A portable oxygen concentrator (POC) can be a lifesaver for seniors with respiratory conditions such as COPD, emphysema, or chronic bronchitis. Unlike bulky oxygen tanks, POCs allow users to stay mobile, offering greater independence. However, these devices come at a significant cost, leaving many seniors wondering how to afford one — especially since Medicare coverage may be limited. If you or a loved one needs a POC, understanding your payment options can be confusing. This article will break down how to pay for a portable oxygen concentrator, including how much one typically costs, what Medicare covers, and the alternatives available to help you pay for one.
How much do portable oxygen concentrators cost?
POCs vary in price depending on the brand, battery life, oxygen output, features, and other options, but a new device generally ranges from $2,000 to $4,000. Based on our research of five popular models, the average starting price is around $2,500. Some models may cost more with additional accessories or extended battery options.
For many seniors, this is a substantial out-of-pocket expense. Let’s explore options to help you pay for a portable oxygen concentrator.
Does Medicare pay for portable oxygen concentrators?
Oxygen concentrators are considered durable medical equipment (DME), and Medicare covers DME for those who qualify. However, Medicare will not pay if you wish to purchase a POC outright; it covers only long-term rentals of oxygen equipment.
Here is how Medicare coverage of oxygen equipment works:
- Medicare Part B typically covers 80% of the rental of oxygen equipment and accessories (such as cannulas and tubing) after you have met your deductible.
- You are responsible for the remaining 20% unless you have supplemental insurance.
- Coverage applies only if a doctor prescribes oxygen therapy and deems it medically necessary.
Although you may be prescribed oxygen therapy, in order for Medicare to cover a POC, your doctor must provide evidence that you need a portable oxygen concentrator rather than oxygen tanks as a portable option.
Covering the remaining costs: Your options
If Medicare won’t cover a POC (i.e., your physician doesn’t provide evidence you need a portable machine rather than tanks), or if you need help paying the remaining 20% after Medicare coverage, here are several alternatives to consider.
Medigap or Medicare Advantage plans
Some Medicare Supplement (Medigap) plans or Medicare Advantage (Part C) plans offer additional coverage beyond original Medicare. If your plan has extra DME benefits, it may help cover some or all of the cost of a POC. Check with your insurance provider to see if this applies to you.
Medicaid
Medicaid is jointly run by the federal government and individual state governments. It offers medical coverage to people with low incomes. For Medicaid to cover an oxygen concentrator, certain requirements must be met. These requirements can vary depending on your state because each state runs its own Medicaid program. Check with your state’s Medicaid office for more information.
Private insurance coverage
If you have private health insurance, check your policy to see if it includes coverage for portable oxygen concentrators.
Veterans Affairs (VA) benefits
For Veterans, VA health care may provide full coverage for a portable oxygen concentrator if it is deemed medically necessary. If you are a Veteran receiving health care through the VA, check with your provider to see if you qualify.
Charitable organizations and assistance programs
Certain nonprofits and charities help seniors and individuals who have medical conditions afford or find help paying for medical equipment, including portable oxygen concentrators. Some options include the following:
- The Medicare Rights Center provides guidance on navigating coverage and alternative funding sources.
- Local senior assistance programs, like some state programs, provide aid for necessary medical devices. Contact your local Area Agency on Aging to find senior assistance programs in your area.
- The HealthWell Foundation offers grants to help underinsured people pay for prescription drugs, copayments, medical equipment, and other out-of-pocket costs. This could include paying for portable oxygen concentrators.
- The American Lung Association offers a list of resources that may be able to help you.
- FundFinder allows you to sign up for alerts for when financial assistance becomes available from charitable organizations for people with your condition. You can sign up at their website.
Payment plans through the seller
Many medical equipment suppliers that sell POCs offer monthly payment plans that allow you to spread the cost over several months, which can make covering the cost more manageable. Some retailers have 0% financing options for qualified buyers, making it even easier to manage payments.
Before committing, check the interest rates and terms, as some financing plans may include high rates or high fees over time.
Buying a used portable oxygen concentrator
While new portable oxygen concentrators can be quite expensive, many manufacturers and medical equipment suppliers sell certified refurbished units at deeply discounted prices. Used POCs typically start at around $1,000, but prices can vary based on brand and accessories. Ensure that the device is certified refurbished, as used devices that haven’t been refurbished may not function properly and typically do not come with a warranty.
Renting a portable oxygen concentrator
If purchasing a POC is too expensive, renting may be a more affordable option. Many DME suppliers offer equipment rentals. Rental costs vary, but it can be a good option for those who need a POC only temporarily or who want to test different models before buying. Check with your medical equipment supplier for details.
Finding the best way to pay for a portable oxygen concentrator
Portable oxygen concentrators provide life-changing mobility and independence, but their cost can be a barrier. By exploring the financial options available, you can find a way to obtain the equipment you need without undue financial strain.
This information is for educational purposes and is not legal, financial, tax, or investment advice. It should not be substituted for information from professionals authorized to practice in your area. You should always consult a suitably qualified professional regarding your specific situation.
