Published on January 13, 20253 min read

Medicare Coverage for Portable Oxygen Concentrators: 5 Easy Steps

Imagine being able to breathe freely, travel, and live life on your own terms—all thanks to a portable oxygen concentrator (POC). The good news is that Medicare can help cover it for you! If you’ve been struggling with respiratory issues and thought a POC was out of reach, think again. Medicare Part B will cover the rental or purchase of a POC, provided you follow the proper steps to qualify.

Step 1: Establish Medical Necessity
The first thing you need to do is have your doctor confirm that you require a POC. Medicare requires a detailed prescription that indicates your required flow rate and duration of use. Your doctor must document your condition, whether it’s COPD, severe asthma, or another respiratory issue, and explain how oxygen therapy will improve your health. Testing your arterial blood gas levels or pulse oximetry is usually necessary to prove that your oxygen levels fall below Medicare thresholds—typically below 88% saturation or 55 mmHg PO2.

Step 2: Choose a Medicare-Approved Supplier
Not every supplier is eligible for Medicare coverage; therefore, you must select one that meets strict standards. Be sure that your supplier is enrolled in Medicare and can provide the specific model prescribed by your doctor. You can check Medicare's supplier directory to find a suitable provider near you.

Step 3: Understand How It Works—Rental
Medicare generally covers POCs as rentals rather than purchases. After you pay your Part B deductible (which is $240 in 2024), Medicare will pay 80% of the rental cost for the first 36 months. You will then be responsible for the remaining 20%, although your supplemental insurance may cover this amount. After 36 months, your supplier must provide you with the equipment for an additional 24 months, giving you a total of five years of coverage.

Step 4: Know What’s Included
Medicare coverage extends beyond just the machine; it also includes essential accessories like tubing, masks, and even maintenance and repairs. Make sure that your supplier includes these items in the rental agreement. Some suppliers might try to exclude certain components, so always double-check to ensure you receive everything you need.

Step 5: Stay Informed About Renewals
You will have the opportunity to revisit your POC needs in five years when it comes time to renew the rental contract—either with the same supplier or a different one. Medicare will restart the 36-month rental period to ensure that you receive the necessary equipment.

Conclusion

Getting a portable oxygen machine covered by Medicare doesn’t have to be complicated. Simply follow these steps, and you’ll be on your way to breathing easier and living better.

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