Use A Portable Nebulizer Machine
There are a variety of lightweight, portable nebulizers that you can take anywhere. Theyre durable and easy to throw in a bag to use on the go. Many options can be battery operated and can be used with an adaptor to be powered in your car.
If you or your child needs to use a nebulizer, that doesnt mean your lives have to be put on hold. Go ahead and take that vacation, go to the fair, sign up for camp, and more.
How Does A Nebulizer Work
Your FastMed provider may advise you to continue your breathing treatments after you leave the FastMed clinic. If so, you will be instructed on how to use a home nebulizer. Nebulizers work by transforming the medication youre given from a liquid into a mist that can be easily inhaled into the lungs. By converting the medication to a mist, the nebulizer enables it to reach your lungs faster and to more quickly correct your breathing problem.
Nebulizer treatments can be especially effective for those too young to use an inhaler or those who require large doses of medication. Nebulizer devices are available for both home use and in portable versions suitable for carrying with you when away from home.
Your nebulizer breathing treatment may include medications for immediate relief, as well as ongoing treatment. Make sure you read and follow the medication directions closely, and use only as directed.
Medicaid And The Beneficiarys Place Of Residence Impact
Despite there being hundreds of different Medicaid programs, most programs have similar processes for DME acquisition. These processes largely depend on the location in which the individual resides and intends to use the item. The process and rules are different for those living at home vs. in a nursing home. It is worth noting that the definition of at home is more broadly interpreted by some states than others. At home can include living in a family members home, in independent living or in some cases even in assisted living communities.
Don’t Miss: Is Neighborhood Health Plan Medicaid
The Reggie White Foundation
Who? – Reggie White was a pro football player primarily for the Green Bay Packers. He died just four years after retirement from a cardiac arrhythmia, which many believe was partly caused by his untreated sleep apnea.
Dedicated to sleep education and treatment access, The Reggie White Sleep Disorders Research & Education Foundation, Inc. was created in his memory, and now you can get a new or donated CPAP machine for just $25.
How? – Simply contact them by phone or email and have proof of financial hardship ready. Requests are prioritized based on your sleep study and resulting Apnea-Hypopnea Index . Those with severe Obstructive Sleep Apnea are defined as anyone with an AHI of 30+ per hour.
What Is A Nebulizer And Who Needs It
Nebulizers are electronic machines that you can use in your home to treat lung or breathing conditions. The devices operate by turning liquid medicine into an inhalable mist.
You breathe the medication in, usually for 10 minutes, through a mouthpiece and tube connected to the machine. It is a painless process.
Nebulizers are also helpful for treating asthma, cystic fibrosis and other conditions that make breathing difficult.
Inhalers are also used to treat these types of conditions but are handheld devices that can be used quickly, while nebulizers require more parts and time.
The Two Most Common Types of Medicare-Covered Nebulizers
- Pneumatic compressors turn liquid medication into gas through airflow and are the most common and less expensive type.
- Ultrasonic or electronic nebulizers are more expensive and quieter, but Medicare will only cover it for specific treatments and medications.
Nebulizers are especially useful for people with chronic obstructive pulmonary disease . According to the Centers for Disease Control and Prevention, 16 million Americans have COPD, including bronchitis and emphysema.
You May Like: How Can I Check The Status Of My Medicaid
How To Get A Nebulizer Through Medicare
There are also nebulizer Medicare options available. First you must be enrolled in Medicare, which you can do around your 65th birthday. Then you need a prescription from your doctor that says you need a nebulizer for a respiratory condition.
To have Medicare cover your nebulizer machine you will need to get it through a DME, like us. Start with our qualification form and we will handle the rest!
Nebulizer Machines And Related Drugs
A nebulizer machine changes medication from a liquid to a mist so that it can be more easily inhaled into the lungs. For CY 2014, Medicare paid approximately $632.8 million for inhalation drugs. Medicare requires that claims for nebulizer machines and related drugs be “reasonable and necessary” ). Further, the local coverage determinations issued by the four Medicare contractors that process medical equipment and supply claims include utilization guidelines and documentation requirements. A preliminary OIG review identified that at least 50 percent of claims reviewed were not paid in accordance with Medicare requirements. We will review Medicare Part B payments for nebulizer machines and related drugs to determine whether medical equipment suppliers’ claims for nebulizers and related drugs are medically necessary and are supported in accordance with Medicare requirements.
|Announced or Revised
Also Check: How To Get Both Medicare And Medicaid
How Much Do Nebulizers Cost
The exact cost of your nebulizer will depend on what type of nebulizer you order and whether you rent or buy your equipment. Most suppliers provide DME through rental agreements.
If you own a Medicare-DME item, you will pay 20% of the price while Medicare pays 80%.
With rental equipment, Medicare makes monthly payments for the items for a certain period. You pay 20% of the amount approved by Medicare after you have met your annual Medicare Part B deductible.
If your nebulizer requires repair or replacement and you own it, Medicare will cover 80% of the cost. If you rent the equipment, any repair or replacement cost falls to the supplier.
