Medicare Blog

which portable oxygen concentrators are medicare approved

by Maynard Romaguera Published 2 years ago Updated 1 year ago
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Inogen's One G3 delivers four hours of oxygen while you're on the go, which is one of the reasons we made it our best overall pick. We also recommend Philips Respironics

Respironics

Respironics is a medical supply company that specializes in products that improve respiratory functions. It is based in the Pittsburgh suburb of Murrysville.

SimplyGo Portable Oxygen Concentrator if you're looking for continuous oxygen flow.

Full Answer

Are oxygen concentrators covered by Medicare?

Yes, Medicare will cover the rental of an Inogen oxygen concentrator. They may also be able to get it covered through Medicare with a 20% coinsurance. If you have a Medigap plan you may even be able to get your oxygen concentrator for $0, depending on what plan you have.

Can anyone suggest a portable oxygen concentrator?

In general, portable oxygen concentrators (POC) are becoming more and more popular over traditional oxygen tanks for three major reasons. It allows patients to maintain a healthy and active lifestyle as they can be taken anywhere, easy to operate by patients themselves, and make their life easier.

What to look for in a portable oxygen concentrator?

What We Like Most:

  • Lightest unit weighs 2 lbs.
  • External batteries available
  • Most units come with a 3-year warranty
  • Range of portable oxygen concentrators

How to pay for a portable oxygen concentrator?

  • Your pulse or continuous flow rate
  • How long it is estimated you’ll need supplementary oxygen
  • A detailed description of all necessary equipment

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Does Medicare cover portable concentrators?

Medicare Part B provides coverage for durable medical equipment like portable oxygen concentrators - if you meet the qualifications.

Will Medicare pay for the purchase of a portable oxygen concentrator?

If you own your own equipment, Medicare will help pay for oxygen contents and supplies for the delivery of oxygen upon meeting Medicare conditions including doctor recommendation, failing arterial blood gas level range and other alternative measures have failed.

Does Medicare pay for inogen?

A: Yes, the Inogen One Oxygen Concentrator is covered by Medicare and many private insurance plans.

Does Medicare pay for air concentrators?

Medicare Part B (medical insurance) does cover oxygen concentrators and related oxygen equipment if your doctor prescribes them for use in your home. Learn more about your oxygen therapy coverage options, including how equipment may be covered and exactly what components may be covered.

Does Medicare cover the Inogen One g4?

If you have asked, “Are portable oxygen concentrators covered by Medicare?” then you have likely also asked, “Is Inogen covered by Medicare?” The great news is that rental costs of an Inogen One model are covered by Medicare if you are eligible.

Does using oxygen make your lungs weaker?

Home oxygen therapy is not addictive and it will not weaken your lungs. You will get maximum benefit by using oxygen for the amount of time prescribed by your doctor. There is a range of oxygen equipment available.

How much is an Inogen oxygen tank?

A compressed oxygen tank costs about $5.69 per day, while the option with the lowest daily cost is the Inogen One G4 at just $1.92 per day.

Does Medicare cover oxygen for sleep apnea?

Medicare does not provide reimbursement for home oxygen as a treatment of Obstructive Sleep Apnea (OSA).

Can you sleep with a portable oxygen concentrator?

Now you may wonder: can you sleep with a portable oxygen concentrator? The answer is yes and people who already use an oxygen sleeping machine have noted several significant benefits for their health and wellbeing.

Does Medicare cover oxygen for COPD patients?

Original Medicare Part B covers oxygen and equipment for use at home, although certain conditions apply. Part A covers oxygen therapy during an inpatient stay. If someone has a lung disorder, such as severe chronic obstructive pulmonary disease (COPD), a heart problem, or asthma, they may need oxygen therapy.

What is the Medicare requirement for oxygen saturation?

Room air at rest (awake) without oxygen. If this qualifies with an ABG less than or equal to 55 mm Hg or O2 saturation (fingertip pulse oximeter) equal to or less than 88%, no further testing is needed. If the patient does not qualify, then steps B or C below would be required.

What diagnosis qualifies for home oxygen?

Conditions for Which Oxygen Therapy May Be Covered Examples of these symptoms and findings are pulmonary hypertension, recurring congestive heart failure due to chronic cor pulmonale, erythrocytosis, impairment of the cognitive process, nocturnal restlessness, and morning headache.

