Does Medicare cover blood pressure cuff and monitors?
Looking for answers about whether Medicare covers blood pressure cuffs and monitors? Medicare's coverage for blood pressure cuffs and monitors is not very straightforward. Under certain circumstances, Medicare Part B will cover up to 80% of the costs that are associated with renting an ambulatory blood pressure monitor (ABPM) and 80% for a manual blood pressure monitor with a stethoscope. We will explain under what circumstances Medicare might cover a portion of the costs for blood pressure cuffs and monitors below.
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UPDATED: Jan 20, 2021
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- Medicare will only cover a portion of the costs of blood pressure cuffs and monitors if you meet specific requirements.
- If you exhibit signs of having white coat hypertension, or if you exhibit signs of having masked hypertension, then Medicare will cover the costs.
- Additionally, Medicare will only cover two types of monitors: a manual blood pressure monitor with stethoscope, or an ambulatory blood pressure monitoring (ABPM) device.
Having a blood pressure monitor for use at home is medically necessary for many Americans. Because of this need, Medicare does cover a portion of the costs of renting a blood pressure monitor.
Medicare does not cover the entire cost of renting the medical devices, even if you meet the requirements. Because of this, having good health insurance can really benefit you in many ways.
To get affordable healthcare insurance rates in your area, give our free insurance quote tool a try. This rate comparison tool is easy and free to use, all you have to do is enter your ZIP code to get started.
Does Medicare cover blood pressure monitors?
Medicare Part B will cover up to 80% of costs associated with renting an ambulatory blood pressure monitor (ABPM), and 80% for a manual blood pressure monitor with a stethoscope. According to Medicare.gov, to cover this portion of the costs you will need to prove that the in-home use of a monitor is medically necessary.
If you have a Medicare Advantage plan through your health insurance provider, then you should talk with your insurance provider and see if the plan that you are enrolled in covers blood pressure cuffs.
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When will medicare cover an ambulatory blood pressure monitor?
Medicare will cover a portion of the cost of renting an ABPM if you meet one of the following requirements on your medical blood pressure chart. Meeting these requirements help to determine if in-home use is medically necessary.
What is whitecoat syndrome?
Whitecoat syndrome is when a patient’s blood pressure readings are high when being checked by a doctor or healthcare worker, but are normal at other times. These spikes in blood pressure are usually due to anxiety such as being in a clinical setting.
What is masked hypertension?
Masked hypertension is the opposite of white coat syndrome. If a patient’s blood pressure is suspected to be high at normal times throughout the day, but are showing normal ranges when being tested in a clinical setting, then masked hypertension needs to be ruled out.
What does Medicare cover for different types of blood pressure monitors?
Medicare will cover a portion of the cost of using a blood pressure monitor at home. We will cover how much you can expect Medicare to cover for the in-home use of the two types of blood pressure monitors below:
Is blood pressure cuff replacement covered by Medicare?
Medicare can cover the costs of replacing your blood pressure cuffs because blood pressure cuffs are what are known as “durable medical equipment” because they are not single-use. To begin with, the rental of a manual blood pressure monitor, or an ABPM, should come with a blood pressure cuff.
Does Medicare cover manual blood pressure monitors?
Medicare will not cover the cost of manual blood pressure monitors and blood pressure cuffs, except for in one situation. Medicare will cover up to 80% of the costs associated with these devices for patients that are undergoing dialysis at home.
Does Medicare cover ambulatory blood pressure monitors?
Medicare will only cover the cost of renting an ambulatory blood pressure monitor if you meet the required criteria. The amount that Medicare will cover is up to 80% of the costs.
Paying the cost for at-home medical equipment can be prohibitive if it is not fully covered under Medicare. Thankfully, many healthcare insurance providers offer what is known as Medicare Advantage plans which can help cover some costs.
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