Common use of Durable Medical Equipment (DME Clause in Contracts

Durable Medical Equipment (DME. a. Coverage includes purchase or rental, when Medically Necessary, of such DME that: i. can withstand repeated use (i.e. could normally be rented and used by successive patients); ii. is primarily and customarily used to serve a medical purpose; iii. generally is not useful to a person in the absence of illness or injury; and iv. is appropriate for use in a Member’s home. b. Some examples of DME are: standard hospital beds, crutches, canes, walkers, wheelchairs, oxygen, respiratory equipment, apnea monitors and insulin pumps. DME does not include hearing aids or corrective lenses, dental devices, or the professional fees for fitting same. It also does not include medical supplies and devices, such as a corset, which do not require prescriptions. AvMed will pay for rental of equipment up to the purchase price. c. The determination of whether a covered item will be paid under the DME, orthotics or prosthetics benefits will be based upon its classification as defined by the Centers for Medicare and Medicaid Services.

Durable Medical Equipment (DME. a. Coverage includes purchase or rental, when Medically Necessary, of such DME that: i. can withstand repeated use (i.e. could normally be rented and used by successive patients); ii. is primarily and customarily used to serve a medical purpose; iii. generally is not useful to a person in the absence of illness or injury; and iv. is appropriate for use in a Member’s home. b. Some examples of DME are: standard hospital beds, crutches, canes, walkers, wheelchairs, oxygen, respiratory equipment, apnea monitors and insulin pumps. DME does not include hearing aids or corrective lenses, dental devices, or the professional fees fee for fitting same. It also does not include medical supplies and devices, such as a corset, which do not require prescriptions. AvMed will pay for rental of equipment up to the purchase price. c. The determination of whether a covered item will be paid under the DME, orthotics or prosthetics benefits will be based upon its classification as defined by the Centers for Medicare and Medicaid Services.

Durable Medical Equipment (DME. a. Coverage includes purchase or rental, rental when Medically Necessary, of such DME that: i. can withstand repeated use (i.e. could normally be rented and used by successive patients); ii. is primarily and customarily used to serve a medical purpose; iii. generally is not useful to a person in the absence of illness or injury; and iv. is appropriate for use in a Member’s home. b. Some examples of DME are: standard hospital beds, crutches, canes, walkers, wheelchairs, oxygen, respiratory equipment, apnea monitors and insulin pumps. DME does not include hearing aids or corrective lenses, dental devices, or the professional fees fee for fitting same. It also does not include medical supplies and devices, such as a corset, which do not require prescriptions. AvMed will pay for rental of equipment up to the purchase price. c. The determination of whether a covered item will be paid under the DME, orthotics or prosthetics benefits will be based upon its classification as defined by the Centers for Medicare and Medicaid Services.