What's the process for getting Medicare to pay for an electric mobility scooter or power wheelchair? My 76-year-old mother has arthritis in her knees and hips, and has a difficult time getting around anymore. Getting an electric-powered mobility scooter or wheelchair for your mom that's covered by original Medicare starts with a visit to her doctor's office. If eligible, Medicare will pay 80 percent of the cost, after she meets her $147 Part B deductible. She will be responsible for the remaining 20 percent. Here's a breakdown of how it works. Your first step is to call your mom's doctor and schedule a Medicare required, face-to-face mobility evaluation, to determine her need for a power wheelchair or scooter. For your mom to be eligible, she'll need to meet all of the following conditions. If eligible, your mom's doctor will determine what kind of mobility equipment she'll need based on her condition, usability in her home, and ability to operate it. It's also important to know that Medicare coverage is dependent on your mom needing a scooter or wheelchair in her home.
If her claim is based on needing it outside her home, it will be denied as not medically necessary, because the wheelchair or scooter will be considered as a leisure item. If the doctor determines your mom needs a power scooter or wheelchair, he or she will fill out a written order or certificate of medical necessity (CMN) form for her. Once she gets that, she'll need to take it to a Medicare approved supplier within 45 days. If your mother happens to live in one of Medicare's competitive bidding areas, you'll need to get her device from specific suppliers approved by Medicare. To find approved suppliers and competitive bidding suppliers in your area, visit medicare.gov/supplier or call 800-633-4227. Once you choose an approved supplier, they will send a representative to assess your mom's home measuring her doorways, thresholds and overall space to ensure she gets the appropriate mobility device. If your mom has a Medicare supplemental policy, it may pick up some, or all of the 20 percent cost of the scooter or wheelchair that's not covered by Medicare.
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Innovation In Motion distributes the X8 Extreme, Frontier V6 series power wheelchairs by Magic Mobility and Ormesa pediatric products.GET DEALERSHIP ORDER FORMS "We customize, repair and adapt your new motorized wheelchair to your unique needs" Innovation in Motion201 Growth Parkway, Angola, Indiana, 46703(260) 665-2769 Browse adult Gait Trainers by Dynamico, Sit -to-Stand w/ table by Standy, and Tilt in Space manual wheelchairs by Juditta USA & Canada The Extreme X8 electric wheelchair by Magic Mobility is the "most compact" 4WD chair on the market. Experience ultimate, off-road freedom with this 4X4!All Used Mobility Wheelchairs include a 30-day Warranty.Both Medicare and Medicaid can help pay for an electric wheelchair, with Medicaid paying the portion of the costs that Medicare doesn't. Medicare Part B can pay either to rent or buy a power wheelchair if prescribed by your father's doctor and if medically necessary for him to get around (not just going outside, but to get around the house, too).
If Medicare helps him either to buy or rent the chair, Medicaid can pay the part (usually 20 percent) that Medicare doesn't pay. For an explanation of the rules regarding power wheelchairs, look at Medicare's publication Medicare Coverage of Durable Medical Equipment and Other Devices. If Medicare approves your father's purchase or rental of a wheelchair, he must get it from a Medicare-approved medical equipment supplier. To find the Medicare-approved suppliers in the area where your father lives, go the durable equipment suppliers page on the Medicare web site. When investigating wheelchairs with different suppliers, don't let your father sign an agreement with a supplier until he or his doctor has received written authorization for the chair directly from Medicare. You don't want him to get stuck with an expensive equipment contract that Medicare winds up refusing to pay for. Medicaid does pay for electric wheelchairs. Depending on what state he lives in will determine the criteria.
Typically if he cannot walk more than 10 feet and is unable to self propel a wheelchair will determine his eligibility. My recommendation would be to contact a local ATP (assistive technology provider). This accreditation dictates that this type of supplier must adhere to certain ethics and must have passed a rigorous test verifying their knowledge. and choose "find certified AT Professionals". This type of professional is will not only help choose the best equipment for your father but is very aware of funding criteria. While Medicaid and Medicare are two very different entities, (though they tend to get lumped together as if they were the same thing,...) Yes, medicaid will pay for an electric chair for your father. However, you may look into getting your father onto medicare (But look at what benefits he would be getting very closely before making the switch.) Most of the time it is physicians choice as to where and how much the chair will cost. It can also take a while to get a chair from medicaid, but providers like hoveround are a good resource through medicare as they do not accept medicaid.