What are the requirements for oxygen therapy?

The requirements include: Documentation from your doctor that you have a severe lung disease or that you are not currently getting enough oxygen. Evidence that your health will be improved by oxygen therapy. An arterial blood gas level that falls within a certain (low) range.

How long can you rent an oxygen tank?

After 36 months, you are eligible to continue to rent your oxygen therapy supplies from your same provider for another 24 months, up to a total of 5 years , as long as you can demonstrate medical need for oxygen. You will need to continue to show that your health is dependent upon the portable oxygen concentrator Medicare coverage you have been receiving. After that time, you can renew your oxygen equipment rental agreement, though your provider is not required to continue providing service to you after the initial 5 years. This can make things difficult as you must go through a contracted Medicare provider for your rental agreement. So how can you make your portable oxygen tank Medicare experience as easy as possible? Call a supplier that has plenty of experience going through the Medicare process.

Are You Eligible for Medicare?

Before you ask, “Are portable oxygen concentrators covered by Medicare?” make sure you qualify for Medicare. If you are 65 or older, you have a documented disability or you have end stage renal disease, you are eligible for Medicare.[2] From there, see your doctor to ensure you meet all the criteria for getting your portable oxygen concentrator covered by Medicare.

Can you buy an oxygen concentrator on your own?

If you decide you want to own your equipment, you should plan to purchase your portable oxygen concentrator on your own . Even if you purchase your portable oxygen concentrator independently, you may still qualify to have certain oxygen equipment—like cannulas, tubing, emergency oxygen canisters or a humidifier—covered. Inogen can help you learn more about what costs may be covered for you. Give us a call for more information.

Does Medicare pay for oxygen concentrators?

If you are wondering, “why won’t Medicare pay for oxygen concentrators in full ?”, the answer is that Medicare rarely covers 100% of your medical bills. As the leading health insurer for people 65 and older, providing this coverage is expensive, and the funding comes from taxpayers. However, Medicare usually covers part of your medical expenses if you qualify.[4]

Is Inogen covered by Medicare?

If you have asked, “Are portable oxygen concentrators covered by Medicare?” then you have likely also asked, “Is Inogen covered by Medicare?” The great news is that rental costs of an Inogen One model are covered by Medicare if you are eligible.

Does Medicare cover oxygen equipment rental?

Medicare may cover oxygen equipment rental costs if you are eligible for Medicare and approved for therapeutic oxygen use. You will need a doctor’s prescription stating that you need medical oxygen, followed by meeting other certain conditions. [1]

What is a portable oxygen concentrator?

They operate the same way as a home concentrator in that they are able to take air and convert it into medical grade oxygen. Portable concentrators were designed to provide patients with more freedom than a tank.

What is stationary concentrator?

As a quick review, a stationary concentrator is designed to provide a patient with medical grade oxygen while in the home. They run only on AC (wall outlet) power. These units are robust and typically kept in a central location and operated from within the home environment with a long tube (up to 50 ft) providing oxygen to a cannula. Many of the older units can be loud, energy intensive (often over 600watts) and heavy (some are over 50 lbs). The typical home concentrator has settings from 1 liter per minute to 5 liters per minute of oxygen flow.

How to determine what POC is right for you?

Our trained experts will ask questions to help understand your needs and then walk you through an easy selection process. But first, there are a few key factors in selecting a POC.

Can Medicare provide oxygen?

If you are currently under contract for oxygen with a Medicare provider, you should ask your CURRENT MEDICARE OXYGEN PROVIDER if they will provide you with a Portable Oxygen Concentrator. They may be willing to provide you with a portable oxygen concentrator.

Does Medicare require a portable oxygen concentrator?

A Medicare provider is NOT required to provide a patient any particular equipment and specifically, does not need to provide a patient with a portable oxygen concentrator. The most common solution is a stationary “home” concentrator and refillable oxygen tanks.

Is oxygen therapy a tank or concentrator?

Medicare Summary. Whether it’s a tank or concentrator for your oxygen therapy needs, make sure you’re getting the right unit for you! While a tank might seem like a great and insured solution, the bulkiness, lack of mobility, upkeep, weight, lack of FAA approval, and more are all important factors to take into account.

Is there more oxygen available than a home oxygen concentrator?

