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Cluster Headache Help and Support >> Medications,  Treatments,  Therapies >> Has anyone gotten Medicare to pay for O2 for CH?
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Message started by Ray on Feb 13th, 2010 at 12:02am

Title: Has anyone gotten Medicare to pay for O2 for CH?
Post by Ray on Feb 13th, 2010 at 12:02am
I am now covered by Medicare and a supplement insurance.  Has anyone had success getting O2 paid for (without low blood O2 levels).  I am sorry if this has been asked before.

Ray

Title: Re: Has anyone gotten Medicare to pay for O2 for CH?
Post by Batch on Feb 13th, 2010 at 4:32pm
Ray,

The Centers for Medicare and Medicaid Services (CMS) that set policy for Medicare coverage for DME-Oxygen flatly state there is no National Coverage for DME-Oxygen for cluster headache sufferers.

We've got a request for a National Coverage Determination on DME-Oxygen as an abortive for cluster headaches in the works.  This will take up to 180 days after we make the final submission for CMS to come up with a determination...  We've got a strong case but you've got to understand the nature of government run bureaucratic medicine...  It is neither readily available or inexpensive, and above all, when it is available, it's rationed...

Until they make a determination, the following holds, so you'll need to rely on supplemental medical insurance...

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Take care and hang in there.  When the time comes, I'll ask the good people of CH.com here in the US to send a note to their Congressmen and CMS...

V/R, Batch

Title: Re: Has anyone gotten Medicare to pay for O2 for CH?
Post by Ray on Feb 13th, 2010 at 5:59pm
Thanks Pete!

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