Nebulizers And Kit Support
We have compiled a list of frequent questions below for troubleshooting. If you are experiencing difficulty with your equipment, please do not hesitate to contact Neb Medical Services toll-free at 633 1597. We are open Monday through Friday from 9:00am to 5:00pm CST.
Cleaning and Maintenance
How do I clean my nebulizer maintenance cup?
Can I disinfect my nebulizer medication cup?
How do I clean my mask and tubing?
How long should my treatment take?
I have condensation build up in my tubing.
Compressor and Machine Problems
My compressor gets warm and shuts down during treatments.
My tubing is stuck on the compressor.
My machine doesn’t turn on.
My machine doesn’t seem to blow out enough air.
When is it time to replace?
How long should I use my medication cup?
Advantages of Replacing Your Nebulizer Cup:
- Consistent medication delivery to the lungs
- Fast and efficient treatments
Don’t Miss: Michigan Medicaid Nursing Home Application
How Do Nebulizers Work
Nebulizers atomize liquid medicine into a gas form thats easy to inhale. This makes oral medicine easier to take, especially for infants. Plus, nebulizer medicine also dissipates into the lungs and enters the bloodstream faster, to more quickly provide relief.
Basically, the compressor nebulizer system provides compressed air for aerosol therapy. Its used with a jet nebulizer the produce aerosols for inhalation for patients of all ages. For example, patients with COPD often prefer to use nebulizers to avoid missing their lungs with an inhaler.
How To Get A Cpap Machine For Free
When CPAP machines run $200, $300, even $800 a pop, its no surprise that many sleep apnea patients put their CPAP therapy on the back burner within the first year. Its not that people dont want to deal with their sleep disorders its just too expensive! Our goal is to keep this from happening to you.
Get your CPAP machine through insurance.
Think you need a new machine? Your CPAP machine may be 100% covered by your insurance!
Read Also: What Does Medicaid Cover In Illinois
Does Medicare Cover Nebulizer Machines
Medicare pays for a nebulizer machine if a doctor prescribes it to treat a condition. People with asthma or chronic obstructive pulmonary disease may find relief from a nebulizer. Many doctors favor this method for treating asthma and other respiratory ailments.
Nebulizers convert liquid medication into an inhalable mist. But, they often provide quick relief from breathing difficulties. If necessary, medications and devices obtain coverage.
Who Needs A Portable Nebulizer
A breathing treatment with a nebulizer is often done for preventive maintenance. In this instance, youll know in advance when your next scheduled treatment should occur. If youre on holiday, for instance, having a portable nebulizer is an easier, more convenient travel option. However, a portable nebulizer can also be used in place of a rescue inhaler. An asthma attack could happen when youre not at home or near your doctor’s office. In that situation, its essential to have a portable nebulizer because it could save your life. The smallest portable nebulizer can fit in the palm of your hand, making it easy to take anywhere, even camping, where there might not be any electricity for days.
Also Check: How To Find Your Medicaid Number
How To Get A Nebulizer Through Medicaid
There are nebulizer Medicaid options available, and we can assist you with the process. First you will need to enroll in Medcaid and your doctor needs to be enrolled as well.
Generally, you will need a signed prescription from your doctor saying that you need a nebulizer to treat a respiratory condition. The nebulizer must be considered reasonable and necessary.
To receive Medicaid reimbursement you will need to get your Nebulizer through a DME, like us. Simply use our quick qualification form to get started and we will handle the rest.
Durable Medical Equipment And Medical Supplies
Medicaid reimburses for durable medical equipment and medical supplies appropriate for use in the recipients home. DME may be rented, purchased or rented-to-purchase.
Examples of reimbursable equipment and supplies include:
- Diabetic equipment and supplies including blood glucose meters, test strips, syringes, and lancets
- Enteral nutrition supplements
- Hospital type beds and accessories
- Mobility aids including canes, crutches, walkers, and wheelchairs
- Orthopedic footwear, orthotic, and prosthetic devices
- Ostomy and urological supplies
- Respiratory equipment and supplies including nebulizers and oxygen
- Suction pumps
This service is one of the minimum covered services for all Managed Medical Assistance, Long-term Care and Comprehensive Long-term Care plans serving Medicaid enrollees.
Recommended Reading: Blue Cross Complete Medicaid Providers
Does A Medicare Supplement Pay For A Nebulizer
If Medicare pays for the drug, Medigap also provides coverage. A supplemental plan pays coinsurance for device rentals or purchases, such as with nebulizers. Supplemental insurance is like having secondary insurance. Part A and B remain primary Medigap plans help fill the gaps in your coverage.
Nebulizer medication may include antibiotics and steroids. Medigap plans cover any nebulizer supplies or medications that Part A or B covers.
As these devices can administer several medications together, patients taking multiple drugs may benefit from using a nebulizer. However, Medigap doesnt pay for drugs. A Part D drug plan can help with drug costs.
How Are Nebulizers Used
Someone uses a nebulizer by breathing normally, making the device more effective than an inhaler for some people.