The good news is that there are more options for oxygen therapy available to you than the standard issued home (stationary) concentrator and oxygen tanks. We have compiled excellent information below regarding the innovations in home concentrators as well as alternatives to oxygen tanks – the portable oxygen concentrator.

How much will a Portable Oxygen Concentrator Cost?

If we do not account for insurance it will run you anywhere from $1000-2000 depending on what model and accessories you get. That’s the raw cost. Now, it is possible to get one covered completely for free. If you have original Medicare or Medicare and a supplement (Medigap) you can likely get a portable oxygen concentrator for free or highly discounted if you purchase it through one of the distributors above.

How long is the warranty on a portable oxygen concentrator?

If you are buying a used or refurbished portable oxygen concentrator then there may not be a warranty left on it. Many places will only offer a 30 day warranty on used and refurbished devices. Other vendors may actually have a warranty of their own such as an Extended Warranty.

How much does Medicare pay for oxygen?

This may bring the overall price up to $4000 or so but we often see that Medicare will pay up to $5500 for oxygen devices. This means you may have to take liability for the full cost to get your equipment but that Medicare will likely pay for all of your purchases within 6 months once billing is processed.

Can you get reimbursement from Medicare Advantage?

If you have a Medicare Advantage plan you will not be able to get any reimbursement from Medicare. Since your Health Plan is primary, if you want any insurance coverage you will only be able to order oxygen supplies from a local durable medical equipment vendor that is in network for your plan.

Does Medicare cover portable oxygen concentrators?

So, this is why we say it’s a yes and no answer to Medicare’s coverage of portable oxygen concentrators. Even if you do get coverage for one from a company you will likely not have ownership of it until 3 years later. Couple that with the issue that any changes in insurance ( Medicare Advantage or Supplement) may trigger the company to repo their device back or reset the clock on you. For this reason we have seen some companies get creative in getting these .

Does Medicare cover oxygen?

Medicare does cover medical equipment and oxygen devices but the key is they do not cover the cost to purchase this equipment outright. They cover a rental agreement where oxygen equipment can be rented to you monthly for a 36 month agreement. The problem for many suppliers is that in 2013 Medicare cut their reimbursement rates for oxygen equipment in half. So, a company would have to purchase the equipment upfront and get paid piece by piece over the next 3 year at a rate that might not be profitable for them.

Can you rent medical equipment through Medicare?

If you go through a local durable medical equipment company remember that you may only be allowed to rent it through the Medicare agreement. You will still have to pay 20% or the rental cost monthly if you have straight Medicare only.

Why are portable oxygen concentrators more expensive than stationary oxygen concentrators?

Because portable concentrators are more expensive than stationary ones – and because Medicare’s reimbursement rate to the supplier is the same either way – many suppliers will only offer stationary oxygen concentrators to Medicare beneficiaries.

How long does Medicare cover oxygen?

Medicare covers the rental of oxygen concentrators and other oxygen equipment for up to five years, as long as you continue to have a medical need for oxygen therapy. If you have Medicare Part B, you will rent your oxygen concentrator from a DME supplier for 36 months (three years). After that period, your supplier will continue to provide coverage ...

What is Medicare Advantage?

Medicare Advantage plans (Medicare Part C) cover all the same benefits as Original Medicare (Part A and Part B) and may also offer additional coverage for things like dental, vision, prescription drugs and more.

Does Medicare cover humidifiers?

Servicing, maintenance and repairs of equipment and supplies. Medicare may also cover humidifiers if used along with your oxygen equipment.

Does Medicare Cover Oxygen Concentrators?

Medicare does cover oxygen concentrators as durable medical equipment when you rent them for prescribed use in the home. Medicare may also cover equipment that you own. Learn more.

How long does Medicare provide oxygen?

If you have Medicare and use oxygen, you’ll rent oxygen equipment from a supplier for 36 months. After 36 months, your supplier must continue to provide oxygen equipment and related supplies for an additional 24 months. Your supplier must provide equipment and supplies for up to a total of 5 years, as long as you have a medical need for oxygen.

How much does Medicare pay for oxygen tanks?

If you use oxygen tanks or cylinders that need delivery of gaseous or liquid oxygen contents, Medicare will continue to pay each month for the delivery of contents after the 36-month rental period, which means that you will pay 20% of the Medicare-approved amount for these deliveries.

