Are Paradigm Pump Supplies Covered Under Medicare?


Quick Answer

Medicare Part B covers Paradigm insulin pump supplies as durable medical equipment, which is any medically necessary item that doctors prescribe for patient use at home, notes CSS Medical. The type of equipment patients use determines the way Medicare pays for it.

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Full Answer

Medicare Part B covers external infusion pump supplies, explains Medicare.gov. However, physicians and suppliers must enroll in Medicare in order to make claims. When durable medical equipment suppliers participate, patients pay 20 percent of the cost that Medicare approves, and Medicare applies the Part B deductibles.

The Medicare Competitive Bidding Program in effect in nine areas of the country includes insulin pumps and pump supplies, according to the American Diabetes Association. Medicare generally requires beneficiaries with original Medicare in the nine areas to use Medicare contract suppliers for Medicare to assist with payment.

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