Does Medicare cover bathroom equipment?
Medicare covers bathroom equipment only when it is medically necessary. Only a limited selection of bathroom equipment qualifies for Medicare Part B durable medical equipment coverage, and deductibles and coinsurance both apply. You may have Medicare coverage for bathroom safety devices if you have a Medicare Advantage plan.
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UPDATED: Jan 20, 2021
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- Medicare covers only bathroom equipment that is medically necessary
- Part B durable medical equipment coverage will pay for a limited selection of equipment
- You will have to pay your deductible and coinsurance for Part B
Does Medicare cover bathroom equipment? Medicare will cover a limited selection of bathroom equipment as long as your doctor deems it medically necessary. The Medicare Part B durable medical equipment coverage pays for qualifying equipment, but you will be responsible for your Part B deductible and coinsurance. A Medicare Supplement can help to pay these expenses.
If you have a Medicare Advantage plan, you may have additional coverage for some bathroom equipment. Like other health insurance plans, Medicare Advantage covers some over-the-counter needs, which can include bathroom safety equipment.
To compare rates and find a Medicare Advantage plan to cover bathroom equipment, enter your ZIP code now.
What coverage for bathroom equipment does Medicare provide?
Original Medicare has some coverage for bathroom equipment under the Part B durable medical equipment coverage. The coverage is limited only to items that are considered medically necessary, such as commode chairs. You will need a doctor to confirm the medical necessity. Medicare doesn’t cover bathroom safety equipment or any equipment that is considered to be for comfort or convenience.
Medicare doesn’t cover raised toilet seats, shower chairs, walk-in showers, or any bathroom renovations or adjustments.
If you have a Medicare Advantage plan, you may have some coverage for over-the-counter medical supplies, which can include things like shower chairs. Check with your provider to find out what your plan covers.
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What does bathroom equipment cost with Medicare?
If your bathroom equipment is covered by Medicare, you will be responsible for the Part B deductible as well as a 20 percent health care coinsurance on the approved cost of the equipment. If you have a Medicare Supplement plan, both the deductible and the coinsurance may be covered, depending on the plan.
Out-of-pocket costs for bathroom equipment with a Medicare Advantage plan will vary depending on the plan. Since these plans are offered by private insurers, the deductible and any coinsurance differ greatly.
Speak with your Medicare Advantage provider to find out what you will have to pay,
Does Medicare cover bathroom equipment? The Bottom Line
Medicare does have limited coverage for bathroom equipment that is considered to be medically necessary. Items considered to be for comfort or convenience are not covered. Medicare Advantage plans may offer additional coverage over Original Medicare.
To compare your Medicare Advantage options for bathroom equipment coverage, enter your ZIP code below.