Does Medicare Cover Power Wheelchairs

This article explores the topic of whether or not Medicare covers power wheelchairs and other mobility aids for those who qualify. It provides an overview of the types of wheelchairs and other mobility aids that Medicare may cover, as well as the eligibility requirements and alternative options available.

Medicare Pay For a Power Wheelchiar

We use affiliate links and may earn a small commission with a purchase. Read more about us

Whether you’re a senior citizen or have a disability moving without help, you may need the help of a power wheelchair. If you have ever wondered if Medicare covers the cost of a power wheelchair the answer is that it depends on your circumstances. This blog post will discuss what Medicare covers for power wheelchairs and how you can get coverage for your own needs or for a family member that needs to try and get an electric wheelchair from Medicare. Keep reading to learn more!

What is Medicare, and what does it cover?

Medicare is a federal health insurance program for people 65 and over, people with disabilities, and end-stage renal disease. It helps cover the cost of medical treatments such as hospital stays, doctor visits, home health care, and prescription drugs. Does Medicare cover wheelchairs? Yes! Medicare does offer coverage for power wheelchairs that are medically necessary for individual use. 

Coverage includes repairs and replacement parts of wheelchairs prescribed by a member’s doctor. However, other wheelchairs, such as standard wheelchairs, pediatric wheelchairs, and transport wheelchairs, do not usually have coverage under Medicare plans. 

To bill Medicare for a power wheelchair, you need to have an approved supplier or provider fill out an order form, and your doctor needs to provide documentation that the chair is medically necessary.

Does Medicare pay for power wheelchairs?

If you are looking for assistance with covering the cost of an electric wheelchair, Medicare might be able to help. What’s important to understand is that not all wheelchairs will be covered. 

Specifically, Medicare will pay for power wheelchairs if it can be medically justified that using a power chair is necessary due to a patient’s severe physical limitations or incapacity. 

For example, suppose your mobility qualifies you for a power wheelchair. In that case, your doctor may need to send proof certifying this fact to your local Medicare office as part of the medical review process before Medicare will cover any aspect of the purchase. 

It is also possible that they could cover only parts of the total cost, so it pays to do some research ahead of time.

How can I get a power wheelchair covered by Medicare?

If you need a power wheelchair and believe that Medicare can assist with costs, it is crucial to understand how to bill the company properly. 

Firstly, contact your provider if they offer Medicare Supplier Services or an approved vendor with Medicare Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS). 

If so, you will then need to verify coverage for a power wheelchair purchase. After confirming coverage, you can start obtaining a wheelchair from the supplier. Lastly, submit proof of the asset to Medicare to calculate their portion of the payment. 

With this in mind, it is crucial that you thoroughly check on all aspects of obtaining a power wheelchair through Medicare, as special rules and conditions apply.

What are some other ways to get help paying for a power wheelchair?

Power wheelchairs can be a significant investment for those looking to get more mobility in their lives, so finding helpful ways to finance them can be essential. One of the most effective and reliable sources of help is Medicare, although this option has some restrictions that could lead to denial. 

How often Medicare denies power scooters or wheelchairs depends on the applicant’s circumstances and the funds’ availability. Thankfully, other options are available, such as grants or donations through nonprofit organizations like Wounded Warriors, Service Disabled Veterans’ Life Insurance Fund, Medals of Honor, and Easterseals. 

It’s also possible to take out a loan or use crowdfunding sites like GoFundMe or YouCaring. Ultimately, there are many ways that people can get assistance with finding a power wheelchair if they know where to look.

Are there any alternatives to power wheelchairs that Medicare covers?

Medicare covers various power wheelchairs and power scooters to help those with mobility issues. However, if you’re looking for an alternative means of transportation that still provides some electrical assistance, Medicare also covers three-wheeled electric bicycles. 

These models give users the added maneuverability of a bike, paired with the power and range of an e-bike. Medicare may cover the three-wheeled electric bike if your doctor prescribes it as medically necessary; it meets specific requirements and is obtained from an approved Medicare provider. 

If you consider this type of device as a substitute for a power wheelchair or scooter, speak to your doctor to find out if it’s right for you.

Final thoughts

Medicare is a government-sponsored health insurance program that covers various medical services and supplies for seniors and disabled Americans. 

While Original Medicare (Parts A and B) does not cover power wheelchairs, there are some ways to get help paying for one. You can enroll in a Medicare Advantage plan (Part C) or purchase supplemental insurance (Medigap). 

Some state Medicaid programs also cover power wheelchairs. If you cannot afford a power wheelchair, some alternatives may be covered by Medicare, such as manual wheelchairs, scooters, and lift chairs.

Frequently Asked Questions About Does Medicare Cover Power Wheelchairs

Does Medicare cover power wheelchairs?  Yes, Medicare may provide coverage for a power wheelchair if it is deemed medically necessary by your doctor and meets specific requirements. To be eligible, you must first verify coverage with a supplier that offers Medicare Supplier.

What types of power wheelchairs does Medicare cover?  Medicare may provide coverage for various power wheelchairs, including those designed to be used indoors and outdoors, as well as standing and reclining models. To receive reimbursement, the wheelchair must be medically necessary and prescribed by a doctor. Additionally, it must be obtained from an approved Medicare provider.

Are there alternatives to power wheelchairs that Medicare covers?  Yes, Medicare may provide coverage for some alternatives to power wheelchairs, such as three-wheeled electric bicycles. To be eligible for coverage, the bike must be prescribed by your doctor as medically necessary and obtained from an approved Medicare provider. Additionally, it must meet specific requirements.

Read More About Electric Wheelchairs

Can Electric Wheelchairs get wet

Can Electric Wheelchairs Get Wet?

Yes, electric wheelchairs can get wet, but you should try and not let your power chair get soaked as water damage can lead to severe issues with their functionality. Learn …
Will Medicaid pay for an electric wheelchair

Are electric wheelchairs covered by Medicaid

Electric wheelchairs may be covered by Medicaid depending on the state you live in and your eligibility requirements. In order to determine if electric wheelchairs are covered, you will need …
Where to rent an Electric wheelchair

Where to rent electric wheelchairs

Benefits of Renting an Electric Wheelchair Getting an electric wheelchair can be intimidating, with all the different sizes, styles, and features available. But it doesn’t have to be daunting- you …
Wheels on a power wheelchair

Electric Wheelchair Wheels

Electric wheelchairs are an incredibly useful form of mobility aid that allow people to get around with ease and confidence. They offer the user a much more comfortable ride than …
How fast do power wheelchairs go

How Fast do Power Wheelchairs Go

Electric wheelchairs, also known as motorized wheelchairs, offer greater maneuverability and speed compared to manual wheelchairs, on average a power wheelchair has a top speed of about 5 mph. We …
Power wheelchair vs scooter

Power Wheelchair vs Scooter: Differences

When making a choose whether to get a power wheelchair or scooter the differences are great. We break down the most important differences to look at when choosing between a …

Leave a Comment