Aeroflow Mobility Blog

How to Determine if Medicare Will Cover Your Power Wheelchair

Are you looking at using a power wheelchair for your mobility needs? If so you are probably wondering how to determine if Medicare will cover your power wheelchair.  Medicare may assist in the purchase; there are just a few things you should know before you start the process. If the following applies to you then you may qualify for Medicare assistance:

  1. If you suffer from certain limited mobility issues. These issues must negatively affect your ability to perform one or more mobility related activities you participate in on a regular basis. This includes activities such as: cooking, cleaning, bathing, dressing, grooming and other common activities performed within the home.
  2. If you are 65 years of age of or older you qualify for Medicare assistance.
  3. If you are under the age of 65 and suffer from permanent kidney failure (beginning 3 months after dialysis begins) you qualify for Medicare assistance.
  4. If you are under 65 years of age and are permanently disabled and entitled to Social Security benefits (beginning 24 months after the start of the disability benefits) you qualify for Medicare assistance.

Medicare will not approve coverage of a power wheelchair if it is only used for the following:

  • Outside
  • Shopping centers
  • Grocery stores
  • Strolls down the street or to the neighbors home
  • Any other outside activities that require walking longer than you can possibly walk
  • If the activity is not considered medically necessary

Medicare requires that your physician and provider evaluate your needs to determine if a power wheelchair is in fact needed. All of these above activities will not meet Medicare’s standards/terms for covering a power wheelchair. Below we have included the terms required for Medicare to cover a power wheelchair for mobility assistance.

Medicare will approve coverage of a power wheelchair if the following apply:

  • Individual mobility is grossly impaired and affects ability to participate in one of more of the MRADLs.
  • A cane or walker does not improve mobility.
  • A manual wheelchair is not adequate for medical improvement.
  • Patient can safely transfer on and off the power wheelchair.
  • Patient is mentally and physically capable of operating the equipment safely in the home.
  • Patient’s home support use of the power wheelchair with adequate space.

The need for a power wheelchair must be supported with documentation from a F2F (face-to-face) visit with your primary care physician. During this F2F visit, your doctor must perform an actual mobility evaluation, which will review your history of mobility issues and include a physical exam to determine your current mobility level. A physical therapist or occupational therapist may be required in addition to your primary care physician.

How to determine if Medicare will cover your power wheelchair is made simple by Aeroflow Healthcare. Our trained mobility staff of professionals can walk you through the process of receiving a power wheelchair. Contact us today at 888-345-1780. You can also Qualify Through your Insurance by clicking here. When completing this form be sure and fill it out completely. All information is needed in order to successfully determine your qualification via your insurance. We look forward to hearing from you soon!

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“Aeroflow was wonderful when it came to helping us with our wheelchairs and lift-even showed us how to use the lift. We were very thankful for the friendly and knowledgeable service.”
WHAT OUR PATIENTS ARE SAYING...
“I was looking for a power wheelchair for my wife. Aeroflow had a great selection and they were very kind and helpful on the phone. Great people to do business with!”
WHAT OUR PATIENTS ARE SAYING...
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WHAT OUR PATIENTS ARE SAYING...
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