Why Insurance and Medicare Don’t Pay for Portable Oxygen Concentrators

Portable Oxygen Concentrators have become increasingly popular among people who require supplemental oxygen. These devices are lightweight, battery- powered, and allow users to travel, socialize and live more independently. Given these advantages, many patients are surprised to learn that Medicare and most private insurance plans do not cover portable oxygen concentrators. 

Why is This? 

The answer lies in how oxygen therapy is classified, regulated, and reimbursed in the U.S healthcare system. 

Why Concentrators are Treated Differently 

While POC's provide oxygen just like stationary units, Medicare usually considers them non-essential or convenience equipment rather than a medical necessity.

Portable Oxygen Concentrators are often viewed as enhancing quality of life rather than being essential to treatment. Medicare rules generally do not cover upgrades that improve convenience portability or comfort unless they are medically required. 

The biggest reason why Medicare doesn't cover POC's is because that would substantially increase program costs. Because Medicare operates under strict cost containment rules it limits coverage to the most economical option that meets basic medical needs. 

How You Keep Your Freedom 

Portable Oxygen Concentrators give patients immense freedom, mobility and independence. These devices allow users to maintain active lifestyles, by replacing heavy oxygen tanks with lightweight, rechargeable devices that provide oxygen anywhere. Improving quality of life, better sleep and ability to travel when you want to. The advanced technology of the Portable Oxygen Concentrators provide discreet, quiet operation 24/7. Making them more convenient and safer than traditional systems. 

What Options Do You Have? 

While insurance coverage is limited, You still have plenty choices to choose from: 

• Out of pocket purchase of a Portable Oxygen Concentrator 
• Financing plans offered 
• Used or refurbished units at a lower cost
  

For many patients a POC becomes an investment in independence rather than a covered medical expense. 

In conclusion Medicare and most insurance plans don't typically pay for portable oxygen concentrators because: 

• You must prove you need oxygen outside the home and meet specific blood gas test criteria, which many patients don't qualify for
• They Classify POC's as convenience or lifestyle devices 
• Operate under strict cost and reimbursement limitations 
• Rely on supplier models that don't support higher cost equipment 

While this reality can be frustrating it is important that you know the reasoning behind the policies to make informed decisions with your oxygen care. On The Go Portable Oxygen has helped hundreds of patients get the POC that fits them best whether it is through, out of pocket expenses, financing programs and used and refurbished Units. 

Call our specialists today to get a quote! 855-695-6036