Medicaid Coverage For Electric Wheelchairs

Revised october 2019 medicare part b medical insurance covers power operated vehicles scooters walkers and wheelchairs as durable medical equipment dme.

Medicaid coverage for electric wheelchairs. If you have mobility problems and your doctor recommends a wheelchair or other device to help you get around medicare part b may cover 80 of the allowable charges after you ve met your deductible as long as you meet certain eligibility requirements. Power wheelchairs can be covered as dme under medicaid. However if you have yet to meet your deductible for the year you will have to pay your medicare part b deductible before medicare covers any of the cost. You must have a face to face examination and a written prescription from a doctor or other treating provider before medicare helps pay for a power wheelchair.

Medicaid will only pay for a motorized wheelchair if the individual has a medical need for the specific type of electric wheelchair he or she needs. If you are approved for an electric wheelchair through medicare you can expect to pay 20 percent of the medicare approved amount and medicare will pay 80 percent of the cost. Medicare helps cover dme if. How medicare covers electric wheelchairs if medicare approves your electric wheelchair medicare part b will cover 80 of the medicare approved amount for the wheelchair after your annual deductible is met.

Some of these variations include. Your responsibility is 20 of the cost of the wheelchair unless you have a medigap plan that covers the part b coinsurance for you. The final type of wheelchair is a motorized or electric wheelchair. Medicare part b medical insurance covers power operated vehicles scooters and manual wheelchairs as durable medical equipment dme that your doctor prescribes for use in your home.

If you can not operate a manual wheelchair but you do not qualify for medicare coverage for a power operated scooter you may be eligible for this option. There must also be a doctor s prescription. How does medicare coverage work with a wheelchair.