What Is Durable Medical Equipment (DME)?
Durable Medical Equipment (DME) refers to reusable medical devices that help individuals manage health conditions, recover from injuries, or maintain independence. DME includes items like wheelchairs, scooters, walkers, oxygen equipment, CPAP machines, blood sugar meters, and hospital beds.
Who qualifies for DME coverage?
- Medicare beneficiaries: Medicare Part B covers medically necessary DME if prescribed by a doctor and obtained from an approved supplier.
- Private insurance plans: Coverage varies, with some requiring prior authorization.
- Medicaid recipients: Some states offer additional DME benefits for low-income individuals.
How does DME coverage work?
- Prescription required: A doctor must confirm medical necessity.
- Approved suppliers: Medicare and insurers typically require patients to use specific vendors.
- Copayments and deductibles: Patients may be responsible for part of the cost unless they qualify for financial assistance.
Other ways to access DME
- Local senior centers and nonprofits: Some organizations provide loaner programs for walkers, wheelchairs, and other medical devices.
- Community health resources: Certain states and charities offer low-cost or free equipment for those who don’t qualify through insurance.
- Medical supply exchanges: Some online or local groups facilitate donations and secondhand DME access.
How Solace can help
A Solace advocate can help you navigate insurance coverage, locate approved suppliers, and coordinate paperwork to ensure you receive the equipment you need. If coverage is denied, an advocate can help you locate alternative resources, such as community loan programs or nonprofit assistance, in your area.
What to do next
Looking for DME through insurance or community programs? Find an advocate today to explore your options.