Understanding what is covered by Medicare can be difficult. If you are having difficultly understanding if wheelchairs are covered, continue reading.
In the United States, around 2.7 million people need wheelchairs to get around. If you’re one of them, or will be soon, then you know exactly how important mobility is.
But medical costs can add up, and you might be worrying about how much you’ll have to spend on a wheelchair. If you’re older than 65, then something you might qualify for is Medicare.
Are you wondering if Medicare covers wheelchairs? Then read on. We’ll explain in this article.
Medicare Does Cover Wheelchairs
First things first: Medicare does cover wheelchairs, which should be fantastic news for you. This is because it covers durable Medicare equipment (DME), which are medically-necessary items you need. More specifically, it is Medicare Part B that gives you this coverage.
In addition to wheelchairs, DME includes:
- CPAP devices
- Hospital beds
- Oxygen equipment
- Blood sugar monitors and test strips
As you can see, DME covers quite a bit of medical items, so always double-check if anything prescribed is on the full list. If you need a wheelchair ramp, unfortunately, Medicare Part B does not cover this, so you’ll have to pay out of pocket.
If you need additional assistance, it’s always worth exploring the Medicare Special Needs Plan or the Medigap Plan.
How Do You Qualify?
Not everyone will get approval for Medicare coverage when it comes to wheelchair rentals or purchases. You’ll only get coverage if:
- You have a medical condition that hinders mobility in daily life
- You can safely operate the wheelchair
- You can safely use the wheelchair in your home
- Both your doctor and supplier are authorized Medicare providers
If you meet all of the above conditions, then you can qualify for not just manual wheelchairs, but also power scooters and power wheelchairs. The type you get will depend on what physical condition you’re in and what your doctor prescribes for you.
Your doctor will need to write up an order for you. In it, it should explain the reason why you need a wheelchair. Also, the supplier you choose might have to submit forms on your behalf as well.
Other Important Information
Qualification doesn’t mean full coverage of the costs when it comes to getting a wheelchair on Medicare Part B. Instead, this plan only pays 80% of the costs, meaning you’ll have to pay out of pocket for 20% of your wheelchair. This is in addition to your annual premiums.
If you need to be medically assessed before getting a prescription for a wheelchair, then you’re responsible for any copay costs for those appointments.
See If You Qualify for Medicare Part B
The great news is Medicare Part B covers wheelchairs. So if you have any mobility issues, it’s worth exploring this route with your physician. Since Medicare covers the majority of costs, it’ll be easy and affordable to get the wheelchair you need.
Do you need Medicare health or prescription drug coverage? Then find the right Medicare plan for you today.