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What Are Medicare DME Rules For Part B Vs Advantage? Are you trying to understand how Medicare covers durable medical equipment (DME) and what the differences are between Part B and Medicare Advantage plans? In this informative video, we’ll clarify the key rules and processes related to obtaining DME through Medicare. We’ll start by explaining what qualifies as DME, including common items like walkers, hospital beds, canes, and oxygen supplies, and how Medicare determines if these items are necessary for your health.

We’ll discuss how Medicare Part B provides coverage for DME, including details on payment percentages, renting versus buying options, and what happens when repairs or replacements are needed. You’ll learn about the importance of a doctor’s prescription and the role of the Certificate of Medical Necessity in securing coverage.

Additionally, we’ll cover how Medicare Advantage plans handle DME, highlighting similarities and differences compared to Original Medicare. We’ll also touch on special situations such as replacing lost or damaged equipment during emergencies and the typical timeline for equipment replacement.

Knowing these rules helps you manage your medical equipment more effectively and avoid unexpected costs. Always verify that your healthcare provider and DME supplier are enrolled in Medicare, and review your plan’s specific coverage details if you’re enrolled in a Medicare Advantage plan. Stay informed to ensure smooth access to the equipment you need.

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About Us: Welcome to Medicare Made Simple Guide! Our channel is dedicated to providing clear and concise information about Medicare, helping you navigate the complexities of Medicare Enrollment, Medicare Part A Coverage, Medicare Part B Benefits, Medicare Advantage Plans, Medicare Prescription Drug Coverage (Part D), Medigap Policies, Medicare Eligibility, Medicare Costs and Premiums, and the Medicare Annual Enrollment Period.