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Does Medicare Cover Medical Alert Systems?

September 27, 2023

Does Medicare Cover Medical Alert Systems?

Falling and not having anyone to help you can be an extremely scary experience. Being able to call for help can give both you and your family greater peace of mind.


If Medicare is your primary insurance coverage, you might wonder, “Does Medicare cover the cost of medical alert systems?” You’ve probably heard that Medicare covers durable medical equipment and wonder if an alert system qualifies.


This guide will help you understand if Medicare covers medical alert systems and how to make the most of your insurance coverage.


Let’s get started!

Does Medicare Pay for Medical Alert Systems?

Original Medicare helps pay the cost of durable medical equipment (DME). DME is equipment specifically needed for a medical condition, not convenience items.

There are specific requirements for what durable medical equipment is, such as:

  • Is used only for a medical reason
  • Is used in the patient’s home
  • Can be used repeatedly
  • Is expected to last 3 years or longer
  • Is not useful to people who are not sick or injured

Unfortunately, a medical alert system does not qualify as durable medical equipment under Original Medicare. 

 

However, if you have a Medicare Advantage plan, you can ask to see if they provide coverage. Some Advantage plans offer additional benefits that Original Medicare does not, so it’s worth finding out!

Does Medicare Part B Cover Medical Alert Systems?

If you get durable medical equipment, such as a CPAP machine for a sleep apnea diagnosis, the coverage comes from Original Medicare Part B. As a result, you might think you can get a medical alert system through Part B.

 

Because a medical alert system does not qualify as durable medical equipment, however, you will not be able to get coverage through Medicare Part B.

 

Will Medicare Pay for a Medical Alert Device?

There are a lot of different medical alert systems on the market, and some Medicare beneficiaries wonder if that makes any difference. Does Medicare pay for any medical alert systems at all?
 

Original Medicare does not pay for any medical alert systems because they do not qualify as DME. However, if you have a Medicare Advantage plan, there could be different rules. That’s why it’s important, if you have a Medicare Advantage plan, to check with your insurer.

 

When choosing the right Medicare plan for your needs, looking at additional benefits from Medicare Advantage plans is one of the factors to consider, and it could pay off if you need a medical alert system.

 

Contact Us to Learn More About Medicare and Medical Alert Devices

Understanding what Medicare considers to be durable medical equipment — and what they don’t — is a big part of knowing how to make the most of your insurance coverage. You can also use the various benefits offered by different plans to help you decide on the best plan for your situation.


If you’d like help understanding Medicare coverage or comparing Medicare Advantage plans, we’re here to help. Contact us today!

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