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What you Need to Know about Medicare's Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program
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What is the DMEPOS Competitive Bidding Program?
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Who will be affected by this program, and in what areas?
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After The Program Starts, Do I Have To Get Any New Supplies Or Equipment That I Need From A Medicare Contract Supplier?
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Do I have to change suppliers if I am already renting equipment from a supplier that isn't a Medicare contract supplier?
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What about medical equipment and supplies I get from my doctor or hospital?
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Am I affected if I'm in a Medicare Advantage Plan?
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Do I have to change doctors?
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What if I need a specific brand of item or supply?
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Do I have to get my diabetic supplies by mail order for Medicare to cover them?
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What If I Travel To One Of The Areas Included In This Program And Need To Get Medical Equipment Or Supplies?
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If I travel to one of the areas in this program, will I pay the same amount I pay at home?
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How Does Medicare Pay For Equipment Or Supplies If I Have Other Insurance?
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Where Can I Get More Information About The DMEPOS Competitive Bidding Program?
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When are more areas of the country going to benefit from Medicare's Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program?
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If I live in one of the 91 areas, when will I need to start getting my supplies from a Medicare contract supplier?
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How do I know if my equipment or supplies will be included in the second round of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program?
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How do I know if I live in one of the 91 areas for the second round of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program?
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Information about the Medicare Durable Medical
Equipment, Prosthetics, Orthotics, and Supplies
(DMEPOS) Competitive Bidding Program
Starting January 1, 2011, Medicare is phasing in a new competitive
bidding program in some areas of the country. This program will change
the way Medicare pays suppliers for certain durable medical equipment,
prosthetics, orthotics and supplies (DMEPOS) and make changes to who
can supply these items.
If you have Original Medicare and you live in (or get the items while visiting) one of these areas and use
equipment or supplies included in the program, you will almost always have to use
Medicare contract suppliers (suppliers who participate in the competitive
bidding program because they have met Medicare quality and financial
standards and they had successful bids) if you want Medicare to help
you pay for the item. If you rent oxygen or certain other durable medical
equipment, and your current supplier isn't a contract supplier, you may be able to continue renting these items from your
current supplier when the program takes effect, if the supplier decides
to participate in the program as a “grandfathered” supplier. If you live in
(or get these items while visiting) these areas and don't use a Medicare
contract supplier or a grandfathered supplier, Medicare usually won't pay for the item
and you will likely pay full price. It’s important to know if you’re affected
by this new program to make sure your item is covered and to avoid any
disruption of service.
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