Currently, when a Medicare patient is receiving Home Health services, their compression garments are billed separately through their Part B coverage. That will continue to be the case.
Recently, the Centers for Medicare and Medicaid Services (CMS) issued a notice stating that lymphedema compression supplies would be subject to consolidated billing starting in 2025. This would have been terrible for patient access, and the Lymphedema Advocacy Group was ready to spring into action. Fortunately, CMS quickly rescinded that decision.
As a reminder, we have a variety of resources available through our website, like the Patient, Provider, and Supplier handouts seen below. We also have a one-pager specific to Medicare Advantage coverage, and other educational materials available through the Increasing Awareness page of our website.
If you are being denied coverage through any type of insurance plan, please use our Denial Reporting Form. While we cannot assist with individual cases or appeals, these reports are extremely valuable in helping us to address remaining gaps in coverage. We continue to work with our Congressional champions, the Centers for Medicare and Medicaid Services, and other agencies and organizations.
Thank you for your continued engagement!
Heather Ferguson
Founder & Executive Director
Lymphedema Advocacy Group
LymphedemaTreatmentAct.org
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