Consistent with medicare rules aetna s hmo based plans however do consider certain dme toilet items commodes bed pans etc medically necessary if the member is bed confined or room confined.
Does medicare cover bathroom equipment.
Medicare part b generally does cover durable medical equipment such as walkers and canes that may give you increased stability while using the bathroom.
To find out if medicare covers the equipment or supplies you need or to find a dme supplier in your area call 1 800 medicare or visit www medicare gov.
Most dme items used in the bathroom are considered by medicare to be personal convenience items.
If your doctor does prescribe durable medical equipment you will need to get it from a supplier that accepts assignment.
For example medicare does not cover incontinence pads catheters surgical facemasks or compression leggings.
Medicaid related programs may provide coverage for certain types of bathroom equipment if a healthcare professional prescribes its use for a recipient with mobility issues but the recipient may be limited on which brand or what type of bathroom equipment they can order.
You may be able to choose whether to rent or buy the equipment.
You may need to buy the equipment.
Your medicare part b may also cover other bathroom equipment like toilet safety frames handheld shower heads portable commodes walk in bathtubs and emergency alert system.
Medicare advantage before enrolling.
Commodes will be covered under part b s durable medical equipment benefits if the patient is confined to a room without bathroom facilities.
Medicare part b also generally covers commode chairs.
Many big ticket items such as walk in bathtubs bath lifts or exercise equipment are also not covered.
There are also certain kinds of equipment and supplies that medicare never covers.
Doctors and suppliers have to meet strict standards to enroll and stay enrolled in medicare.
There are different ways by which medicare covers bathroom equipment.
Some of the items not covered include air cleaners or air conditioners bath lifts bath seats bed trays grab bars massage devices raised toilet seats or conventional toilet seats.
You may need to rent the equipment.
The policy may only cover supplies under specific conditions.
Medicare also covers lancets and test strips used with diabetes self testing equipment.
Yes some part c plans cover bathroom safety equipment that medicare doesn t cover.
Medicare will only cover your dme if your doctors and dme suppliers are enrolled in medicare.
But these plans have strict networks and it s worth comparing medigap vs.
