What Does Medicare Assignment Mean?
Medicare assignment means a doctor, provider or supplier agrees to accept the Medicare-approved amount as full payment for a covered service.
Medicare Part B covers medically necessary durable medical equipment, or DME, when prescribed for use in your home and Medicare’s requirements are met.
Covered equipment can include:
After the Part B deductible, you generally pay 20% of the Medicare-approved amount when the supplier accepts assignment.
What Is Durable Medical Equipment?
Medicare generally defines DME as equipment that:
Examples include:
Coverage depends on medical necessity and Medicare rules.
Your doctor or other qualifying healthcare provider generally must prescribe the equipment for use in your home.
Simply purchasing a wheelchair or medical device on your own doesn’t automatically make it Medicare-covered.
Make sure:
Your supplier is enrolled in Medicare
and ask:
“Do you accept Medicare assignment?”
If a participating supplier accepts assignment, after the deductible you generally owe:
20% of the Medicare-approved amount.
A non-participating supplier who doesn’t accept assignment may create substantially higher costs.
Depending on the equipment, Medicare may:
Rules vary by item.
Yes.
For Medicare-approved Part B DME, Medigap may help cover the applicable Part B coinsurance according to the plan’s standardized benefits.
For example, Plan G generally covers applicable Part B coinsurance after the Part B deductible has been satisfied.
Does Medicare Pay for Walkers, Wheelchairs and Medical Equipment?
The biggest mistake I see with medical equipment is someone purchasing it first and asking Medicare about coverage afterward.
Before spending the money, verify three things:
Is the equipment Medicare-covered?
Did your doctor properly order it?
and:
Is the supplier enrolled in Medicare and accepting assignment?
Those three questions can save you a lot of frustration.
Medicare assignment means a doctor, provider or supplier agrees to accept the Medicare-approved amount as full payment for a covered service.
Medicare Part B covers a wide range of preventive services designed to find health problems early and help prevent disease.