Home medical equipment cost can be covered by Medicare if properly defined.

With costs of even the most common home medical equipment going ever higher, the need for financial support from Medicare grows more critical. This increased cost of home medical equipment forces elderly persons to understand the rules governing what is covered by Medicare and these are often confusing.

Firstly, items must meet the definition of "durable home medical equipment." Durable home medical equipment (1) can withstand repeated use, (2) is primarily and customarily used to serve a medical purpose, (3) generally is not useful to a person in the absence of illness or injury, and (4) is appropriate for use in the home. Second, nearly all new types of durable medical equipment are subjected to the reasonableness test as follows: (1) Would the expense of the item to the program be clearly disproportionate to the therapeutic benefits which could ordinarily be derived from use of the equipment? (2) Is the item substantially more costly than a medically appropriate and realistically feasible alternative pattern of care? (3) Does the item serve essentially the same purpose as equipment already available to the beneficiary?

Lack of awareness of the restrictions governing coverage of durable home medical equipment can cost the elderly person thousands of dollars . Consumers, attorneys, and providers of durable home medical equipment should be aware of these restrictions as they can result in different purchasing plans for the elderly consumer.

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