Doctors prescribe three different types of nebulizers to best suit the individual:
- vibrating mesh
A person should carefully follow instructions on using their nebulizer and take extra care to understand how to load the medication and clean the equipment. Before using a nebulizer for the first time, doctors often train a person to use their new equipment.
Recommended Reading: Psychiatrist In Nyc That Take Medicaid
Medicare Guidelines For Nebulizer Medications
If you meet the guidelines for nebulizer medications, Part B may pay some of the costs. Medicare must consider the drugs reasonable and necessary. Also, your doctor must prescribe treatments for in-home use. The prescription must include any supplies you need for using the machine. Orders must also state the condition requiring nebulizer use and list the medications for use in conjunction with the nebulizer. Advantage plans must provide at least the same benefits as Medicare. These plans are popular because most offer extra features, like including Part D.
The local coverage determination specifies nebulizer medications and the maximum daily dose amount allowed. Also, budesonide is a conventional medication the program covers. The maximum dosage is 0.5 mg two times daily, or 1.0 mg one time per day. Refer to the LCD for more information on dosage restrictions or coverage for specific nebulizer medications.
What Are Nebulizers
A nebulizer is a small medical device used for breathing therapy. Nebulizers turn liquid medications into a fine mist, which you inhale through a mask or mouthpiece while breathing naturally.
These medications help dilate and relax your bronchial passageways to ease your breathing and promote airflow into and out of your lungs.
Nebulizers are used to treat many conditions, including:
Since nebulizers dont require you to take deep breaths, they may be more effective than inhalers in some instances.
Nebulizers may be battery operated or electric. Some models are handheld and portable. Others are somewhat larger and may need to be kept on a table or other flat surface.
Your doctor will give you the specifics on how to use your nebulizer. Follow those instructions exactly, and read the manual that comes with your nebulizer. The manual will give you specific information on how to clean each part of your nebulizer. Never use a nebulizer or nebulizer filter thats dirty.
In some instances, your medication will come premixed. Other times, you may have to measure or mix your own medication. To get the exact dosage you need, always use a measuring cup or spoon with marked measurements, rather than daily-use cups or spoons.
If your nebulizer is electric, check that its plugged in and the liquid medication is misting. If its battery-operated, always have an extra battery pack charged and on hand.
You May Like: Does Missouri Medicaid Cover Assisted Living
What Is A Nebulizer
A nebulizer is a machine that works in much the same way as a pocket inhaler, only instead of delivering medication via a spray, as an asthma inhaler does, the nebulizer delivers it as a mist. This makes it easier to inhale for those experiencing an asthma attack or other serious breathing problems.
Where To Get Nebulization Therapy
When you need nebulizer treatments or immediate assistance for a non-life-threatening breathing problem due to asthma, COPD, or other lung diseases, your FastMed team is available to help. Were open extended hours on weekdays, weekends, and holidays.
Whether you need on-site nebulizer therapy or a prescription for home nebulizer medication, our qualified professionals are here for you with no appointment necessary. Just walk into one of our convenient clinics or check in online beforehand. Our clinical team will make sure you get the nebulization therapy you need when you need it.
* The content presented on this page is not intended to diagnose health problems or take the place of professional medical care.
You May Like: Rehab Centers In Utah That Accept Medicaid
Money Follows The Person
This is a special Medicaid program designed to help individuals who currently live in nursing homes return to their homes or to living in the community. To make this possible, the program will purchase some durable medical equipment to enable participants to live at home. This can include hospital beds and wheelchair lifts. There are currently MFP Programs in forty-four states. The following six states do not have MFP programs: Alaska, Arizona, Florida, New Mexico, Utah and Wyoming. Read more about the Money Follows the Person Program. Readers should be aware that while 44 states have MFP programs, the programs may be referred to using different names in different states.
Bilevel Positive Airway Pressure
A BiPap machine is a type of ventilator that provides breathing assistance. The device is commonly used for patients with COPD, pneumonia, obstructive sleep apnea, asthma, and other conditions.
While Medicare covers continuous positive airway pressure devices for eligible patients, it does not currently cover BiPap machines. However, private insurers may cover BiPap devices, which tend to be more expensive than CPAP machines. For instance, an insurer in California covers up to $1,100 for a BiPap device. Insurers may require patients to try a CPAP device before shifting to the costlier BiPap machine.
BiBap devices can range from several hundred dollars to several thousand. Some accessories for CPAP and BiPap devices such as hoses, cleaners, and pillows are eligible for purchase using FSA funds.
Don’t Miss: Fidelis Care Medicaid Phone Number
Will Medicare Pay For A Nebulizer Machine
Although, certain medications may require Part D. Most plans pay for a device. But, check with your providers to ensure they accept Medicare assignment. If a doctor doesnt, they may decide how much a service or device costs. Always check with your plan.
Qualify For A Nebulizer Via Insurance
If you or your child needs a nebulizer machine, you shouldnt have to wait. Thats why weve made the process of receiving equipment through insurance incredibly simple all you have to do is:
You dont have to deal with the hassle of making multiple phones calls with insurance companies, we will handle it all for you so you can get back to what really matters. Spending quality time with your family.
Recommended Reading: Therapist That Accept Medicaid Nyc