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Medicare Reimbursement for Power Wheelchairs and Scooters

Power mobility equipment offers a "new specialist in Neurology, Rheumatology
lease on life" to many persons with (arthritis), Orthopedic Surgeon, or
limited mobility. Medicare reimburses Physiatrist (physical medicine).
power mobility equipment up to 80% of the Scooters require more control of the
Medicare allowable amount if the person trunk and the arm strength to operate the
qualifies for this benefit and the health tiller.There are a few other guidelines
care professional certifies that the that are useful:1. Once Medicare had
wheelchair or scooter is medically paid for a power wheelchair or POV, they
necessary.Covering all of the Medicare will not pay for a manual wheelchair. If
regulations for power mobility equipment the person has a manual wheelchair that
could take up volumes. Only mimimal is currently being rented by Medicare, it
information is included here. Some of must be returned to the Durable Medical
this information I learned in training Equipment (DME) provider. If the chair
for my position as mobility specialist; has been paid by Medicare, the wheelchair
other information I have gathered in the is property of the beneficiary. The
past couple of years selling mobility manual wheelchair need not be returned in
equipment.Current Medicare guidelines for that case. If in doubt, contact the
power wheelchairs require that:1. The Regional Medical Equipent Carrier for
person's condition is such that the your region, or contact the DME company
person would be bed- or chair-confined that provided the manual wheelchair.2.
without the use of a power wheelchair.2. Medicare will not pay for a prosthesis
The person must need the power wheelchair once the person has a power wheelchair.
use in the home. Power mobility If the person is a recent amputee, the
equipment that is needed only for person must be fitted for and receive
convenience or for recreational purposes their prosthetic leg before Medicare will
does not qualify for Medicare benefits. pay for power mobility equipment.3. With
Certainly the person may use the power similar rationale, Medicare will not pay
wheelchair to go out; however, if that is for walkers, or canes once they have paid
the only purpose for the power for a power wheelchair.Medicare
wheelchair, the equipment would not be an regulations are always subject to change.
allowable charge.3. The person cannot Indeed, an organization called RAMP
propel a manual wheelchair by him- or (Restore Access to Mobility Partnership)
herself. Weakness or disability of upper is currently lobbying for change in the
extremities (hands, arms, shoulders) must Medicare laws that would ensure that
be present.4. The person must those who need such equipment can get
demonstrate ability to safely operate the it.For more information on power mobility
controls of the power wheelchair. equipment, check the Medicare web
Persons who might injure themselves or site.Kay Lowe
others while operating the power Mobility Specialist
wheelchair do not qualify for Medicare Lowe holds a Master's Degree in Nursing
reimbursement.Regulations for scooters, and has 30+ years in the health care
or POVs (power-operated vehicles) include field. She is currently employed as
the qualifications above; however, the mobility specialist.
scooter must be prescribed by a




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