Infusion pumps & supplies
Medicare Coverage Information
Overview
Medicare provides coverage for medically necessary infusion pumps and related supplies under Part B durable medical equipment (DME) benefits. Patients must meet specific medical requirements and obtain equipment from Medicare-approved suppliers.
- Covered under Medicare Part B as durable medical equipment
- Requires physician prescription and medical necessity documentation
- Covers both stationary and portable infusion pump systems
- Includes necessary supplies and medications administered through the pump
- Beneficiaries typically pay 20% of Medicare-approved costs after meeting Part B deductible
- Medicare Part B beneficiaries
- Patients with documented medical need for infusion therapy
- Individuals with chronic conditions requiring continuous medication delivery
- 20% coinsurance after meeting annual Part B deductible
- Medicare-approved suppliers must be used for coverage
- Costs may vary based on specific pump type and medical necessity
- Must be prescribed by a Medicare-enrolled physician
- Requires documentation of medical necessity
- Some specialized or experimental pumps may not be covered
- Coverage limited to medically required equipment and supplies
- Consult with your healthcare provider about medical necessity
- Get a detailed prescription and documentation
- Verify coverage with Medicare-approved medical equipment supplier
- Contact Medicare at 1-800-MEDICARE for specific coverage questions
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare infusion pumpsdurable medical equipmentmedical supplies coverageMedicare Part Binfusion therapy
Related Coverage Topics
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