Medicare pays for home ventilators under the category of durable medical equipment (DME) items that require frequent and substantial servicing to avoid risk to the patient's health. 22 Medicare makes monthly rental payments for this category of DME as long as medical necessity and Part B coverage remain.

Does Medicare cover repair or maintenance for ventilators?

Q: Does Medicare cover repairs or maintenance for ventilators? Ventilators fall into the FSS payment category, and neither repairs nor maintenance and servicing are covered during rental period. Check with Medicare for payment of beneficiary-owned equipment.

Does Medicaid cover ventilators?

Medicaid and NCHC shall cover a home ventilator with an invasive interface for treatment of neuromuscular diseases, thoracic restrictive diseases, and chronic respiratory failure consequent to chronic obstructive pulmonary disease.