2025 Insurance Coverage for Heart Failure Monitoring
In 2025, insurance providers have increasingly recognized that paying for a connected scale or blood pressure cuff at home is far cheaper than paying for a multi-day hospital stay.
Medicare Coverage (The Gold Standard)
Medicare Part B continues to lead the way in RPM support. For patients with a documented diagnosis of chronic heart failure, Medicare typically covers 80% of the cost for:
- Initial Setup: One-time education on how to use your devices.
- Monthly Monitoring: The “behind-the-scenes” work where nurses and doctors review your transmitted data.
- Monthly Communication: At least 20 minutes of interactive time (phone or video) with your care team.
Note: Most patients with Medigap or secondary insurance will find that their remaining 20% co-pay is fully covered, resulting in $0$ out-of-pocket costs for the service.
Major Private Insurers (UnitedHealthcare, Aetna, Cigna)
The landscape for private insurance is evolving. Notably, in late 2025, UnitedHealthcare announced a policy shift …
2025 Insurance Coverage for Heart Failure Monitoring Read More