Blue Marble Medical provides in-home repair and calibration service on all Durable Medical Equipment (DME). We are in the process of becoming a certified supplier with the Veterans Administration, Medicare, Medicaid, as well as several commercial insurers.
Durable Medical Equipment (DME) is typically a specific type of medical equipment that provides therapeutic benefits to a patient because of a certain medical condition and/or illness. Some of the equipment Medicare and Medicaid classifies as DME include but are not limited to, wheelchairs (manual and electric), hospital beds, CPAP, BIPAP, power chairs, traction equipment, regulators, vital sign monitors, pressure mattresses, lifts, nebulizers, bili-blankets and bili-lights. Insurance companies will provide coverage for Durable Medical Equipment when it is determined to be medically necessary because the medical criteria and guidelines for its use are met.
If you are using DME at home, your equipment may need regular maintenance and repairs from your supplier. Repairs by a supplier involve fixing equipment that is worn or damaged. Maintenance means checking, cleaning and servicing your equipment. If possible, you are expected to do regular maintenance yourself using the owner’s manual. However, a supplier should do maintenance if it is more complicated and requires a professional. Medicare coverage of repairs and maintenance that is more specialized depends on whether the supplier owns the equipment or you do.
As long as you are paying a monthly rental fee for your equipment, your supplier must perform all needed repairs and maintenance that require the work of a professional. The supplier cannot charge you for this work.
On the other hand, if you buy or now own your equipment after renting it, Medicare will pay a separate amount to the professional for repairs and maintenance. The repairs and maintenance must require a professional and must not be covered by warranty. Medicare will pay 80% of the Medicare approved amount and you will be responsible for the 20% balance.
You can save money by going to a supplier who takes assignment. If you live in ab competitive bidding area you own equipment that is on the list of items you must get from a contract supplier, it is best to get repairs done by contract suppliers. Although Medicare will cover maintenance (and replacement parts needed for the repair) from any Medicare-recognized supplier, contract suppliers must accept assignment for the repair.