Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 60.4
Coinsurance, Copayments, and Deductibles
60.4 - Coinsurance, Copayments, and Deductibles
(Rev. 233, Issued: 02-24-17, Effective: 01-01-17, Implementation: 03-27-17)
There is no coinsurance, copayment, or deductible for home health services and supplies
other than the following:
• coinsurance required for durable medical equipment (DME) and furnishing
NPWT using a disposable device covered as a home health service; and
• deductible and coinsurance for the osteoporosis drug, which is part of the home
health benefit only paid under Part B.
The coinsurance liability of the beneficiary for DME and the osteoporosis drug furnished
as a home health service is 20 percent of the fee schedule amount for the services.
Coinsurance for furnishing NPWT using a disposable device as a home health service is
20 percent of the payment amount.