If you were to carry out long-term oxygen therapy at home or your loved one had to, a portable oxygen concentrator medicare, along with Medicare coverage, could be a great cost-saving factor for you. In 2025, Medicare Part B will still be responsible for the cost of portable oxygen concentrators as part of Durable Medical Equipment (DME) - but only if a patient meets very strict criteria. We will help you to understand everything necessary to get your permission quickly and be free from unexpected bills.
Does Cover a Portable Oxygen Concentrator Medicare in 2025?
Certainly! Medicare Part B will cover a oxygen concentrator for sale with a Medicare-approved model if it is required for a long-term respiratory condition such as COPD, pulmonary fibrosis, or congestive heart failure.
Medicare considers portable oxygen concentrator (POCs) in the same way as stationary concentrators - both are categorized under the DME benefit. The patient is responsible for 20% of the Medicare-approved amount after the Part B deductible has been met, while portable oxygen concentrator medicare covers the other 80%.
Eligibility Requirements for Portable Oxygen Concentrator Medicare:
In order to be eligible for a portable oxygen concentrator Medicare, you are required to satisfy ALL of the conditions listed below.
- The diagnosis of severe lung disease or hypoxia-related symptoms is confirmed by a doctor (MD, DO, NP, or PA) in your case.
- An arterial blood gas (ABG) test indicates a PaO₂ ≤ 55 mmHg or oxygen saturation ≤ 88% at rest on room air.
OR ≤ 55 mmHg / ≤ 88% during exercise (oxygen uptake improvement to be documented).
OR ≤ 55 mmHg / ≤ 88% during sleep (with additional medical documentation).
- Alternative treatments such as medications, inhalers, etc., have been used or eliminated.
- The prescription indicates liters per minute and “portable oxygen concentrator Medicare” or “oxygen for ambulatory use.”
Inogen One G5 vs. Inogen One G4 vs. Philips Respironics SimplyGo Mini – Medicare-Covered Comparison:
| Feature | Inogen One G5 | Inogen One G4 | Philips SimplyGo Mini | Best For Medicare Patients? |
| Weight | 4.7 lbs (with std battery) | 2.8 lbs | 5.0 lbs | Inogen One G4 (lightest) |
| Battery Life (single) | Up to 6.5 hours | Up to 5 hours | Up to 4.5 hours | Inogen One G5 |
| Max Oxygen Output | 1–6 LPM (pulse) | 1–3 LPM (pulse) | 1–5 settings (pulse) | Inogen One G5 |
| FAA-Approved | Yes | Yes | Yes | All qualify |
| Medicare Reimbursement Code | E1390 + E1392 | E1390 + E1392 | E1390 + E1392 | All covered the same |
| Approx. Monthly Rental (after Medicare 20%) | $40–$60 | $35–$55 | $45–$65 | Inogen One G4 (cheapest) |
Pros & Cons of Portable Oxygen Concentrator Medicare:
Pros:
- Full liberty to travel, shop, and visit family
- No heavy tanks or a weekly delivery
- Quieter than regular oxygen tanks
- Medicare pays for 80% of the cost for life (as long as the medical necessity is maintained)
- The majority of new POCs are FAA-certified for flying
Cons:
- Have to be rented (not purchased) for the first 36 months according to Medicare rules
- Strict paperwork - you miss one document = rejection
- 20% coinsurance that can become quite significant if you don't have a supplemental insurance (Medigap)
- Limited to Medicare-contracted DME suppliers (like DME of America Inc.)
How to Get Your Portable Oxygen Concentrator Medicare-Approved in 2025 (Step-by-Step):
- Get a pulmonologist or primary doctor check-up for updated oxygen requirements.
- Request a medical necessity certificate (CMN) Form 484.5 that clearly states “portable system.”
- Pick a supplier that is accredited and has a contract with Medicare (we are in-network all over the country).
- The supplier sends the documents to Medicare, and a decision is made within 7–14 days, most of the time.
- Your POC is delivered within 3–5 working days after the notification of the approval.
Wrapping Up:
It is not necessary to feel overwhelmed while trying to understand the portable oxygen concentrator Medicare. If you fulfill the clear medical criteria, i.e., having low oxygen levels documented by blood gas or saturation testing, and get your device from an accredited, Medicare-contracted supplier, you will be able to obtain a light, FAA-approved portable oxygen concentrator for which Medicare pays 80% (and very often 100% if you have a Medigap policy).
The same DME regulations that fully cover devices such as the jumao oxygen concentrator Inogen One G5, Inogen One G4, and Philips SimplyGo Mini in 2025 allow you to have the freedom of traveling, going to the family, or living the way you want without the inconvenience of heavy tanks or the need for constant refilling.
Make a move today and get in touch with DME of America Inc. Our team is well-equipped to handle the portable oxygen concentrator Medicare, and they can verify your eligibility, complete all the paperwork, and bring your unit quickly, usually within a few days after the approval.
Don’t wait — freedom is just one phone call away!
Frequently Asked Questions (FAQs)
Q: Can I buy a portable oxygen concentrator outright with Medicare?
No. Medicare only allows rental for the initial 36 months. It is after 36 months that you are the owner of the unit.
Are portable oxygen concentrators covered in the same manner by Medicare Advantage (Part C)?
Generally, the majority of plans abide by the regulations of Original Medicare, however, it is advisable to verify your particular plan.
Will batteries or additional accessories be covered by Medicare?
Yes , additional batteries, carts, and carrying cases are typically included when there is a medical necessity.
Is a doctor's prescription sufficient to obtain portable oxygen that is covered by Medicare?
Not only that, you also require a blood gas or saturation test. (The blood gas has to be ≤55 mmHg and the saturation ≤88%)
What occurs if I relocate or visit another state?
Your insurance will be valid throughout the country as long as you are using in-network providers such as DME of America Inc.