Medicare Part B Qualification Required to Obtain DME Services

Medical insurance (Part B) helps pay for medically necessary services by a physician, outpatient hospital services, home health care, and a number of other medical services and supplies not covered by Part A, including Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). To qualify for DME services, a beneficiary must be enrolled in Medicare Part B. From the Eligibility tab on the Noridian Medicare Portal (NMP), suppliers can verify if the beneficiary is eligible for Part B, the deductible year, the remaining deductible and the base deductible amount. Also viewable is the beneficiary’s address that is on file with the Social Security Administration. This is critical to verify billing to the correct Medicare jurisdiction particularly for beneficiaries who may be living temporarily away from home. Find additional information on the Eligibility Benefits page in the NMP Inquiry Guide.

 

Last Updated Jun 23 , 2021