Medicare Coverage of Blood Pressure Monitor


What It Is

A blood pressure monitor ("cuff") or an ambulatory blood pressure monitoring (ABPM) device, for use at home by a patient

What's Covered

Blood pressure monitors for use at home aren't covered by Medicare, with two exceptions:

  • A blood pressure monitor and stethoscope for a patient receiving blood dialysis (hemodialysis or peritoneal dialysis) in the home

  • An ambulatory blood pressure monitoring (ABPM) device, which takes and stores blood pressure readings in 24-hour cycles, for a patient who, a physician believes, has "white coat hypertension" (artificially high blood pressure readings when taken in a doctor's office) based on repeated in-office and out-of-office testing

If covered, Medicare Part B pays for the rental of the blood pressure monitoring device. The monitor must be rented from a Medicare-certified medical equipment supplier.

If you have a Medicare Part C Medicare Advantage plan: Medicare Part C Medicare Advantage plans, also called Medicare Advantage plans, must cover everything that's included in original Medicare Part A and Part B coverage. But sometimes a Part C plan covers more, with extra services or an expanded amount of coverage. (Co-payments for Part C plans may also be different than those for Part A or Part B.) To find out whether your plan provides extra coverage or requires different co-payments for a blood pressure monitor, contact the plan directly.

What Medicare Pays

Medicare Part B pays 80 percent of the Medicare-approved amount for rental of a covered blood pressure monitoring device; the patient is responsible for the remaining 20 percent.

Warning: If a blood pressure monitor is rented from what's called a Medicare "participating supplier," the supplier can't charge more than the Medicare-approved amount. However, a supplier who's enrolled in Medicare but isn't an officially participating supplier may charge more than the Medicare-approved amount. In that case, the patient must personally pay the difference between the Medicare-approved amount and the amount the supplier actually charges (on top of the 20 percent of the Medicare-approved amount that Medicare doesn't pay).

Important: Regardless of the rules regarding any particular type of care or equipment, in order for Medicare Part A, Medicare Part B, or a Medicare Part C plan to provide coverage, the care or equipment must meet two basic requirements:

  • The care or equipment must be "medically necessary." This means that it must be ordered or prescribed by a licensed physician or other authorized medical provider, and that Medicare (or a Medicare Part C plan) agrees that the care or equipment is necessary and proper. For help getting your care covered, see FAQ: How Can I Increase the Odds That Medicare Will Cover My Medical Service?

  • The care or equipment must be provided by a healthcare provider or equipment supplier who participates in Medicare.

Was this medicareinformation helpful?

6 Comments So Far. Add Your Wisdom.

Anonymous said 19 days ago

what if you have medicade and medicare what type of machine can i get i am on dialylsis for renal failure 3 times a week along with a low tc count because of the virus and have copd along with gastric problems a anurisum in my head and bad bone narrow please advice asap


Anonymous said 9 months ago

My doctor gave me a prescription for a BP monitor because I have borderline high BP and he wants me to check it multiple times a day. Neither Medicare nor my supplemental policy will cover it. I doesn't make sense to me.


11 months ago

I have long term advantage where do I go to order?


Anonymous said 11 months ago

It seems to me MC could save money by covering a one time item than rentung each month.


Anonymous said over 1 year ago

i have medicare part A and B ,drug presciption plan{humana}. i want to know is it medicare covers blood pressure monitoring machine


over 1 year ago

Thanks for giving information about Blood Pressure Monitor products. Your blog is very appreciable is a global leading manufacturer of healthcare equipment. Healthgenie is an online shopping store and it provides wide ranges of personal care, elderly care, baby care, beauty, nutrition, diabetes, wellness and homecare. This article mainly deals about the high blood pressure and <a href=http://www.healthgenie.in/home-care/wellbeing/bp-monitors.html>blood pressure monitor</a>.


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