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sharonednaramsey avatar

Aerobika and Medicare

MAC & Bronchiectasis | Last Active: 7 hours ago | Replies (6)

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Profile picture for Sue, Volunteer Mentor @sueinmn

@sharonednaramsey, My doctor gives these to me twice a year and bills Medicare and my insurance. I have traditional Medicare A & B with a Medigap supplement, the rules very if you have Medicare Advantage. Several months later, I get a bill for the 20% of the cost not covered, usually around $12.00. When I accidentally destroyed one, the clinic mailed one to me, and the same occurred.

If your pulmonologist doesn't have the device, you will need to get a prescription, use a Medicare approved vendor either locally or on-line (ask and they will tell you) then submit the bill to Medicare and your insurer yourself if the vendor doesn't offer that service.

As for compressors and nebulizer supplies, the compressors are considered durable medical equipment. Only the most basic tabletop compressors are covered. The hand-held devices like the Pari Flow eRapid are only covered if REQUIRED for dispensing certain drugs. We tried, but it came out of our FSA $$$ because Medicare said no.

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Replies to "@sharonednaramsey, My doctor gives these to me twice a year and bills Medicare and my insurance...."

@sueinmn my Dr doesn’t have these but he’s written the order for it. I have original Medicare and a supplement also. Two people I spoke to at Medicare said they were covered and the last one only if that diagnosis was one of 5 conditions including restrictive pulmonary disease or something like COPD. I have Bronchiestasis. Do you have any clue what diagnosis your Dr lists ?