Does Medicare Cover Compression Stockings


Millions of Americans wear compression garments to soothe leg pain, prevent blood clots and minimize swelling. Yet, Medicare will only cover them in certain situations. Let’s take a look at the requirements for coverage of compression socks and stocking through Medicare.

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Does Medicare Pay for Compression Stockings in 2022?

In most cases, Original Medicare won’t cover compression stockings since they aren’t durable medical equipment. Still, in the cases of specific diseases or conditions, Medicare may provide coverage for certain types of compression stockings.

Chiefly, Part B will cover compression stockings if your doctor writes you a prescription to treat a venous stasis ulcer.

Are Compression Socks Covered by Medicare?

Similar to compression stockings, Medicare will only cover compression socks when the disease or skin condition requires. These conditions include open stasis ulcers.

Medicare doesn’t provide coverage for compression socks that treat varicose veins, circulation issues, or for the prevention of ulcers. Additionally, you’ll need a prescription from your doctor like you would for compression stockings for the same purpose.

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What are the Different Types of Compression Socks or Stockings?

Compression socks and stockings come in various sizes, lengths, and pressures. Depending on your specific needs, you have the option of customizing your compression garments.

Graduated Compression Stockings

These stockings provide the strongest level of compression starting at the ankle and progressively decrease as they move up the leg. They help with mobility and usually require a professional fitting. Compression stockings that extend above the knee (going up to the thigh or waist) support blood flow. Further, stockings for the lower leg help alleviate fluid buildup.

Medicare only covers graduated compression stockings made to help issues below the knee, such as an open venous stasis ulcer.

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Anti-Embolism Stockings

Anti-embolism stockings are specifically for people who aren’t mobile. They work by applying pressure to the leg, which increases blood circulation. Additionally, these stockings come in a variety of compression levels.

Nonmedical Support Hosiery

Nonmedical support hosiery doesn’t require a doctor’s prescription. They’re beneficial for achy legs and provide the least amount of compression compared to the other options. Thus, they will not receive coverage from Medicare Part B.

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FAQs

What is the average out-of-pocket cost for compression stockings?
On average, compression stockings can cost between $10 and $100 per pair. A custom pair of compression stockings are more expensive and could cost several hundred dollars.
Does Medicare pay for leg compression pumps?
Medicare will cover pneumatic compressions devices (otherwise known as leg compression pumps) if the patient has Lymphedema.
Does Medicare cover compression stockings for varicose veins?
Medicare covers the costs of certain gradient compression stockings. However, Medicare won’t cover compression garments for varicose veins, ulcers, or circulation problems.
Does Medicare Part B cover compression stockings?
Compression stockings receive coverage under Medicare Part B when the beneficiary has a venous stasis ulcer. They will need a prescription from their practitioner first.
Does Medicare Advantage cover compression stockings?
Some Medicare Advantage plans may include additional coverage for compression stockings.
Does Medicare cover compression stockings for venous insufficiency?
If the beneficiary’s symptoms of venous insufficiency include venous stasis ulcers, Medicare will provide coverage for compression stockings. Medicare provides coverage for other treatments for venous insufficiency as well.

How to Get Help with Medicare Coverage for Compression Socks

Contact our team of Medicare experts today, and we can help you get the coverage you need. Call the number listed above or fill out an online rate comparison form to see options available in your area now.

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Jagger Esch

Jagger Esch is the Medicare expert for MedicareFAQ and the founder, president, and CEO of Elite Insurance Partners and MedicareFAQ.com. Since the inception of his first company in 2012, he has been dedicated to helping those eligible for Medicare by providing them with resources to educate themselves on all their Medicare options. He is featured in many publications as well as writes regularly for other expert columns regarding Medicare.

3 thoughts on “Does Medicare Cover Compression Stockings

  1. I work at at DME company that bills compression garments (a6545, A6531 etc). It was mentioned to us last year that Medicare may be changing the way stockings were priced and distributed. We were told that they may no longer be sold in pairs and that we had to repackage them? Is this something you are aware of and can help me with?

    1. Hi Christine! Thank you so much for your question. Since this change is relatively new, it’s hard to provide a good answer for you. I reached out to one of my contacts in the Durable Medical Equipment space and they suggested that you reach out directly to Medicare to get the answer to your question. I’m sorry we couldn’t be more helpful!

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