If you are a Medicare beneficiary, you have until December 7th to choose your health plan for next year. If you are turning 65 in 2025, you may also be choosing a health plan, but your deadline varies.
If you choose traditional/original Medicare, your coverage for lymphedema compression supplies can be seen here. If you choose a Medicare Advantage Plan, the details of your coverage will be determined by your plan. Please see the document below for further explanation.
If you are considering choosing an Advantage plan, we encourage you to ask for their compression coverage policy in writing. We also recommend researching what compression suppliers (if any) are in-network with that plan and selling the items you need.
We have heard from many frustrated patients who cannot find a supplier who is in-network with their Advantage plan. Additionally, some report receiving a list of in-network suppliers from their plan, but after contacting all of them, they found not a single one sold the compression items that had been prescribed for them.
Only you can decide what the overall best plan is for you, and we hope that this information aids you in making an informed decision.
Heather Ferguson
Founder & Executive Director
Lymphedema Advocacy Group
LymphedemaTreatmentAct.org