I am having a high blood pressure spell. The doctor wants me to monitor this at home. Will Medicare pay for this equipment? What proof is needed for justification?
Does Medicare Pay For A Home Blood Pressure Monitor?
Add Your Answer To This Question
You must be logged in to add your answer.
.JPG){kind=avatar}
Upon a little research, it looks like there are a couple of exceptions to have it covered by Medicare:
1) a patient receiving blood dialysis in the home.
2) an ambulatory bp monitoring device that takes/stores bp readings in 24 hour cycles for a patient who a doctor believes has "white coat hypertension" (artificially high bp readings when taken in a doctor's office - based on multiple testing completed in an office and out of an office).
If you meet either of these and Medicare approves coverage for the device, it would be covered under Medicare Part B and the monitor would then need to be rented from a Medicare-certified medical equipment supplier. Medicare would then cover 80% of the expense and you would be responsible for 20% of the expense (if you have a Medigap plan, it would then likely cover all or a portion of that other 20%).
If you're under a Medicare Advantage plan, it may provide benefits not covered under original Medicare so it would be good to check with your carrier.
If Medicare does not cover the device, you will be responsible for the cost of the monitor.
I hope the information is helpful - please feel free to contact me with any other questions. Thanks very much.