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Medicare Coverage of Durable Medical Equipment and Other Devices

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If you need durable medical equipment in your home, your doctor or treating practitioner (such as a nurse practitioner, physician assistant, or clinical nurse specialist) must prescribe the type of equipment you need. For some equipment, Medicare also requires your doctor or one of the doctor’s office staff to fill out a special form and send it to Medicare to get approval for the equipment. This is called a Certificate of Medical Necessity. Your supplier will work with your doctor to see that all required information is submitted to Medicare. If your prescription and/or condition changes, your doctor must complete and submit a new, updated certificate. The chart on. | CENTERS FOR MEDICARE MEDICAID SERVICES Medicare Coverage of Durable Medical Equipment and Other Devices This official government booklet explains the following What durable medical equipment is Which durable medical equipment prosthetic and orthotic items are covered in Original Medicare Where to get help with your questions Do you need durable medical equipment or other types of medical equipment Medicare can help. This booklet explains Medicare coverage for durable medical equipment prosthetic devices orthotic items prostheses and therapeutic shoes in Original Medicare sometimes called fee-for-service and what you might need to pay. Durable medical equipment includes things like the following Home oxygen equipment Hospital beds Walkers Wheelchairs This booklet also explains coverage for prosthetic equipment like cardiac pacemakers enteral nutrition pumps and prosthetic lenses orthotic items like leg neck and back braces and prostheses like artificial legs arms and eyes . It s important for you to know what Medicare covers and what you may need to pay. Talk to your doctor if you think you need some type of durable medical equipment. If you have questions about the cost of durable medical equipment or coverage after reading this booklet call 1-800-MEDICARE 1-800-633-4227 . TTY users should call 1-877-486-2048. Note The information in this booklet was correct when it was printed. Changes may occur after printing. For the most up-to-date information visit www.medicare.gov on the web or call 1-800-MEDICARE 1-800-633-4227 . A customer service representative can tell you if the information has been updated. TTY users should call 1-877-486-2048.

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