Medicare Coverage

The Lymphedema Treatment Act (LTA) is a bill that was passed by Congress in December of 2022 to enable Medicare coverage for lymphedema compression garments and supplies. The new coverage went into effect on January 1, 2024. The information below is specific to traditional Medicare, however, most other insurance plans eventually follow Medicare precedent.

Medicare will pay for lymphedema compression treatment items for Medicare Part B patients.

 

Download Coverage for Lymphedema

What's Covered

We’ll pay for standard and custom-fitted lymphedema compression treatment items for each affected body part, including:

  • Compression garments, including those for daytime and nighttime, which offer different levels of compression
  • Compression bandaging systems and supplies provided during the initial decongestion phase and maintenance phases of treatment
  • Gradient compression wraps with adjustable straps
  • Necessary accessories for gradient compression garments and wraps, including:
    • Aids for putting on and taking off (donning and doffing) items for different body parts, like lower limb butlers or foot slippers that help patients put on compression stockings
    • Fillers
    • Lining
    • Padding
    • Zippers

How Often?

We pay for compression garments:

  • Daytime: 3 garments per affected body part every 6 months
  • Nighttime: 2 garments per affected body part every 2 years

We also pay for items, as needed:

  • To replace lost, stolen, or irreparably damaged items
  • If a patient’s condition changes, like a change in limb size

Who’s Eligible?

We’ll pay for these treatment items when:

  • The patient has Medicare Part B coverage (their annual Part B deductible and 20% coinsurance will apply)
  • The patient has lymphedema (a chronic condition that causes swelling in the body’s tissues) and will use the item to primarily and customarily treat it
  • An authorized practitioner prescribes the item

Absolute Medical will be filing assigned claims for compression garments to Medicare. If you have any questions, please email customerservice@absolutemedical.com or call our Customer Service team at 312-233-2207. Thank you, and we look forward to assisting you with your compression garment needs!

Additional Resources

Manufacturer Online Resources

Jobst USA

click here

Juzo

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Lymphedema Treatment Act

click here

Medi USA

click here