Will Medicare cover my mobility power chair or power scooter?
If you think you need a mobility power wheelchair or power scooter, you are certainly not alone. According to a U.S. Census Bureau report that covered 2008 to 2012, 40% of adults age 65 and older reported having at least one disability, with over 60% of those having trouble with walking or standing. That is over 15 million individuals suffering from mobility issues that significantly limits their independence.
Let’s face it, most assistive mobility devices are not cheap and many wonder how they are going to pay for something they so desperately need just to perform regular daily activities. Fortunately, a large majority of individuals can obtain their power wheelchair or power scooter through Medicare. The following are some important considerations to keep in mind when looking for a power wheelchair or power scooter covered through Medicare.
How do I know if I need a power wheelchair or power scooter?
Here are some important questions to consider when determining your need for a power wheelchair or power scooter.
1. Even with the help of a cane or walker, do you find it very hard to move around your home?
2. Do you have difficulty performing daily activities such as bathing and dressing?
3. Are unable to use a manual wheelchair or manual scooter but can successfully use a power wheelchair or power scooter?
4. Will a power wheelchair or power scooter help with a specific medical condition or injury?
5. Do you think you can successfully operate a power wheelchair or power scooter?
If you answered yes to all these questions, then it is very likely that you need a power wheelchair or power scooter. Call Active Mobility Innovations now to talk to a mobility specialist who can help you get started today.
If you answered no to any of these questions, but still feel that you need mobility assistance, Call Active Mobility Innovations now to talk to a mobility specialist who can help you decide on the right mobility device for you.
Yes, I think I need a power wheelchair or power scooter, what is the next step?
This next step is probably the most important one. In order to be qualified for Medicare coverage of a mobility power wheelchair or power scooter you must speak with your Primary Care Physician (PCP) who will determine if a power wheelchair or power scooter is medically necessary for you. Your doctor must first consider the use of other assistive devices such as a cane, walker, manual wheelchair or manual scooter. Your doctor will determine which mobility device best suits your individual needs.
Keep in mind that you can only receive Medicare coverage for one piece of mobility equipment that addresses at-home mobility issues. If your doctor determines that it is medically necessary for you to use a power wheelchair or power scooter, they will sign an order, prescription or certificate after a face-to-face visit with you for you to take to an authorized DME provider.
What is an authorized DME provider?
DME (Durable Medical Equipment) is equipment that serves a medical purpose, is appropriate for use in the home, and can withstand repeated use. Medicare Part B covers this type of medical equipment, but it does not cover all medical equipment. Fortunately, Medicare does cover power wheelchairs and power scooters when deemed medically necessary.
A DME provider is a medical equipment supplier that is contracted with Medicare to distribute Durable Medical Equipment to Medicare beneficiaries. Your provider must receive all necessary paperwork within 45 days from the date of your face-to-face visit with your doctor. Once your DME provider receives your prescription and medical information, they will work with you and your doctor to find the best electric wheelchair or power scooter that meets your specific needs and lifestyle.
Your provider will make sure your home has the appropriate amount of space to maneuver your new scooter or wheelchair. Your provider will also assess your needs and abilities to make sure you have the perfect mobility product for your specific mobility needs. This home assessment is vital to ensure your living environment supports successful use of your electric wheel chair or scooter.
Following a successful assessment, your provider will go ahead and order your new power wheelchair or power scooter as prescribed by your doctor. Your provider will then deliver your electric scooter or wheelchair to your home and instruct you on how to use it.
Ready to get started?
Here at Active Mobility Innovations (AMI) we are an Authorized Medicare Provider and can assist you with all your mobility needs, including filling your prescription for a power wheelchair or power scooter.
We have specialists standing by to answer all your questions and are ready to help you every step of the way. Call now to get started!