Medigap and DME: CPAP and oxygen costs (2026)

3 min read By HHZ Editorial Next review

CPAP and home oxygen are Part B durable medical equipment: after the Part B deductible ($283 in 2026) you pay 20% of the Medicare-approved amount if your supplier accepts assignment. Medigap Plans A, B, C, D, F, G, M and N cover that 20% in full; Plan K covers 50% and Plan L 75%. Only Plans C and F cover the Part B deductible, and only F and G cover Part B excess charges. Using a supplier that accepts assignment is the biggest protection. Source: Medicare.gov, checked 13 October 2026.

Sources: Medicare.gov Compare Medigap plan benefits, DME coverage and Does your provider accept Medicare as full payment?, checked 13 October 2026; CMS competitive bidding fact sheet.

Your Part B costs for DME

Medicare.gov says that after the Part B deductible, you pay 20% of the Medicare-approved amount for DME if your supplier accepts assignment. CPAP therapy, oxygen equipment and accessories, and respiratory assist devices are all listed as covered DME. Depending on the item, you may rent, buy or have the choice, and some rented items become yours after a set number of payments.

Medigap plans and Part B costs (2026)

PlanPart B coinsurance (your 20%)Part B deductible ($283)Part B excess charge
ACoveredNot coveredNot covered
BCoveredNot coveredNot covered
CCoveredCoveredNot covered
DCoveredNot coveredNot covered
FCoveredCoveredCovered
GCoveredNot coveredCovered
K50%Not coveredNot covered
L75%Not coveredNot covered
MCoveredNot coveredNot covered
NCovered (visit copays apply)Not coveredNot covered

Source: Medicare.gov Medigap chart. Plans C and F aren’t available to everyone; eligibility depends on when you first became eligible for Medicare. High-deductible F and G (some states) require you to pay up to $2,950 in 2026 before the policy pays. Plans K and L have out-of-pocket limits of $8,000 and $4,000 in 2026.

Why assignment matters more than excess-charge coverage

  • A supplier that accepts assignment can charge you only the deductible and coinsurance on the Medicare-approved amount (Medicare.gov).
  • For rented DME, Medicare.gov advises checking that the supplier accepts assignment for all rental months; otherwise you may pay the full cost up front and be reimbursed later (Medicare.gov).
  • CMS says non-participating DME suppliers in non-bidding areas aren’t required to accept assignment and “can charge any amount” (CMS).

So even with Plan G, ask every CPAP or oxygen supplier: “Do you accept assignment for all rental months?” More in DME assignment explained.

Medigap vs Medicare Advantage for equipment

Medigap works only with Original Medicare. Medicare Advantage plans set their own cost-sharing and supplier networks; see Medicare Advantage vs Original Medicare for DME.

Verdict

If you rely on CPAP or oxygen, a Medigap plan that covers Part B coinsurance in full (most do) removes the 20% share. Plan G covers almost everything except the $283 deductible. Whatever plan you choose, insist on a supplier that accepts assignment.

Related: Medicare CPAP coverage, Medicare oxygen coverage, competitive bidding explained, HSA and FSA eligibility.

Frequently asked questions

Does Medigap cover my 20% for CPAP or oxygen?
Medicare's Medigap chart shows Plans A, B, C, D, F, G, M and N cover 100% of Part B coinsurance. Plan K covers 50% and Plan L 75%. CPAP and oxygen equipment are Part B DME, so that coinsurance is what Medigap pays.
Does Medigap pay the Part B deductible?
Only Plans C and F, per Medicare's chart. The Part B deductible is $283 in 2026. Not everyone can buy Plan C or F; it depends on when you first became eligible for Medicare.
What's a Part B excess charge?
An amount above the Medicare-approved amount that a provider who doesn't accept assignment may charge. Medicare's chart shows only Plans F and G cover it. For DME, CMS notes that non-participating suppliers that don't accept assignment can charge any amount, so using an assignment supplier matters more than excess-charge coverage.
Can Plan N leave me owing for DME?
Medicare says Plan N pays 100% of Part B coinsurance, with copays of up to $20 for some office visits and up to $50 for some ER visits. Those copays are for visits, not equipment.
What are Plan K and Plan L out-of-pocket limits?
$8,000 for Plan K and $4,000 for Plan L in 2026. After you reach the limit and pay the Part B deductible, they pay 100% of covered services for the rest of the year.