Medicares Policy on Wheelchair Lifts
The Medicare health insurance program is divided into different parts and functions. For example, Part A covers inpatient and hospital coverage, Part B provides outpatient and medical coverage, Pat C offers an alternative way to benefit from Medicare services, and Part D covers prescription drugs.
While Part A, B, and D fall under Original Medicare and cover most of the patients medical expenses, they do not cover the cost of a wheelchair lift for a vehicle. For that, you have to enroll in a special private insurance plan. Also known as Medicare Advantage Plan or Medicare private health plan, these insurance plans offer supplemental benefits including dental care, vision care, and durable medical equipment (DME).
On the surface, it may seem like all you need to do is sign up for a Medicare Advantage Plan, and voila! You dont have to worry about paying for your wheelchair lift anymore but its not that simple.
To get all the benefits you need, you have to abide by certain rules, limitations, and restrictions and, just like other insurance coverages, you might have to pay a monthly premium for medicare wheelchair lift coverage. On top of all that, your doctor and DME suppliers must be enrolled in the Medicare program too. Otherwise, medicare wont pay for the claims they submit.
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Additional reading:Does Medicare Pay for Wheelchair Lifts for Vehicles?
No. Medicare is a valuable program that serves millions of Americans every year, but it will not cover every health expense and is often intended to be a foundation and not a full coverage option for most families. Through co-insurance, co-payments, and deductibles, Medicare will still have out-of-pocket costs that will add up.
Will Medicare Cover Power-Operated Vehicles?
Medicare categorizes scooters or power wheelchairs as power-operated vehicles. Its important to make this distinction between personal mobility vehicles. These are not the same pieces of equipment. While Medicare will pay for power wheelchairs and scooters, Medicare will not cover personal mobility vehicles in most cases, even when provided with doctor prescription for durable medical equipment (DME) device.
As of Sept. 1, , Medicare requires prior authorization for certain kinds of power wheelchairs before the purchase is covered. If your physician prescribes one of these wheelchairs, your DME supplier will submit a request to Medicare on your behalf. You are not required to do anything additional, and your coverage and benefits will stay the same.
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