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Durable Medical Equipment (DME) Bills: Renting, Buying, and Supplier Rules

On this page
  1. What counts as durable medical equipment?
  2. What will I pay for DME?
  3. Should I rent or buy?
  4. Why does it matter if the supplier accepts assignment?
  5. Why did I get a DME bill I don't understand?
  6. Can DME be a sign of fraud?
  7. How do I check a DME bill?
  8. Frequently asked questions
  9. Want help with an equipment bill?

Medicare Part B covers durable medical equipment (DME), like walkers, wheelchairs, hospital beds, and oxygen equipment, when your doctor orders it for use at home. After you meet the Part B deductible ($283 in 2026), you pay 20% of the Medicare-approved amount if your supplier accepts assignment. If the supplier doesn't accept assignment, you may be charged more, so ask before you get the equipment.

What counts as durable medical equipment?

Medicare.gov describes DME as equipment that's durable, used for a medical reason, not usually useful to someone who isn't sick or injured, used in your home, and expected to last at least 3 years. Examples Medicare.gov lists include:

  • Blood sugar monitors and test strips.
  • Canes, crutches, and walkers.
  • Commode chairs.
  • Hospital beds.
  • Infusion pumps and supplies.
  • Oxygen equipment and accessories.
  • Wheelchairs and scooters.

Your doctor or other provider must order it, and both your provider and supplier must be enrolled in Medicare.

What will I pay for DME?

Medicare.gov says that after the Part B deductible, you pay 20% of the Medicare-approved amount if your supplier accepts assignment. The Centers for Medicare & Medicaid Services (CMS) set the 2026 Part B deductible at $283.

If you have Medigap, it may pay some or all of your 20%. If you have Medicare Advantage, your plan sets its costs and may require you to use certain suppliers.

Should I rent or buy?

Medicare.gov says Medicare covers different kinds of equipment in different ways:

  • You may need to rent the equipment.
  • You may be able to choose whether to rent or buy.
  • Some items become yours after you've made a certain number of rental payments.

Because rentals mean monthly bills, a DME rental can show up on your Medicare Summary Notice (MSN) every month. That's normal. What you want to check is that the charges stop or change when they should, such as when you return the equipment or when it becomes yours.

Why does it matter if the supplier accepts assignment?

This is the most important question to ask before getting equipment. Medicare.gov explains:

  • A supplier that participates in Medicare must accept assignment. They agree to take the Medicare-approved amount as full payment, and you pay only your deductible and 20%.
  • A supplier that doesn't participate doesn't have to accept assignment, though it may in your case. If it doesn't, you may be charged more.
  • For rented equipment, Medicare.gov says to make sure the supplier accepts assignment for all rental months. Otherwise, you may have to pay the full cost upfront.

You can search for suppliers on Medicare.gov's medical equipment supplier directory, which shows whether they accept assignment.

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Why did I get a DME bill I don't understand?

Common reasons include:

  • The supplier doesn't accept assignment and billed you more than 20%.
  • A rental kept billing after you returned the equipment.
  • The item was denied because the order or paperwork was missing.
  • You got an item you didn't order. This can be a sign of fraud.
  • The Part B deductible hadn't been met yet, so more of the cost fell on you.

Can DME be a sign of fraud?

Yes. Medicare's fraud booklet names braces, power wheelchairs, and scooters you don't need as a common fraud target. Be wary of:

  • Calls or ads offering "free" braces or equipment in exchange for your Medicare Number.
  • Equipment that arrives at your home that you or your doctor didn't order.
  • Charges on your MSN for items you never got.

If equipment you didn't order arrives, call the supplier and don't sign anything that says you received it. Report suspected fraud to 1-800-MEDICARE (1-800-633-4227) or the Senior Medicare Patrol at 1-877-808-2468.

How do I check a DME bill?

  1. Find the item on your MSN or Explanation of Benefits (EOB). Check the supplier name, item, and dates.
  2. Check assignment. If the MSN shows the supplier accepted assignment, your bill should be no more than the "maximum you may be billed."
  3. Count rental months. Make sure billing stops when you returned the item.
  4. Confirm you got it. If you didn't, call the supplier, then report it if needed.
  5. Check Medigap. See whether your plan paid its share before you pay.

Frequently asked questions

How much does Medicare pay for a wheelchair or walker?

After the Part B deductible, Medicare pays 80% of the approved amount, and you pay 20%, if the supplier accepts assignment.

Do I have to rent DME?

It depends on the item. Medicare.gov says some items must be rented, some can be rented or bought, and some become yours after a number of rental payments.

How do I know if a supplier accepts assignment?

Ask the supplier directly, or check Medicare.gov's medical equipment supplier directory.

What if equipment I didn't order shows up?

Call the supplier, and report it to 1-800-MEDICARE or your Senior Medicare Patrol.

Want help with an equipment bill?

Bill Review Coach is a monthly medical bill review service for seniors and their families. Snap a photo of your equipment bill and Medicare notice, and we'll check the rental months and assignment status, and give you a script for calling the supplier. You make the calls and write the emails; we help you know what to say.

General information, not legal advice. Check your own bill and notices.

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