Does Medicare Cover Blood Pressure Monitors?

Medicare does not typically cover blood pressure monitors, except for in limited instances. Medicare Advantage plans also don’t typically cover blood pressure monitors, but many MA plans cover prescription drugs as well as other medical and hospital benefits.

Part B of Original Medicare may cover a blood pressure monitor if your doctor recommends an ambulatory blood monitoring device (ABPM), or if you're undergoing renal dialysis at home. Otherwise, Original Medicare will not typically cover a blood pressure monitor.

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

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

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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 2022, the Medicare Part B deductible is $233 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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Christian

About the author

Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.

Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.

Christian has written hundreds of articles for MedicareAvantage.com that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.

Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.

A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism.

If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at Mike@tzhealthmedia.com.

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