By CityDME Caregiver Team · 8 min read · April 15, 2026
Medicare and Medicaid for DME: What Each One Covers
Medicare and Medicaid for DME
Medicare Part B covers durable medical equipment that can be used in the home and is expected to last three or more years. Walkers, hospital beds, oxygen, CPAP, wheelchairs.
It does not cover adult diapers. It does not cover most disposable supplies.
Medicaid is different. Many state Medicaid programs cover adult incontinence supplies, including New York. The benefit usually runs through a managed care plan with monthly limits and prior authorization.
Equipment prescribed for a NY claim?
Patients, attorneys, treating providers, and adjusters may use the online form. Providers may also fax (973) 846-7077 or email referral@citydme.com. CityDME reviews submitted referrals the next business day. Prescription required.
Send a DME ReferralHow to know what your plan covers
Call the number on the back of the insurance card. Ask one question: "Does my plan cover incontinence supplies, and if yes, what is my monthly limit?" Write down the answer.
If the answer is yes, ask what documentation they need. Most plans ask for a diagnosis, a prescription, and sometimes a Letter of Medical Necessity.
NY-specific phone numbers
- New York State Medicaid: (800) 541-2831.
- NY Medicaid Choice (managed care enrollment): (800) 505-5678.
- Medicare general: (800) 633-4227.
What we do for you
If your plan covers supplies and we're in-network, we bill it. If we're out-of-network, we provide the receipt and product codes you need to submit for reimbursement. Either way, we help you understand the answer before you commit to monthly cases.
Want help picking the right product?
Call (973) 850-3121 Mon-Fri 9-5 ET. We'll send a free sample pack — three sizes, plain unmarked box, no autoship enrollment required.
You can also email info@citydme.com or walk into our showroom at 2416 65th Street, Brooklyn, NY 11204.
Injured on the job or in a crash?
Patients, attorneys, treating providers, and adjusters may use the online form. Providers may also fax (973) 846-7077 or email referral@citydme.com. Prescription required.