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First-time approval of home oxygen therapy must be based on a physicians diagnosis, prescription, and a Registered Respiratory Therapists report.
A physician or nurse practitioner must prescribe home oxygen therapy. Based on their assessment of your medical condition, your physician or nurse practitioner will determine if home oxygen therapy is required. Eligibility for funding assistance is based on established medical eligibility criteria.
A patient must be a resident of Ontario with a valid OHIP card, and meet the medical eligibility criteria. Qualified patients under 65 are 75% covered for the cost of home oxygen therapy, while qualified patients over 65 are 100% covered. You can learn more about the Assistive Devices Program.
Is portable oxygen covered by insurance? Portable oxygen concentrators are considered durable medical equipment (DME) by Medicare, Medicaid, and most private health insurance plans. If you have original Medicare, Part B will cover the costs of oxygen equipment and accessories prescribed by your doctor for home use.
A severe lung disease, such as chronic obstructive pulmonary disease, diffuse interstitial lung disease, whether of known or unknown etiology; cystic fibrosis, bronchiectasis; widespread pulmonary neoplasm; or. Hypoxia-related symptoms or findings that might be expected to improve with oxygen therapy.
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