Can Medicare cover wearable medical devices like insulin pumps or seizure monitors for chronic conditions?

Question

Misty Bolt · Accepted Answer

Yes but we have to make sure the brand you are using is in network with your medicare plan you enroll in.

Susan Kainrath · Answer

Yes, Medicare CAN cover these devices. Sometimes a patient will need to pay a co-pay to cover a percentage (at times 20 percent) in order to take delivery of these devices. Check with your plan or a qualified agent to ensure that you are following the correct steps to have your device covered if applicable.

Answered by Susan Kainrath on May 6, 2025

Broker Licensed in IL & IN

Answered by Susan Kainrath Medicare Insurance Agent

Angie Templin · Answer

While certain criteria must be met, many medical devices like insulin pumps, continuous glucose monitors, or seizure monitors are covered by Medicare. To qualify, a Medicare approved physician must write a valid prescription and provide documentation that the patient meets the criteria. The item may then be purchased at a Medicare approved vendor. Typically these items are covered at about 80%, so you will owe a portion of the cost.

Answered by Angie Templin on May 5, 2025

Broker Licensed in TX

Answered by Angie Templin Medicare Insurance Agent

Fred Manas · Answer

Yes, Medicare can cover certain wearable medical devices for chronic conditions like insulin pumps and continuous glucose monitors (CGMs) under Part B as durable medical equipment (DME) if they are deemed medically necessary and prescribed by a healthcare professional. However, coverage may vary depending on the specific device and individual circumstances.

Answered by Fred Manas on May 4, 2025

Agent Licensed in NY, CT, DC & 7 other states

Answered by Fred Manas Medicare Insurance Agent

Sam Silva · Answer

Yes, Medicare can cover wearable medical devices for chronic conditions, such as:

Insulin pumps: Covered under Part B if medically necessary for managing diabetes.

Seizure monitors: May be covered if prescribed by a doctor and deemed medically necessary for managing epilepsy or seizures.

You may need to meet specific criteria, and coverage might depend on the device's use and how it's prescribed.

Angelique Solomon · Answer

Yes, Medicare may cover wearable medical devices like insulin pumps and seizure monitors if they are deemed medically necessary and prescribed by a doctor. Coverage typically falls under Part B (Durable Medical Equipment). Always check if the device is approved and the supplier is Medicare-certified.

Answered by Angelique Solomon on May 5, 2025

Broker Licensed in AL, FL, GA & 5 other states

Answered by Angelique Solomon Medicare Insurance Agent

Rhonda Byers · Answer

Medicare does cover some of these items, usually at a 20% coinsurance for the client. Many of the Medicare Advantage plans companies will also supply these items.

Can Medicare cover wearable medical devices like insulin pumps or seizure monitors for chronic conditions?

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Can Medicare cover wearable medical devices like insulin pumps or seizure monitors for chronic conditions?

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Seniors: Ask a Question of Your Own

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Medicare Agents HubA non-government resource website

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A non-government resource website