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HELP WITH THE NEXT STEP

Could your supplies
be covered?

Understand your options with Medicare and Partnership. Find the products you need, learn the key rules, and arrive with the right paperwork.

Start with your coverage

Choose a guide to see items and next steps.

Have both? Read both guides and bring both insurance cards. Your benefits and the exact item need to be checked before ordering.

ORIGINAL MEDICARE

What might Part B cover?

A starting point for the supplies and equipment we offer. Coverage depends on your medical need, the item, and supporting records—not the brand name. Photos illustrate categories; coverage of a pictured model must be confirmed.

About your costs: For covered Part B items, you generally pay 20% of the Medicare-approved amount after the deductible when the supplier accepts assignment. Other insurance may help. Medicare Advantage plans can have different networks, authorization steps, and costs.

Looking for compression coverage?Jump to the lymphedema rules & paperwork checklist
Medical criteria & certification required

Diabetic shoes & inserts

For eligible people with diabetes and qualifying foot disease, the extra-depth shoe benefit generally allows one pair of shoes and three pairs of inserts per calendar year. Your diabetes-treating doctor must certify the need, with an order from a qualified prescriber. A coded shoe alone does not establish coverage.

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May be covered

Wound dressings & bandaging

Dressings for a qualifying surgical or debrided wound may qualify. Wound records must support the dressing type and amount. Ordinary first-aid purchases are not automatically covered.

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May be covered

Wheelchair cushions

Eligible cushions used with a qualifying wheelchair may be covered. Specialized pressure or positioning cushions have additional criteria; a comfort cushion alone does not establish eligibility.

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A CLOSER LOOK AT OUR SPECIALTY

Medicare & lymphedema garments

You must have diagnosed lymphedema and an order from your treating practitioner. Standard and custom compression garments, adjustable wraps, nighttime garments, necessary accessories, and compression bandaging supplies may qualify.

circaid adjustable compression wrap
3Daytime garments or wrapsPer affected body area, every 6 months.
2Nighttime garmentsPer affected body area, every 2 years.

These are combined limits for each category—not an allowance for every brand or style. Both daytime and nighttime items can qualify for the same affected area. Only medically necessary quantities are covered.

Paperwork that helps an order move forward

Bring your insurance cards and any prescription you already have. We can explain which records your treating team needs to send.

01 · THE ORDER

A signed written prescription

Medicare’s Standard Written Order includes:

  • Your name or Medicare number
  • The order date
  • A description of the items, including separately billed supplies or accessories
  • The quantity, when applicable
  • The treating practitioner’s name or NPI, and their signature

The supplier must receive the completed order before submitting the claim. Ask the prescriber to identify the affected area, garment type, and prescribed compression so the order can be matched to your needs.

02 · THE MEDICAL RECORD

Clinical notes that support the need

  • A lymphedema diagnosis documented by your treating MD, DO, nurse practitioner, physician assistant, or clinical nurse specialist
  • Why the prescribed items and quantities are medically necessary
  • For custom items, why a standard, ready-made item will not meet your needs
  • For replacement supplies, support for the quantity and timing

A prescription alone does not replace the supporting clinical record. Therapist notes can support fitting and treatment needs, but the diagnosis must be documented by the treating practitioner. A therapist’s diagnosis alone—even countersigned—does not meet this requirement.

What does Family Medical document?

The supplier keeps the order, supporting medical records, beneficiary authorization, proof of delivery, and evidence of continued need and use when applicable. Fitting includes measurements and instruction on putting on, removing, and caring for the garment; necessary fitting services are included in Medicare’s garment payment.

What if a garment is damaged or no longer fits?

Earlier replacement may be allowed for loss, theft, irreparable damage, or a change in your medical or physical condition that makes a new size or type necessary. Contact us before replacing an item so we can check the documentation and applicable replacement rules.

Are all compression stockings covered?

No. This Medicare benefit is for diagnosed lymphedema. Compression purchased for travel, comfort, or swelling without a qualifying lymphedema diagnosis is not automatically covered under this benefit. Some other medical situations have separate coverage rules.

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Check before you buy.

This guide explains possible benefits, not a coverage decision. Eligibility, medical necessity, plan rules, supplier participation, and authorization determine payment. Call our team to review the item and next steps before placing an order.

Contact Family Medical

Source links appear beside the relevant information. This guide summarizes Original Medicare and Partnership Medi-Cal; other plans may differ. Reviewed September 30, 2026.

A QUESTION IS A GOOD PLACE TO START.

Let’s find what works for you.

Call (707) 363-1607