Insurance Coverage & Costs

Does Medicare Cover This?

Remote patient monitoring uses a connected device at home. That might be a blood pressure cuff or a weight scale. It might be a pulse oximeter, a clip that measures the oxygen in your blood. The device sends your readings to your care team. Changes get noticed between office visits.

The Centers for Medicare and Medicaid Services (CMS) has covered remote patient monitoring since 2018. More people use it every year. Coverage is broad, reaching both long-term and shorter-term conditions. A doctor must decide that monitoring is medically necessary.

Original Medicare pays separately for three parts of the service. The first is teaching you to use the device. The second is supplying the connected device. The third is the ongoing review of your data by the care team. Learn more about our three service lines. Or see how we work with physician practices.

What Do I Pay Under Original Medicare?

For 2026, the standard Medicare Part B premium is $202.90 a month. The yearly Part B deductible is $283, according to Medicare.gov. Most people pay that premium every month, whether or not they use any Part B services.

After you meet your deductible, you usually pay 20% of the Medicare-approved amount. That applies to covered Part B services, including remote monitoring. The 20% share is called coinsurance. These amounts change from year to year, so check current numbers with Medicare or your plan. For a closer look at the 2026 Medicare CPT codes and reimbursement rates, RemoteHCS Media has a detailed breakdown.

Medicare Advantage and Private Plans

• Original Medicare (Part B) Part B covers remote monitoring as a medical service. First, you meet your yearly deductible. Then you typically pay 20% of the Medicare-approved amount. This is the same coinsurance. Most other Part B services use it too.
• Medicare Advantage (Part C) Medicare Advantage must cover at least this. That is what Original Medicare covers. But they set their own rules. This includes provider networks. It also includes prior authorization and cost sharing. Extra benefits vary by plan.
• Private & Employer Plans Private and employer plans decide their own coverage rules. Whether it is covered depends on your plan. What you pay depends on your plan too.
• Confirming Your Own Costs Coverage and costs can change from year to year. Call the member services number on your insurance card. Ask specifically about remote patient monitoring benefits. Do this before you start.

4 Questions to Ask Your Insurance Plan

• Does my plan cover remote patient monitoring? Ask if remote monitoring is covered. Ask if your plan includes it. Also ask whether it is billed as a medical service.
• Do I need a doctor's order or prior authorization? Ask whether your plan requires your doctor's approval. Ask if this comes first. Also ask who is responsible for submitting it.
• What will my deductible and coinsurance be? Ask how much of your yearly deductible you have met. Ask this first. Also ask what percentage you will owe. Ask this after you meet it.
• Is my provider in-network? Ask whether an out-of-network provider changes your cost. Also ask if it affects your coverage.

Important Things to Know

Insurance rules vary widely. Keep these points in mind.

• This page describes general rules, not your personal coverage What Medicare covers may not match your policy. The same goes for one insurer. Always confirm your own benefits with your plan. Do this before you start.
• Costs and rules change from year to year Medicare premiums and deductibles change. Coverage policies are updated annually. Check Medicare.gov or your plan for the most current figures.
• This is not for medical emergencies If you are having a medical emergency, call 911. Or go to the nearest emergency room. Remote monitoring supplements your regular medical care. It does not replace it.