Education Center
What Medicare covers, what it costs, and how we handle the rules.
Medicare Part B helps pay for durable medical equipment that's medically necessary for use in the home — walkers, wheelchairs, hospital beds, and more. Coverage depends on your diagnosis, your documentation, and the item meeting Medicare's rules.
Medicare requires a treating provider's order plus chart notes showing why you need the item. Some items have extra rules (an in-person exam within a set window, a specific form, or prior authorization). Our smart order form asks the right questions for each item.
For covered items, Medicare typically pays 80% of the approved amount after your deductible; you owe the other 20%. If you have a secondary or supplemental plan, we bill it for that 20% — often leaving little to nothing out of pocket.
Some items (such as adult incontinence supplies) aren't covered by Medicare and are simple private-pay purchases. We'll always tell you up front.
For the official rules, see the CGS Medicare DME coverage page.
This page is general information, not medical advice. Talk to your healthcare provider about your specific situation. Medicare coverage depends on medical necessity and documentation and is not guaranteed.
