What is the Medicare Process For Power Mobility Wheelchairs and Scooters Like?
No one wants to pay full price for anything and this holds true for mobility equipment for the handicapped. The insurance companies makes the process very bureaucratic, so you must read the details and follow the requirements exactly. If you can get Medicare or insurance for handicapped equipment, they will pay a share and mobility equipment can be quite affordable.
You must get authorization and documentation from the doctors that state you have a need for this equipment inside the home. Without this part, you will end up paying the bills out of your own pocket.
Medicare covers most power mobility equipment under certain conditions. Most people are able to get 80% of the costs paid by Medicare and they pay the rest. Medicare requires the following conditions be met in order to qualify for a power wheelchair or scooter.
- The patient must be bed ridden or confined to a chair and requires the wheelchair or scooter to move around in the home. Medicare does not pay for such mobility equipment for convenience or recreational use. This means also if you only require the wheelchair or scooter outside of the home, you will not be eligible for insurance or medicare.
- The patient must be able to operate the controls of the mobility equipment safely. This part should be assessed by the doctor for ability.
- Must be mentally capable of using handicapped equipment. If unable to use the equipment themselves, must have someone ready to assist them.
- Have good vision. Since mobility equipment requires driving, the good vision guidelines is quite important.
- The mobility equipment must be useable and drivable around the home. This means that there must be enough room to make turns and be operational in the home.
Once you meet all these guidelines and obtain the doctor’s documents, you need to find a reputable supplier for power wheelchairs and mobility scooters.
How to Spot Medicare Fraud and Abuse From Handicapped Equipment Suppliers
The following are examples of possible Medicare fraud:
- Suppliers offer you a free wheelchair or scooter
- Suppliers offer to waive your copayment
- Someone bills Medicare for handicapped equipment you never got
- Someone bills Medicare for home medical equipment after it has been returned
Be aware of these dealers.
Medicare information can change at any moment. It is best to keep up to date and informed with your medicare’s laws and regulations because they are subject to change.