10% Off Women's Health and Rehab & Therapy, Code: ATBF10, Exclusions Apply
Day
:
:
  866-316-0162

Articles and News

Pneumonia and The Need for Supplemental Oxygen

Laura Castricone

First, let’s review - What is Pneumonia?

Pneumonia is an inflammation of the lungs which causes the air sacs to be filled with pus or fluid. Pneumonia is caused by either a bacterial, viral, or fungal infection. When the lungs get full of debris, it becomes difficult to breathe. As the patient struggles for air, the oxygen level in their blood decreases. As oxygen levels decrease and are sustained at lower levels, the body responds in many negative ways.

This condition can be life-threatening. Symptoms of pneumonia include coughing (can be dry or productive,) shortness of breath, fever, congestion, fatigue, chills, chest pain, and loss of appetite.

Does Medicare cover Oxygen Therapy?

Unfortunately, in the U.S., supplemental oxygen therapy is NOT covered in the home by Medicare with the diagnosis of pneumonia. Oxygen therapy, in Medicare’s eyes (for payment purposes,) is available to patients who have a “chronic condition,” have oxygen saturations levels at or below 88%, and have an approved diagnosis that has been attested to by a doctor and backed-up with lab results and pertinent chart notes. The use of oxygen for an “acute” condition is not covered by Medicare.

Pneumonia, because it normally will resolve within a month or two, is considered an “acute” condition. It is obvious why this is problematic. Many patients go home with low oxygen levels and this can impact how quickly their condition resolves and what complications may arise. However, Medicare has not changed this rule and has no intention of changing this rule anytime in the future. Many patients who were administered oxygen therapy in the hospital, and now need to be discharged, will need to go home without oxygen therapy or choose to pay for the therapy out-of-pocket.

 

How much does Oxygen cost?

According to my colleagues in the durable medical equipment industry, the average cost of out-of-pocket for oxygen monthly is between $150-$275, and there are no regulations on how much the company can charge a patient when they are paying privately. If you have been diagnosed with pneumonia and need supplemental oxygen (per your healthcare provider,) you can purchase an oxygen system for yourself. HPFY carries a variety of stationary and portable oxygen systems.

Be aware of the limitations of some of the portable systems as they may not meet your needs. Some portable systems utilize a “pulse-dose” system which provides oxygen on inspiration only. Some patients cannot correct their low oxygen levels with this type of system and may need a “continuous flow” oxygen portable. Stationary systems are bigger and bulky and plug into household electricity. These are meant for use inside of the home and are not portable.

With the advent of COVID-19 and its residual effects on pneumonia, we are seeing more and more patients being discharged without any oxygen support. Poor oxygen levels can lead to heart complications, higher blood pressure, cognitive issues, fatigue, and respiratory failure. Although a patient may not need supplemental oxygen while sitting still, they may need support when walking or when doing activities. They may also need oxygen during sleep.

What should you know about Oxygen Therapy for Pneumonia?

A good plan is to have the patient tested in each situation (at rest, with activity, and while sleeping) to understand their needs. These tests will need to be ordered by a physician and documented. If you decide to purchase your own equipment, you will need a doctor’s prescription to purchase, no other documentation is normally needed.

Please visit Health Products For You and take a look at our oxygen selections.

 

Disclaimer: All content found on our website, including images, videos, infographics, and text were created solely for informational purposes. Our content should never be used for the purpose of diagnosis or treatment of any medical conditions. Content shared on our websites is not meant to be used as a substitute for advice from a certified medical professional. Reliance on the information provided on our website as a basis for patient treatment is solely at your own risk. We urge all our customers to always consult a physician or a certified medical professional before trying or using a new medical product.

 


HPFY Laura Castricone

Laura Castricone

LinkedIn Profile

My name is Laura Castricone and I am a Certified Respiratory Therapist. I have been practicing in the state of Connecticut since 1992. I have worked in several aspects of respiratory care including ...

Read More

Trending Articles

What Everyone Should Know About Resistance Band Colors

Kevin Cleary

Resistance exercise bands come in a number of colors and it’s not just for decoration. Many people use these bands however, they do not have the knowledge of the colors and the purpose with which they are designed.

5 Facts about Syringes You Wish You Knew Before

Kevin Cleary

A syringe is a pump consisting of a snugly fit piston(or plunger) within a calibrated glass or plastic cylinder called a barrel.The syringe is equipped with a hypodermic needle, nozzle, or tubing that helps direct the flow of medication.

TOP 5 BEST REVIEWED NEBULIZERS OF 2022

Kevin Cleary

Breathing disorders, such as COPD or asthma, can be a major detriment when it comes to quality-of-life issues.Treating these breathing ailments with medications is the main course of treatment.Being able to deliver aerosol medication directly into the lungs in an expedited fashion is the best way to manage these lung disorders. The use of a nebulizer for aerosol medications allows for the efficient and easy delivery of these medications.

MINERAL OIL VS SALINE ENEMA: WHICH ONE TO CHOOSE?

Kevin Cleary

An enema is used for many reasons.Just as there are many reasons, there are different types of enemas, each of which contains different ingredients and works differently in the body. While some may choose an enema to soften stool or for routine colon cleansing, the reason for using an enema may have more of a medical necessity.

FIVE BEST CERVICAL TRACTION DEVICES OF 2022

Taikhum Sadiq

Cervical traction is a technique applied to the cervical region of the body to help alleviate neck pain, discomfort, and other physical conditions related to the cervical region.Cervical traction works by stressing the neck, pulling, and pushing, thus reducing the pressure on the spine, the neck, and the upper torso.Excessive stress on the neck, spine, and upper region, due to a wide range of conditions or injuries can cause severe pain and can lead to other complications.Cervical traction devices help alleviates these conditions thus offering overall body rehabilitation and treatment options.