What is Part B for medical equipment?

Oxygen equipment & accessories. Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services. covers the rental of oxygen equipment and accessories as durable medical equipment (DME) that your doctor prescribes for use in your home. Medicare will help pay for oxygen equipment, ...

What is Medicare approved amount?

Medicare-Approved Amount. In Original Medicare, this is the amount a doctor or supplier that accepts assignment can be paid. It may be less than the actual amount a doctor or supplier charges. Medicare pays part of this amount and you’re responsible for the difference. , and the Part B deductible applies.

How long does a supplier own equipment?

The supplier owns the equipment during the entire 5-year period . If your medical need continues past the 5-year period, your supplier no longer has to continue providing your oxygen and oxygen equipment, and you may choose to get replacement equipment from any supplier.

How long is the oxygen contract?

A new 36-month payment period and 5-year supplier obligation period starts once the old 5-year period ends for your new oxygen and oxygen equipment.

Does Medicare pay for oxygen?

Medicare will help pay for oxygen equipment, contents and supplies for the delivery of oxygen when all of these conditions are met: Your doctor says you have a severe lung disease or you’re not getting enough oxygen. Your health might improve with oxygen therapy.

What can you do with a portable oxygen concentrator?

A portable oxygen concentrator will allow you to continue to work, travel, play sports, participate in hobbies, socialize and maintain your independent lifestyle while finding it easier to comply with your oxygen therapy.

How long does Medicare require oxygen?

Medicare oxygen equipment suppliers that provide oxygen to you are required to maintain the equipment for a total of 60 months (5 years). Given these circumstances, the medical equipment companies will first consider how long you have been on oxygen to determine how many months are left within your 36 month rental period.

How long does Medicare pay for oxygen equipment?

An equipment company provides the oxygen equipment to you, then they bill Medicare a monthly fixed rental fee. Oxygen equipment is limited to a 36-month rental period. Due to the reimbursement guidelines, respiratory suppliers who bill Medicare tend to be cautious and very selective with what types of oxygen equipment they provide to you.

Does Portable Oxygen Solutions bill Medicare?

There is a BETTER WAY! Portable Oxygen Solutions has chosen not to bill Medicare or Private Insurance so we do not have these financial restrictions.

Will Medicare Help Pay For A Portable Oxygen Concentrator?

Customers often come to us here at Portable Oxygen Solutions and ask us the following question... Will Medicare pay for a portable oxygen concentrator? Ah yes , a very good question indeed and an important one, too, for anyone looking to purchase a portable oxygen concentrator. Because we get asked this question so much, today we decided to try explaining to you why it is highly unlikely or difficult, at best, to get a portable oxygen concentrator through Medicare or any other insurance funding channel. If you have found our company and reading this article, then chances are, you have probably already discovered how difficult it is to find a Medicare oxygen equipment company that carries portable oxygen concentrators, much less, the model best suited for you and your lifestyle. You may be frustrated from being told "NO".

What does a physician need to know about oxygen therapy?

To qualify for coverage of the apparatus needed for oxygen fulfillment, your physician must attest to the medical necessity of your equipment, certifying that the severity of your lung disease demands assistance. Additionally, the doctor must state that the oxygen therapy is expected to improve your health. If your arterial blood gas level drops below a set range, your physician may order oxygen equipment once other options have been explored but have been unsuccessful.

What is Medicare Part B?

Medicare Part B (Medical Insurance) includes coverage for medically necessary services and supplies, including benefits for durable medical equipment (DME). DME includes a wide range of medical equipment, including oxygen supplies, such as the systems, storage containers, tubing and associated accessories needed to transport the oxygen.

How much does Medicare pay for DME?

Once your DME has been approved, Medicare recipients with Original Medicare can expect to pay 20% of the approved amount plus the deductible for Part B. If you have Medicare Advantage or a Medicare supplement plan, otherwise known as Medigap, check with your plan administrator for any additional coverage that may apply.

How to gauge charges for a medical facility?

To gauge how the charges may vary for you personally, discuss with your health care practitioner, review your other insurance coverage if applicable, find out your physician’s fees, confirm if your physician accepts assignment, and factor in the type of medical facility and source of the items and services.

Does Medicare cover oxygen tanks?

