Hyperbaric oxygen therapy
Medicare Coverage Information
Overview
Medicare provides coverage for hyperbaric oxygen therapy (HBOT) for specific medical conditions when deemed medically necessary. The treatment must be prescribed by a physician and performed in an approved healthcare facility.
- Covered for specific approved medical conditions
- Requires physician documentation of medical necessity
- Must be performed in a hospital or approved outpatient setting
- Typically requires prior authorization from Medicare
- Medicare Part B beneficiaries
- Patients with qualifying medical conditions
- Treatment must be recommended by a licensed physician
- Part B typically covers 80% of approved costs after meeting annual deductible
- Patients responsible for remaining 20% coinsurance
- Costs may vary depending on specific treatment and facility
- Limited to specific FDA-approved medical conditions
- Requires documented medical necessity
- Not covered for experimental or cosmetic treatments
- Must be performed by Medicare-approved providers
- Consult with your healthcare provider about medical necessity
- Verify coverage with your specific Medicare plan
- Obtain detailed documentation from your physician
- Contact Medicare directly to confirm coverage details
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicarehyperbaric oxygen therapymedical treatmentwound healingoxygen treatment
Related Coverage Topics
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