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What part of Medicare covers CPAPs and supplies
#1
What part of Medicare covers CPAPs and supplies
I've been on an Advantage plan since going on Medicare and I'm considering moving over to Medicare with a 20% Co-Ins and a Part D. My question is; Which part, or parts, of Medicare cover CPAP's and supplies, B or D?
Crimson Nape
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#2
RE: What part of Medicare covers CPAPs and supplies
Don't hold me to it but I believe it is part B.
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#3
RE: What part of Medicare covers CPAPs and supplies
Part B covers CPAP supplies. Part D is for prescription drugs.
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.

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#4
RE: What part of Medicare covers CPAPs and supplies
Thanks for the info. I was stumped about the mask and machine requiring a prescription.
Crimson Nape
Apnea Board Moderator
Project Manager for OSCAR - Open Source CPAP Analysis Reporter
www.ApneaBoard.com
___________________________________
Useful Links -or- When All Else Fails:
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#5
RE: What part of Medicare covers CPAPs and supplies
Medicare B does cover your DME needs. With the monthly charge $134 / month in 2019 deducted from Social Security to have Medicare B and with adding the purchase of a medi-gap policy to help with that 20% coverage, (mine is $124 monthly) multiplied twice to add my wife, it's eating $516 monthly out of SS to be insured. 

In this day and age I guess many of us have to do the math just to see if we can afford apnea and any other sickness & disease that comes along. Most of us can't, unfortunately.
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#6
RE: What part of Medicare covers CPAPs and supplies
(11-13-2018, 07:40 AM)michael9346 Wrote: Medicare B does cover your DME needs. With the monthly charge $134 / month in 2019 deducted from Social Security to have Medicare B and with adding the purchase of a medi-gap policy to help with that 20% coverage, (mine is $124 monthly) multiplied twice to add my wife, it's eating $516 monthly out of SS to be insured. 

In this day and age I guess many of us have to do the math just to see if we can afford apnea and any other sickness & disease that comes along. Most of us can't, unfortunately.


Yep, and some folk have a misconception that Medicare is free and covers everything. Sad

Although, it’s cheaper for my hubby and myself now that we are retired than when we were working.
We had very high deductibles and copays and paid almost everything out of pocket.
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE.  ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA.  INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#7
RE: What part of Medicare covers CPAPs and supplies
(11-12-2018, 10:36 PM)Crimson Nape Wrote: Thanks for the info.  I was stumped about the mask and machine requiring a prescription.

That is confusing, but Part D is for prescription drugs. Part B covers supplies.
OpalRose
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_______________________
OSCAR Chart Organization
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OSCAR - The Guide
Soft Cervical Collar
Optimizing therapy
OSCAR supported machines
Mask Primer



INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE.  ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA.  INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#8
RE: What part of Medicare covers CPAPs and supplies
For CPAP users, a memory aid:

B is for Breathing. D is for Drugs.

(Too late to suggest those to Sue Grafton ...)
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#9
RE: What part of Medicare covers CPAPs and supplies
Part B, but be aware that your supplemental coverage may or may not cover cpap supplies. My brother has the Cadillac supplemental and all his supplies are covered. I have the cost plan and nothing is covered (just what Medicare pays). I am on Advantage for 2019, so that will likely stay the same for me next year.

Yeah, I bet Sue Grafton had lots of ideas. Smile B is for Breathing is a good one!
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#10
RE: What part of Medicare covers CPAPs and supplies
(11-15-2018, 03:54 PM)Mosquitobait Wrote: I am on Advantage for 2019, so that will likely stay the same for me next year.

I'm coming off an Advantage plan because, if I have to be admitted to a hospital, it can cost me up to $6700 per visit. I figured I might be pressing my luck.
Crimson Nape
Apnea Board Moderator
Project Manager for OSCAR - Open Source CPAP Analysis Reporter
www.ApneaBoard.com
___________________________________
Useful Links -or- When All Else Fails:
The Guide to Understanding OSCAR
OSCAR Chart Organization
Attaching Images and Files on Apnea Board
Apnea Helpful Tips

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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