For the five-year period, the supplier is obligated to ensure the oxygen provisions are maintained and is prohibi ted from billing you for maintenance services. When the tanks or cylinders need to be refilled, Medicare monthly payments cover delivery of the contents, but Medicare recipients may continue to be responsible for the 20% portion of the Medicare-authorized amount. If this need extends beyond the five-year term, the supplier is no longer bound to continue these services, but you are free to select an alternate vendor. The five-year cycle then begins anew with the successor service provider.

Why do people need portable oxygen concentrators?

Pulmonary hypertension is another reason.”. For these conditions and anyone who requires medical oxygen, portable oxygen concentrators are the answer. They give you the freedom and independence to do as you please, all while breathing in the oxygen-rich air you need.

What is the most important factor to consider when purchasing a portable oxygen concentrator?

The most important factor to consider when purchasing a portable oxygen concentrator is the oxygen output . In order to meet your needs, the machine needs to provide the proper levels of oxygen to you. No patient or diagnosis is created equal, which is why it’s necessary to communicate with your doctor about what settings would be best suited for you.

How does an oxygen concentrator work?

For the unfamiliar, oxygen concentrators work by pulling air in through a filter and compressing it into one of two zeolite towers. “It's a way to extract oxygen from the air and remove the nitrogen so that the concentration of oxygen is higher than ambient air which is 21%,” says Dr. Langdon.

What is the max oxygen of the Freestyle?

It has a Max Pulse Setting of three and has a max oxygen of 332 per minute. The Freestyle can be worn over your shoulder with a carrying bag or you can add on the optional harness to convert into a backpack, which frees you to do your favorite activity.

What is pulse flow?

#N#There are two main types of units, a pulse flow, and continuous flow , based on the delivery of oxygenated air. The pulse flow machine delivers air to the patient as short puffs timed to each inhalation. As a result, no oxygen is wasted. “The pulse flow or demand flow delivers oxygen only when the patient is inhaling. This can help with power consumption. Nighttime use is more commonly pulse-flow. Some operate continuous flow with the added feature of pulse-flow as needed,” says Dr. Langdon.

Do people with COPD need oxygen?

As such, portable oxygen concentrators are life-saving and life-changing little machines. “People with emphysema or COPD need oxygen,” says Kimberly Langdon, M.D., Ohio-based physician, and VP of product development and research at Physician Integrative Laboratories. “COPD is generally from tobacco and cigarettes.

Is a pressurized oxygen tank safer than a pressurized oxygen tank?

These are safer than traditional pressurized oxygen tanks and more economical and convenient—easier to transport because they aren’t as bulky or heavy.” —Kimberly Langdon, M.D., Ohio-based physician, and VP product development and research at Physician Integrative Laboratories.

Best Portable Oxygen Concentrators of 2022

Our ratings take into account a product's cost, features, ease of use, customer service and other category-specific attributes. All ratings are determined solely by our editorial team.

Methodology

To determine the best portable oxygen concentrators, the Forbes Health editorial team analyzed data on more than 30 products, ranking them based on:

What Is a Portable Oxygen Concentrator?

Portable oxygen concentrators are battery-operated devices that provide supplemental oxygen to people who “require greater oxygen concentrations than the levels of ambient air,” says Sanul Corrielus, M.D., a board-certified cardiologist based in Philadelphia.

Who Should Use a Portable Oxygen Concentrator?

Anyone with a condition that may cause a low blood oxygen level (hypoxia) may benefit from supplemental oxygen, says Bacheler. Such conditions can include anemia, asthma, chronic obstructive pulmonary disease, lung cancer, heart failure and congenital heart disease.

Features to Consider When Buying a Portable Oxygen Concentrator

There are numerous features to consider when choosing a portable oxygen concentrator, but there are a few particularly important details to think about when browsing your options.

FAQs

Yes. Supplemental oxygen is only sold or rented if you have a prescription, according to the U.S. Food and Drug Administration (FDA). Using a concentrator without a doctor’s prescription could lead to health problems, including oxygen toxicity, which occurs when you receive too much oxygen, states the agency.

Next Up in Health

Information provided on Forbes Health is for educational purposes only. Your health and wellness is unique to you, and the products and services we review may not be right for your circumstances. We do not offer individual medical advice, diagnosis or treatment plans. For personal advice, please consult with a medical professional.

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