In order to qualify for Part B Medicare coverage of your wheelchair or other mobility device, you must meet the following conditions:. In some cases, Medicare coverage is available for a power wheelchair. You must have a face-to-face exam with the doctor who is recommending the power wheelchair and he or she will have to write an order for it, explaining to Medicare why you need a power wheelchair and certifying that you are physically capable of using it. If you have mobility issues and are concerned about your health-care costs, you may want to consider a Medicare Advantage plan Medicare Part C.
Medicare Advantage plans are offered by private insurance companies approved by Medicare and are able to offer additional benefits not available under Original Medicare Part A and Part B.
Although they must include all the coverage under Original Medicare except for hospice care, which is still covered under Part A , most Medicare Advantage plans include Part D coverage for prescription drugs as well as coverage for routine vision, dental, and even hearing care.
In many cases, copayment and deductible amounts are lower, as well. Keep in mind that not all plan types and benefits may be available in all locations. You also need to continue paying your Part B premium, plus any additional premium required by your plan, if you enroll in Medicare Advantage. So for a standard manual chair you can get it right away as you leave the hospital.
For a custom wheelchair it could be as little as 3 weeks but it could be up to 3 months. Should I get a custom wheelchair? We think you should always ask about a custom wheelchair first for two reasons:. Getting a chair that is built for your needs can make things much easier in the long run, although it takes more time up front.
If you are going to use wheelchair for more than a couple months its worth it to try to get something that has some better features to meet your needs. Medicare considers the life of a mobility device to be 5 years.
So getting the best chair to start with keeps you from having to go through the process again. The disclaimer though is that not everyone qualifies for a custom chair.
Only your team of professionals can help prove that out. But you and your family are still your best advocates! So get all the information you can by asking the questions first! Have More Questions Now? Reach out to us at AccessAble Living. We serve as the occupational therapists that do the mobility device evaluation see How is Medical Necessity Proven section above.
So we can help get the process started and are very knowledgable to answer your questions based on your needs. Proud to be your aging-in-place resource in Kansas City and Wichita for wheelchair ramps, shower chairs , and everything in between! Get Help Getting a Wheelchair. Read how different parts of Medicare may cover hearing aids and hearing health, what hearing aids cost and what your best Medicare options may include if you need hearing aids.
Medicare Part B covers annual wellness visits. Medicare Advantage plans also cover annual wellness visits, and many Medicare Advantage plans also offer other wellness benefits such as SilverSneakers membership. Medicare Part A does not cover outpatient surgery, but Part B covers medically necessary outpatient surgery.
Original Medicare and Medicare Advantage plans can cover chiropractic care, but some plans may cover services more than others. Medicare covers many telehealth services, and those benefits expanded during the coronavirus pandemic. While Original Medicare does not currently cover grab bars, some Medicare Advantage plans may cover grab bars in home bathrooms. Join our email series to receive your Medicare guide and the latest information about Medicare and Medicare Advantage. Your Medicare guide will arrive in your email inbox shortly.
You can also look forward to informative email updates about Medicare and Medicare Advantage. If you'd like to speak with an agent right away, we're standing by for that as well. Give us a call! Medicare does cover wheelchairs and walkers, but there are certain restrictions and guidelines you should know.
Learn more about durable medical equipment DME and Medicare coverage. Sign me up! Find Medicare Advantage plans that cover wheelchairs and walkers Compare plans now. Does Medicare Cover Transportation? Medicare Coverage and Benefits Medicare Part B may cover emergency ambulance services, and some Medicare Advantage plans may offer non-emergency transportation benefits to plan members.
Does Medicare Cover Hearing Aids? Does Medicare Cover Annual Physicals? Does Medicare Cover Chiropractic Services?
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