Is medical alert monitoring covered by Medicare?

Yes, medical alert monitoring may be covered by Medicare under certain circumstances.

Medicare Part B (Medical Insurance) may cover medical alert monitoring services if they are considered medically necessary and prescribed by a doctor. To be eligible for coverage, the following conditions must be met:

1. Medical Necessity: The medical alert monitoring must be deemed medically necessary to diagnose, treat, or manage a specific medical condition. This means it must be essential for your health and well-being and not solely for convenience or peace of mind.

2. Physician's Prescription: A doctor must prescribe the medical alert monitoring service in writing. The prescription should include information about your medical condition, how the service will benefit you, and the specific features/components of the system that are medically necessary.

3. Ordering Physician and/or Supplier: The medical alert monitoring must be provided by a Medicare-approved supplier and ordered by a Medicare-enrolled physician or other qualified healthcare professional.

Coverage typically includes the rental or purchase of the medical alert device (such as a wearable pendant or wristband with an emergency call button), monthly monitoring fees, and emergency response services. However, deductibles, copays, and coinsurance may apply.

It's important to note that Medicare coverage for medical alert monitoring can vary, and specific coverage details may depend on your individual circumstances and the policies set by your Medicare Advantage plan or Medicare Supplement Insurance (Medigap) policy. Therefore, it's always best to confirm coverage and costs with your healthcare provider, Medicare plan, or Medicare supplement insurance provider.