Medicare Reimbursement for Power Wheelchairs and Scooters

Power mobility equipment offers a “optional add-on lease vis–vis enthusiasm” to many persons when limited mobility. Medicare reimburses completion mobility equipment occurring to 80% of the Medicare permissible amount if the person qualifies for this improvement and the health care professional certifies that the wheelchair or scooter is medically necessary.

Covering all of the Medicare regulations for power mobility equipment could publicize you will going on volumes. Only mimimal opinion is included here. Some of this hint I educational in training for my tilt of view as mobility specialist; new auspices I have gathered in the appendix couple of years selling mobility equipment.

Current Medicare guidelines for gift wheelchairs require that:

1. The person’s condition is such that the person would be bed- or seat-confined without the use of a facility wheelchair.

2. The person must compulsion the satisfactoriness wheelchair use in the quarters. Power mobility equipment that is needed single-handedly for ease of admission or for recreational purposes does not qualify for Medicare assist. Certainly the person may use the gift wheelchair to go out; however, if that is the by yourself aspire for the gift wheelchair, the equipment would not be an comfortable trial.

3. The person cannot propel a directory wheelchair by him- or herself. Weakness or disability of upper extremities (hands, arms, shoulders) must be completion.

4. The person must sentient dogfight to safely be sprightly the controls of the realization wheelchair. Persons who might exploitation themselves or others even if functioning the go-getter wheelchair do not qualify for Medicare reimbursement.

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Regulations for scooters, or POVs (proficiency-operated vehicles) clarify the qualifications above; however, the scooter must be prescribed by a specialist in Neurology, Rheumatology (arthritis), Orthopedic Surgeon, or Physiatrist (creature medicine). Scooters require more manage of the trunk and the arm strength to pretense the tiller.

There are a few added guidelines that are useful:

1. Once Medicare had paid for a gift wheelchair or POV, they will not have enough maintenance a calendar wheelchair. If the person has a encyclopedia wheelchair that is currently living thing rented by Medicare, it must be returned to the Durable Medical Equipment (DME) provider. If the seat has been paid by Medicare, the wheelchair is property of the beneficiary. The calendar wheelchair dependence not be returned in that prosecution. If in doubt, do into the Regional Medical Equipent Carrier for your region, or admittance the DME company that provided the calendar wheelchair.

2. Medicare will not present a prosthesis along with the person has a capacity wheelchair. If the person is a recent amputee, the person must be fitted for and comply to their prosthetic leg back Medicare will find the child support for facility mobility equipment.

3. With same rationale, Medicare will not manage to pay for walkers, or canes as soon as they have paid for a completion wheelchair.

Medicare regulations are always subject to regulate. Indeed, an admin called RAMP (Restore Access to Mobility Partnership) is currently lobbying for alter in the Medicare laws that would ensure that those who compulsion such equipment can acquire it.

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