Suction pumps
Medicare Coverage Information
Overview
Medicare may cover suction pumps as durable medical equipment (DME) when prescribed as medically necessary by a healthcare provider. Coverage typically requires the device to be used in a home setting for a specific medical condition.
- Suction pumps must be prescribed by a Medicare-enrolled physician
- Considered durable medical equipment (DME) under Medicare Part B
- Requires documentation of medical necessity
- Must be used for a qualifying medical condition
- Typically covered at 80% after meeting Part B deductible
- Medicare Part B beneficiaries
- Patients with a documented medical need for a suction pump
- Must obtain device from Medicare-approved suppliers
- Requires prescription from a Medicare-enrolled healthcare provider
- Beneficiary pays 20% coinsurance after meeting Part B deductible
- Medicare-approved suppliers must be used for full coverage
- Total out-of-pocket costs vary depending on specific device and medical need
- Must be deemed medically necessary by a healthcare provider
- Requires documentation and physician certification
- Coverage may differ between Original Medicare and Medicare Advantage plans
- Replacement or repair costs have specific guidelines
- Consult with your healthcare provider about medical necessity
- Get a detailed prescription specifying the suction pump requirement
- Verify coverage with your specific Medicare plan
- Contact Medicare at 1-800-MEDICARE for detailed coverage information
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare suction pumpsdurable medical equipmentMedicare DME coveragemedical suction devicesMedicare medical supplies
Related Coverage Topics
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