If you or a loved one needs medical equipment at home — like a wheelchair, hospital bed, or oxygen concentrator — you may be wondering: Will insurance cover this? The good news is that many types of Durable Medical Equipment (DME) are covered by insurance in the U.S., including Medicare, Medicaid, and private insurers. Here’s a simple breakdown to help you understand what’s typically covered and how to qualify.
What is DME According to Insurance?
DME refers to medically necessary equipment prescribed by a licensed doctor for use in the home. Common examples include:
- Manual or electric wheelchairs
- Walkers and rollators
- Hospital beds
- Oxygen machines
- CPAP devices
- Patient lifts
- Nebulizers
To qualify for insurance coverage, the equipment must:
✔️ Be medically necessary
✔️ Be prescribed by a physician
✔️ Be used for an extended period
✔️ Be appropriate for home use
1. Does Medicare Cover DME?
Yes! Medicare Part B covers 80% of the cost of most DME, as long as:
- The equipment is prescribed by your doctor
- You get it from a Medicare-approved supplier
- You’ve met your Part B deductible
👉 You’ll usually pay 20% out-of-pocket after coverage kicks in.
2. Does Medicaid Cover DME?
Yes, but coverage varies state by state. Medicaid typically covers basic DME for those who qualify for low-income support, but approval may require prior authorization.
Check your state’s Medicaid DME list or consult a healthcare provider.
3. What About Private Insurance?
Most private insurance plans (e.g., Blue Cross, Aetna, UnitedHealthcare) offer DME benefits — but each has its own process. You’ll usually need:
- A prescription
- A pre-authorization
- To use an in-network provider
Call your insurer’s customer service to confirm details for your plan.
Tips to Get DME Approved
âś… Talk to your doctor early
âś… Get a clear, written prescription
âś… Ask your supplier (like SafeMedEquip.com) if they provide insurance billing
âś… Save all documentation for claims
Conclusion:
Insurance can cover a big part of your DME costs — but the key is understanding the process. At SafeMedEquip.com, we provide documentation support and guidance for customers who want to use their insurance benefits.
📞 Need help choosing the right equipment? Contact our team today.