Why Oxygen Concentrators Matter for COPD

Chronic Obstructive Pulmonary Disease (COPD) makes breathing difficult and can limit daily activities. Many people with COPD need supplemental oxygen to maintain healthy oxygen levels, reduce shortness of breath, sleep better, and stay active. Oxygen concentrators provide a safe, continuous oxygen supply without the need for heavy tanks — but they can be expensive. The good news is that Medicare may cover oxygen concentrators for eligible COPD patients.

Does Medicare Cover Oxygen Concentrators?

Yes. Medicare Part B may cover oxygen therapy equipment, including oxygen concentrators, if it is medically necessary. Since oxygen concentrators are classified as Durable Medical Equipment (DME), Medicare typically pays 80% of the approved cost, while the patient pays the remaining 20% after meeting the annual Part B deductible.

Eligibility Requirements

To qualify for a Medicare-covered oxygen concentrator, beneficiaries must:

✅ 1. Have a COPD Diagnosis and Medical Need

A doctor must document that the patient has low oxygen levels and needs supplemental oxygen to manage COPD or another lung condition.

✅ 2. Take a Lab-Approved Oxygen Test

Medicare requires a blood gas test or pulse oximetry test to confirm reduced oxygen saturation levels.

✅ 3. Have a Doctor’s Prescription

The prescribing physician must include:

• Oxygen flow rate
• Frequency of use
• Duration needed
• Type of oxygen delivery system

✅ 4. Work with a Medicare-Approved Supplier

To receive coverage, both the doctor and equipment supplier must participate in Medicare.

Types of Oxygen Concentrators Medicare May Cover

Medicare may pay for different types of oxygen systems depending on medical need:

• Stationary oxygen concentrators for home use
• Portable oxygen concentrators for mobility outside the home
• Backup oxygen tanks if medically required
• Accessories such as tubing, cannulas, masks, and maintenance equipment

Portable oxygen concentrators are often preferred because they allow COPD patients to stay active, travel, shop, and leave the house easily.

How to Get an Oxygen Concentrator Through Medicare

✅ Step 1: Doctor’s Visit

A physician evaluates the patient’s COPD, symptoms, and oxygen needs.

✅ Step 2: Oxygen Testing

A qualifying lab test must show low oxygen levels.

✅ Step 3: Medical Documentation

The physician sends medical records and a prescription to a Medicare-enrolled supplier.

✅ Step 4: Equipment Delivery

Once approved, the supplier delivers and sets up the oxygen concentrator at home.

Costs and Rental Rules

Medicare typically rents oxygen equipment for 36 months. After that period:

• Suppliers must continue providing the equipment for 2 additional years
• Patients only pay for maintenance, filters, and service fees
• If a patient still needs oxygen after 5 years, a new rental cycle can begin

Supplemental insurance, like Medigap, may lower out-of-pocket costs even further.

Choosing the Right Supplier

It’s important to work only with Medicare-approved DME suppliers. This helps avoid:

• Denied claims
• Unexpected equipment costs
• Unapproved rental contracts

Beneficiaries should confirm the supplier accepts Medicare assignment, meaning the supplier agrees to Medicare’s pricing limits.

Avoiding Scams

COPD patients are sometimes targeted by fraudulent ads promising “free oxygen equipment.” To stay safe:

• Never share Medicare numbers with unknown callers
• Avoid offers requiring upfront fees for free equipment
• Confirm supplier certification with Medicare

Conclusion

Oxygen concentrators are an essential tool for many people living with COPD. Medicare can significantly reduce the cost of equipment, testing, and maintenance — making oxygen therapy more affordable and accessible. By following the approval steps, getting the correct medical documentation, and working with Medicare-approved providers, COPD patients can receive high-quality oxygen concentrators while minimizing out-of-pocket expenses.