Aetna's HMO-based and health network plans (HMO, QPOS, Health Network Only, Health Network Option, Golden Medicare, and U.S. Access) generally follow Medicare's criteria for durable medical equipment (DME) items that are used in the bathroom. Most DME items used in the bathroom are considered by Medicare to be personal convenience items. Consistent with Medicare rules, Aetna's HMO-based plans, however, do consider certain DME toilet items (commodes, bed pans, etc.) medically necessary if the member is bed-confined or room-confined. The following lists bathroom items and whether they are covered DME under Aetna HMO and traditional plans. For covered items, medical necessity criteria are set forth in the footnotes. Bathing systems (e.g., Otter Bathing System, Rifton's Blue Wave System) Bathtub lifts (bath chair lift) Bathtub seats (bath bench, tub chair) Bed baths (home type) Bed pans (autoclavable hospital type) Grab bars (affixed to wall) Shower bench (shower chair)
Toilet seat lift (erector) Urinals (autoclavable hospital type) Whirlpools and pumps (portable and nonportable) (e.g., Jacuzzi, Hydro-jet, Turbo-jet) Key: Yes -- considered medically necessary; No -- considered non-covered personal convenience item. 1considered medically necessary if member is bed-confined or room-confined* 2considered medically necessary for infection or injury of the perineal area 3considered medically necessary if member is unable to bathe or shower without being seated 4considered medically necessary if member is unable to transfer to and from tub 5considered medically necessary if member is unable to rise from toilet seat without assistance. 6considered medically necessary according to selection criteria set forth in section on commodes below. *Note: For this policy, the term "room-confined" means that the member’s condition is such that leaving the room is medically contraindicated. The accessibility of bathroom facilities generally would not be a factor in this determination.
However, confinement of a member to his home in a case where there are no toilet facilities in the home may be equated to room confinement. In addition, a member may be considered “room-confined” if a member’s medical condition confines her/him to a floor of their home and there is no bathroom located on that floor. Commodes: Aetna considers commodes medically necessary DME for members who are physically incapable of using regular toilet facilities. This would also occur in the following situations: Mobile commode chairs are considered medically necessary DME as an alternative to stationary commode chairs for members who meet the medical necessity criteria for a stationary commode chair. Extra wide/heavy commode chair: Aetna considers extra wide/heavy commode chairs medically necessary DME for members who weigh 300 pounds or more. Commode chair with detachable arms: A commode chair with detachable arms is considered medically necessary DME if the detachable arms feature is necessary to facilitate transferring the member or if the member has a body configuration that requires extra width.
Commode chair as raised toilet seat: Aetna's traditional plans consider raised toilet seats and commode chairs that are used as raised toilet seats medically necessary DME for members who are unable to rise from a toilet seat without assistance. Note: Aetna's HMO and health network based plans follow Medicare rules for commode chairs. Medicare considers raised toilet seats personal convenience items. Therefore, Aetna's HMO and health network bawed plans consider a commode chair a non-covered personal convenience item if the commode chair is to be used as a raised toilet seat by positioning it over the toilet. Commode with seat lift mechanism: Aetna considers seat lift mechanisms incorporated into a commode chair medically necessary DME if the member meets the medical necessity criteria for a commode chair and meets medical necessity criteria for a seat lift in CPB 0459 - Seat Lifts and Patient Lifts. However, a commode with seat lift mechanism is intended to allow a person to walk after standing.
If the member can ambulate, he/she would rarely meet the medical necessity criterion for a commode. Note: Footrests do not meet Aetna’s contractual definition of covered DME because they are not primarily medical in nature. An extra wide/heavy commode chair is defined as one that has a width of greater than or equal to 23 inches and is capable of supporting a person who weighs 300 pounds or more. A raised toilet seat is a device that adds height to the toilet seat. It is either fixed height or adjustable. It is either attached to the toilet or is unattached, resting on the bowl. (Note: A free-standing raised toilet seat supported by legs on the floor is considered a commode.) A toilet seat lift mechanism is a device with a seat that can be raised with or without a forward tilt while the patient is seated, allowing the patient to stand and ambulate once he/she is in an upright position. It may be manually operated or electric. It is attached to the toilet.
A commode with seat lift mechanism is a free-standing device that has a commode pan and that has an integrated seat that can be raised with or without a forward tilt while the patient is seated. An integrated device is one which is sold as a unit by the manufacturer and in which the lift and the commode can not be separated without the use of tools. & FREE Delivery in the UK. Order within and choose at checkout. NRS Healthcare Portable Shower, Commode and Over Toilet Chair Dispatched from and sold by Amazon.Amazon can issue VAT refunds on eligible items dispatched and sold by Amazon to customers who are registered disabled or chronically ill. A combination shower chair, commode and toileting chair all in one. This lightweight, versatile chair is made with an anodised aluminium frame and lift-up, moulded seat for comfort and ease of cleaning. Four swivel, braked castors ensure safety and easy manoeuvrability. Fitted with a pan and sliders as standard so can be used as a commode chair or can be pushed over a standard toilet.
Benefits carers and users by preventing the need for additional transfers and the need for separate items of equipment in the shower and toilet. Footrests are sold separately. Seat height 570 mm (22½ inch), seat width: 430 mm (17 inch), seat depth: 460 mm (18 inch), overall height: 1050 mm (41 inch), overall width: 560 mm (22 inch), overall depth: 580 mm (23 inch), weight: 11 kg (24 lbs), maximum user weight limit: 100 kg (16st). 106,285 in Health & Personal Care (See top 100) in Health & Personal Care > Medical Supplies & Equipment > Mobility & Daily Living Aids > Bathroom Aids & Safety > Toilet Seats & Commodes > Bedside Commodes in Health & Personal Care > Medical Supplies & Equipment > Mobility & Daily Living Aids > Beds, Bedroom Aids & Accessories in Health & Personal Care > Intimate Hygiene > Bladder Control & Incontinence Delivery Destinations:Visit the Delivery Destinations Help page to see where this item can be delivered. Date First Available18 Jan. 2012