Medicare Your Coverage Options

Two things to do if you or someone you know needs a wheelchair from Medicare

Written by Diane Archer

Wheelchairs can cost a crazy amount of money, anywhere from $500 to $6000.  Fortunately, Medicare will pay for a manual or motorized wheelchair if you meet the coverage conditions, and a doctor prescribes one.  If you think you or someone you love needs a wheelchair, here are the two steps you need to take:

1. What you need from your doctor:

  • You must see your doctor and the doctor must prescribe a wheelchair for you.
  • The doctor must explain in writing that you need the wheelchair to get around in your home, that a walker or cane will not give you the mobility you need.
  • If the doctor is prescribing a power wheelchair or scooter, you must not be able to use a manual wheelchair.
  • Whether a manual or a power wheelchair, the doctor must describe the reason you need the wheelchair—for example, you have difficulty getting out of bed, getting dressed, going to the bathroom and performing other activities of daily living. The doctor also must state that you are able to use the wheelchair on your own or with assistance from someone who will be with you in your home.

2. What you need from Medicare

  • If you have traditional Medicare, you must get the wheelchair from a Medicare contract supplier. Call Medicare at 1-800-633-4227 to find out where to go for your wheelchair. Or you can visit the Medicare.gov web site.
  • If you are enrolled in a Medicare HMO or other private Medicare plan, call the plan and follow the plan’s rules.

Keep in mind that Medicare will not cover a wheelchair if you do not need it for use in your home. If you need it for use in your home, you are free to use it outside your home as well.

 

 

Visit Medicare Interactive to learn more about Medicare coverage of wheelchairs.

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