues. Conversely, a shower grab bar helps prevent falls, but it's considered a home safety modification rather than a medical necessity. The information is supported by Medicare guidelines, which state that DME must be medically necessary and prescribed by a healthcare professional. According to these guidelines, only a few specific items, such as the armchair with toilet, are eligible for the coverage.
If the beneficiary decides to continue renting the item, after the fifteenth month of rent, ownership of the equipment remains with the medical equipment provider and the provider cannot charge the beneficiary any additional rental payments. If the beneficiary decides to rent the item, their liability is limited to 20% coinsurance on a maintenance and service fee payable twice a year, even if the equipment is not actually being maintained. Center for Medicare Advocacy Follow 10,482 5,321 Resources For Living is not available to members of Aetna Part D (prescription only) plans, dual eligibility special needs plans (D-SNP), special needs plans for chronic conditions (C-SNP), institutional plans for special needs (i-SNP), or Medicare supplement plans. Part B covers hereditary diseminient syndrome that is medically necessary if your doctor or other health care provider prescribes it for use in the home.
If you live in an area that has been declared a disaster or emergency, the usual rules for your healthcare may change for a short time. When portable oxygen is prescribed, the amount on the portable equipment rate list is added to the amount of the stationary oxygen rental fee. For example, water mattresses, which are now used for non-medical purposes but were originally created for patients, may be covered by Medicare if medically necessary. The DME, when delivered to the Medicare home under the home health benefit and under the Medicare Part B DME benefit, is paid based on a list of rates.
In addition, with respect to the purchase, you are responsible for the 20% coinsurance amount and, in the case of unassigned claims, the beneficiary is responsible for the balance between the amount allowed by Medicare and the provider's charge. The beneficiary is responsible for the 20% coinsurance amount and, in the case of unallocated claims, for the balance between the amount allowed by Medicare and the provider's charge. Therefore, an air conditioner, while it may be medically necessary for a patient, is generally not considered for medical purposes and is therefore not covered by Medicare. At that time, the beneficiary is responsible for 20% coinsurance and, in the case of unassigned claims, for the balance between the amount allowed by Medicare and the provider's charge.
