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Insurance reimbursement & Medicare

MAC & Bronchiectasis | Last Active: Feb 17 8:48pm | Replies (16)

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@sueinmn

@cwal In general, I believe you are correct, but some of them tell me if I have an Rx, they will provide me with what I need to file a claim. However, my nebulizer supplies are so cheap at some places that they are less than my copay would be at an "authorized" vendor. Like getting my neb cups and tubing from Just Nebulizers. Also, for "durable" medical equipment, my Medicare + supplement only pay for the most basic of equipment. If I want a portable or mesh unit, I have to pay out of pocket.
Sue

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Replies to "@cwal In general, I believe you are correct, but some of them tell me if I..."

I think you are probably correct in that Medicare will only pay for the most basic equipment. It's always been that way. Thus, we end up paying out of pocket for what we really need. I am doubtful that even if we have an Rx that Medicare will pay since what we really need is more than what they deem to be adequate for the job. But hey, other than that, I have great insurance and I am thankful I have it. So many are not this fortunate.

Sue, which portable nebulizer/compressor did you say you have preferred in recent years?
Also, what is a mesh unit??
Thanks.