Medicare Electric Wheelchair

Power wheelchair sling solid seat back model group type weight capacity up to and including pounds k0813 1 standard sling solid seat and back 300 k0815 1 standard.

Medicare electric wheelchair.

Effective may 5 2005 cms revised. She will be responsible for the remaining 20 percent. Medicare s wheelchair scooter benefit revised october 2019 medicare part b medical insurance covers power operated vehicles scooters walkers and wheelchairs as durable medical equipment dme. Starting september 1 2018 these 33 types of power wheelchairs require prior authorization before medicare will pay for them.

Here s a breakdown of how it works. Electric wheelchairs are heavier compared to regular wheelchairs because if the added wright of batteries motors and sturdier frames. The degree of complexity in electric powered wheelchairs also ranges greatly from simply employing regular batteries along with a joy stick controller all the way up to utilizing microprocessor operated. Medicare part b medical insurance covers power operated vehicles scooters and manual wheelchairs as durable medical equipment dme that your doctor prescribes for use in your home.

Other examples of dme for mobility include walkers canes power scooters and power wheelchairs. The next step is figuring out how much the scooter will cost. If you think you need a power wheelchair or scooter first speak to your doctor or primary care provider pcp. If your doctor prescribes a scooter as a type of dme then you re good to go.

Power wheelchairs and power operated vehicles also known povs or scooters are collectively classified as power mobility devices pmds and are covered under the medicare part b benefit. Your provider must request prior authorization for original medicare to cover certain. If your pcp determines that it is medically necessary that you use a power wheelchair or scooter they should sign an order prescription or certificate after a face to face office visit. Medicare part b covers electric wheelchairs under its durable medical equipment dme coverage.

For power scooters you ll most likely pay 20 percent of the medicare approved amount. Wheelchairs are considered durable medical equipment dme under medicare guidelines. If eligible medicare will pay 80 percent of the cost after she meets her 147 part b deductible. However to be approved for an electric wheelchair through medicare you must meet certain criteria.

You must meet all of the following requirements for medicare to pay for an electric wheelchair. You must have a face to face examination and a written prescription from a doctor or other treating provider before medicare helps pay for a power wheelchair. Scooters can be an expensive piece of equipment but your medicare plan could cover some of the cost. In order to qualify for part b medicare coverage of your wheelchair or other mobility device you must meet the following conditions.