Medicare Hospital Bed Eligibility

Depending on your needs and your dme supplier you may choose to either rent or buy your hospital bed.

Medicare hospital bed eligibility. General requirements for coverage of hospital beds a physician s prescription and such additional documentation as the medicare administrative contractor mac medical staff may consider necessary including medical records and physicians reports must establish the medical necessity for a hospital bed due to one of the following reasons. If your body requires positioning in ways that are not feasible with an ordinary bed due to your medical condition and is expected to last for at least 30 days. Dme items are generally covered under medicare part b but only under specific criteria. The doctor must document your need in your medical records and write you an order prescription for the equipment.

Only your doctor can prescribe the equipment for you. Medicare will cover a hospital bed when you can show a medical necessity for the bed. If your supplier participates in the medicare program medicare may pay 80 of the allowable charges whether you rent your hospital bed or purchase it outright. You must also be covered under medicare part b and have been assessed by your doctor.

In order to qualify for medicare part b coverage the medical equipment must be able to. The medicare qualifying diagnosis for hospital bed durable medical equipment dme is a term utilized to describe items that can withstand prolonged medical usage. In order for you to be eligible prior authorization requests for all covered hospital beds must meet the basic requirements such as. Medicare part b medical insurance covers hospital beds as durable medical equipment dme that your doctor prescribes for use in your home.