Are compression stockings considered durable medical equipment?

A compression garment (stocking/burn garment/gradient pressure aid garment/sleeve) is a custom-made or custom-fitted elastic support garment that is fabricated to apply varying pressure gradients to an area. These garments are considered Durable Medical Equipment (DME).

Are compression stockings covered under insurance?

The Plan only covers medically necessary surgical stockings with a compression factor of 20 mmHg or higher. Over-the-counter stockings that are simply used for support would typically have a compression factor of 10-20 mmHg and would not be covered.

Do I need a prescription for compression stockings?

Compression stockings of 20 mmHg or higher need to be prescribed by a physician. They are used for the treatment of various medical conditions, and should be used under the supervision of a doctor. The prescription for them needs to be renewed on an annual basis.

Are compression sleeves covered by Medicare?

Medicare does cover some compression garments for the lower extremity when the Medicare recipient is diagnosed with Chronic Venous Insufficiency and Venous Stasis Ulceration(s) ICD-10: I87. 319. Medicare will provide coverage only to the limb with the Venous Stasis Ulceration and will provide only one garment.

How do you claim compression stockings?

When submitting a claim for compression hose, you must provide a prescription from your doctor that includes your specific medical diagnosis. A description of symptoms, such as calf pain, sore legs or tired feet, is not sufficient.

Does Medicare cover lymphedema massage therapy?

Medicare doesn’t cover massage therapy. You pay 100% for non-covered services, including massage therapy.

How much do compression pumps cost?

Pneumatic pumps can be quite expensive, running anywhere from $800 up to $3,000-$5,000 — and even if covered by insurance, you’ll likely have to contribute some portion of the cost. If your lymphedema therapist recommends at-home use of a pump as part of your treatment plan, rent one first to try it out.

Does Medicare pay for compression stockings?

Medicare does not typically cover compression stockings. However, Medicare does provide coverage for pneumatic compression devices in certain situations.

Does insurance cover compression stockings?

Most private insurance companies will cover compression garments. Some companies will not cover stockings as they consider them “cosmetic” but will cover compression sleeves. Even if insurance does not cover compression stockings they do typically cover non-stretch garments or bandage alternative garments.

What is the cost of compression stockings?

Name brand compression stockings may cost more than other brands, although most prescription compression stockings are very effective in providing relief. Compression stockings usually cost between $30 and $50, although some may cost even more. Each pair typically lasts for six months to a year, although this may vary.

Does Medicare cover TED stockings?

Medicare will only cover graduated compression stockings worn below the knee for the treatment of an open venous stasis ulcer. They are NOT covered for the prevention of ulcers, to prevent the recurrence of ulcers, or for the treatment of lymphedema or swelling without ulcers.