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Indications and limitations of coverage.

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However there are some requirements you must meet for medicare hospital bed coverage. Medicare will pay for a hospital bed purchase or rental if it s considered medically necessary and prescribed by a doctor and provided by a medical equipment provider approved by medicare. A physician s prescription and such additional documentation as the medicare administrative contractor mac medical staff may consider necessary including medical records and physicians reports must establish the medical necessity for a hospital bed due to one of the following reasons. This can be paid out of pocket or with help from supplemental insurance such as medigap.

Your costs in original medicare if your supplier accepts assignment you pay 20 of the medicare approved amount and the part b deductible applies. Medicare pays for different kinds of dme in different ways. Additionally even if medicare does cover your hospital bed there are some out of pocket costs you ll likely. The individual must cover the remaining 20.

General requirements for coverage of hospital beds. Depending on your needs and your dme supplier you may choose to either rent or buy your hospital bed. If your supplier participates in the medicare program medicare may pay 80 of the allowable charges whether you rent your hospital bed or purchase it outright. One must also have met their medicare part b deductible which as of 2019 is 185.

Medicare classifies hospital beds as durable medical equipment dme which is covered by medicare part b. Medicare will pick up 80 of the amount that is medicare approved for the purchase of a hospital bed for home use. January 2020 catalog cms gov.

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