Does Medicare cover bedside commodes?
Medicare covers bedside commodes when they are medically necessary and purchased from a Medicare-approved durable medical equipment supplier. The cost of a commode chair with Medicare is 20% coinsurance after your Part B deductible. Medicare Supplement insurance can help to pay the out-of-pocket costs of a bedside commode with Medicare coverage. Medicare Advantage will cover a commode chair, and out-of-pocket costs will vary.
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UPDATED: Jan 20, 2021
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- Medicare covers medically necessary bedside commodes
- Commodes fall under Part B and are subject to deductibles and coinsurance amounts
- A Medicare Supplement plan can cover some or all of the out-of-pocket costs
Does Medicare cover bedside commodes? Yes, as long as the commode is determined to be medically necessary. You will have to pay your Medicare Part B deductible as well as the 20 percent coinsurance for durable medical equipment. If you have Medicare Supplement insurance, you may not have to pay anything out of pocket. Coverage and out-of-pocket costs with a Medicare Advantage health insurance plan will vary.
If you’d like to compare rates for Medicare Supplement insurance to help cover a bedside commode, enter your ZIP code now.
What commode chair coverage is available with Medicare?
If you have Original Medicare, the commode chairs coverage is 80 percent under the durable medical equipment (DME) section of Medicare Part B. The chair is covered only if deemed medically necessary by a Medicare-approved doctor and purchased from a supplier that is enrolled in the Medicare program.
If you have Medicare Advantage, a bedside commode will be covered, but the coverage level will vary by company. Medicare Advantage providers are private health insurance companies and while they follow Medicare’s rules, some may provide additional coverage for an added premium.
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What is the cost of a bedside commode with Medicare?
You will have to pay both your Medicare Part B deductible and the 20 percent durable medical equipment health care coinsurance amount under Original Medicare coverage. What the total out-of-pocket cost will be depends on how much of your deductible remains to be paid and the total cost of the chair.
Medicare Supplement insurance plans are designed to pay for out-of-pocket expenses that are not covered by Medicare. There are several levels of coverage available, so the plan you have selected will determine how much you wind up paying if anything.
Medicare Advantage plans, as mentioned above, vary in terms of coverage levels. To find out your out-of-pocket cost for a commode chair, contact your Medicare Advantage provider.
Does Medicare cover bedside commodes? The Bottom Line
Medicare does cover beside commodes as long as it is medically necessary and purchased from a Medicare-approved DME supplier. You will have some out-of-pocket costs unless you have a Medicare Supplement plan or your Medicare Advantage plan covers it in full.
To compare your options for a Medicare-covered commode chair, including Medicare Advantage plans, enter your ZIP code today.