Does Medicare cover my compression garments?

 

The Lymphedema Treatment Act (LTA) is a federal law that was passed on 12/23/2022 and went into effect on 01/01/2024 for Medicare-covered patients. In order to qualify for coverage of compression garments patients will have to have a diagnosis of lymphedema and must have medical necessity documentation (treatment notes, in addition to a prescription) from a medical provider supporting the need for compression garments for their ongoing treatment of lymphedema.
 

Medicare does not cover compression garments for non-lymphedema diagnosis (lipedema, venous insufficiency, edema, etc.).

 

What if my compression garments do not fit?​

 

Custom Care Solutions works with patients and therapists to achieve an accurate fit. If your compression garments do not fit within the first 7-10 days please contact Custom Care Solutions or your therapist. Each manufacturer has warranty timeframes and we want to be sure we can request replacement garments before the warranty expires.

 

 

Does Custom Care Solutions have compression garments in stock?​

 

Custom Care Solutions only keeps sample garments in stock for patients to view during appointments. Compression garments can take between 10-14 days to receive once the order is placed. Sometimes custom garments can take longer if they are coming from outside the country.

 

 

How often should compression garments be replaced? ​

 

Most compression garments should be replaced every 4-6 months, depending on usage. Nocturnal compression garments are generally replaced annually.
 

Medicare will cover three sets of daytime compression garments every six months and two sets of Nocturnal compression garments every two years for qualifying patients.

 

 

Can I use lotion when I wear compression garments?​

 

Lotions can be used when wearing compression garments but some experience sensitivity when using scented lotions. Consult your therapist or treating physician for their hypoallergenic lotion recommendations.

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