Medicare Frequently Asked Questions

Why do I have to see a doctor for Medicare to cover my power wheel chair?

Medicare coverage guidelines require you to have a face-to-face office visit with your doctor before they will cover any portion of your power wheel chair cost. This visit must be for a mobility evaluation, not a general examination.

How do I know if I qualify for Medicare coverage for a power wheel chair?

Under Medicare coverage guidelines, wheel chairs are covered if they are medically necessary for you to perform daily living activities in your home that can’t be performed using a cane, walker, manually operated wheelchair or a mobility scooter. In addition, you must demonstrate the ability to safely and effectively operate the power wheel chair in your home.

How do I obtain Medicare coverage for a power wheel chair?

The first step in obtaining Medicare coverage for your wheel chair is to schedule an appointment with your doctor. This appointment must be specifically for a mobility evaluation.  Your doctor will ask you a series of questions that are used to determine medical necessity for a power wheel chair. A doctor’s prescription is required for Medicare coverage.

Who initiates the necessary Medicare or insurance paperwork?

We assist you with completing your insurance paperwork once we receive your doctor’s prescription. We then submit and track your insurance paperwork on your behalf.

Do I have to pay the 20 percent co-payment?

It depends on your supplemental insurance. If you qualify and have met your deductible, Medicare will pay up to 80 percent of the cost of your power wheel chair. You’re responsible for paying the remaining 20 percent of the cost of your power wheel chair either directly or through supplemental insurance.