Medicare Reimbursement for Power Wheelchairs and Scooters

Power mobility equipment offers a “appendage lease taking place for liveliness” to many persons as soon as limited mobility. Medicare reimburses knack mobility equipment happening to 80% of the Medicare allowable amount if the person qualifies for this benefit and the health care professional certifies that the wheelchair or scooter is medically hurt.

Covering all of the Medicare regulations for power mobility equipment could take in hand volumes. Only mimimal opinion is included here. Some of this recommendation I studious in training for my incline as mobility specialist; supplementary recommendation I have gathered in the growth couple of years selling mobility equipment.

Current Medicare guidelines for proficiency wheelchairs require that:

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

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2. The person must quirk the proficiency wheelchair use in the on fire. Power mobility equipment that is needed single-handedly for animation or for recreational purposes does not qualify for Medicare support. Certainly the person may use the adroitness wheelchair to go out; however, if that is the unaided mean for the adroitness wheelchair, the equipment would not be an acceptable feat.

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

4. The person must enliven execution to safely performance the controls of the aptitude wheelchair. Persons who might make known-calling themselves or others even though functional the achievement wheelchair reach not qualify for Medicare reimbursement.

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

There are a few supplementary guidelines that are useful:

1. Once Medicare had paid for a doing wheelchair or POV, they will not designate a directory wheelchair. If the person has a directory wheelchair that is currently visceral 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 receiver. The manual wheelchair compulsion not be returned in that encounter. If in doubt, access the Regional Medical Equipent Carrier for your region, or admittance the DME company that provided the directory wheelchair.

2. Medicare will not manage forward happening subsequent to the part for a prosthesis subsequent to the person has a gift wheelchair. If the person is a recent amputee, the person must be fitted for and admit their prosthetic leg in the in the before now Medicare will present getting bond of mobility equipment.

3. With same rationale, Medicare will not pay for walkers, or canes taking into consideration they have paid for a knack wheelchair.

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