Does Medicare Cover Blood Pressure Monitors?

Original Medicare (Part A and Part B) typically does not cover adult diapers or incontinence pads for use outside of nursing homes. With Original Medicare coverage, you will typically pay the full price of adult diapers and incontinence supplies out of pocket.

Some Medicare Advantage (Part C) plans may give an allowance for certain over-the-counter (OTC) items, which may include adult diapers in some cases.

A home health care nurse uses a blood pressure cuff monitor with her patient

What blood pressure monitoring equipment does Medicare pay for?

Medicare Part B medical insurance may sometimes cover blood pressure monitors if:

  • You are undergoing renal dialysis at home

  • Your doctor recommends an ambulatory blood monitoring device (ABPM).

    An ABPM is a non-invasive monitor that measures your blood pressure in 24-hour cycles and stores the measurements in the device. An ABPM is only covered by Medicare if your doctor determines that you have suspected white coat hypertension (high blood pressure induced by anxiety or stress from visiting a doctor’s office or hospital).

We recommend that you speak with your doctor directly to learn more about blood pressure monitors and whether or not they are recommended for your use.

How much does a blood pressure monitor cost with Medicare?

Even if Medicare covers your blood pressure monitor, there are some out-of-pocket costs you should expect to pay, which may include:

  • Part B deductible
    In 2019, the Medicare Part B deductible is $185 per year.

  • Part B coinsurance or copayment
    Once you meet your Medicare deductible, you will usually pay 20 percent of the Medicare-approved amount for many doctor’s services.

There is no annual limit on how much you could pay for the Part B coinsurance in a given year.

Medicare Advantage plans can cover some of your health care costs

Medicare Advantage plans are an alternative to Original Medicare, and they are required to cover everything that Part A and Part B covers.

If your blood pressure monitor is covered by Original Medicare, it will also be covered by a Medicare Advantage plan.

Most Medicare Advantage plans also cover prescription drugs, which are not typically covered by Original Medicare.

Some Medicare Advantage plans also offer additional benefits, such as health and wellness programs and free gym memberships.

A licensed insurance agent can help you learn more about Medicare Advantage plans and find plans in your area that can help cover your healthy lifestyle.

 

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