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Which Power Chair Accessories Will Medicare Cover?

Which Power Chair Accessories Will Medicare Cover?

No return to independent mobility is complete without a few useful power wheelchair accessories.Medicare may provide reimbursement for many power chair items as long as they fully meet specific eligibility and coverage criteria.

A self supporting threshold ramp for wheelchairsThis being the case, it is important to understand that certain items may fall outside of Medicare's requirement of medical necessity
1 and may not be covered. A power chair upgrade is considered non-essential if:

  • the item is beneficial primarily for the performance of leisure and/or recreational activities
  • the accessory is decorative in nature and does nothing to resolve mobility deficits or functioning
  • the optional part has not been prescribed as necessary for performing mobility-related activities of daily living inside the home

Available Power Wheelchair Accessories

Most power mobility accessories may be purchased at any time. Optional items marked by an asterisk (*) below may qualify for Medicare coverage under very particular circumstances.2

Many of these items are available to purchase online on Hoveround's website.

To find out if an accessory may be covered by Medicare, or to obtain more power wheelchair accessories, just contact us at 1-800-308-9295. Our friendly mobility specialists are eager to assist.

1 Medical Necessity: criteria which encompasses durable medical equipment that is doctor-prescribed and essential for accommodating, maintaining and/or improving a patient's physical functioning and mobility-related activities of daily living ( i.e., feeding, toileting, dressing, grooming, transfers, etc) and as determined by the insurer.
2Determination and other statutory and regulatory requirements must be met for Medicare coverage.
3Power seat lift must be ordered at time of Hoveround power chair purchase.

The list of items and policy criteria featured in this article is not complete. More facts on Medicare coverage for power wheelchair upgrades are available from the Centers for Medicare and Medicaid Services. Please call 1-800-MEDICARE for details.

This article is for informational purposes only and is not a substitute for professional medical advice. All information is general in nature and may not necessarily apply to every one and every situation.
October 22, 2012