Introduction
For those who have difficulty getting around due to age, disability, or injury, mobility scooters can be a great way to maintain independence and improve quality of life. But when it comes to purchasing a mobility scooter, one of the first questions that comes to mind is “will Medicare cover the cost?” In this article, we’ll explore the coverage of mobility scooters by Medicare, as well as provide advice on choosing a scooter that Medicare may cover.
Exploring the Coverage of Mobility Scooters by Medicare
Medicare, which is the federal health insurance program for people 65 years and older, as well as certain younger individuals with disabilities, covers certain medical equipment and supplies, such as wheelchairs, walkers, and hospital beds. But does Medicare cover mobility scooters? The answer is yes, but there are some restrictions.
What Types of Mobility Scooters Does Medicare Cover?
Medicare will cover three-wheeled and four-wheeled scooters that are medically necessary for individuals with mobility impairments. Medicare Part B covers 80% of the cost of the scooter after you reach your Part B deductible. However, Medicare does not cover scooters that are used primarily outside the home, as these are considered recreational vehicles.
How to Determine if Medicare Will Pay for a Mobility Scooter
In order to determine if Medicare will pay for a mobility scooter, you must first speak with your doctor. Your doctor will need to write a prescription for a mobility scooter that is medically necessary. This prescription must include the following information:
- Your diagnosis
- The type of mobility scooter prescribed
- The number of times per week you will use the scooter
- The length of time you will need to use the scooter
Once you have the prescription from your doctor, you can then contact a durable medical equipment (DME) supplier to obtain the scooter. You will need to provide them with the prescription and your Medicare card. The DME supplier will then submit a claim to Medicare for reimbursement.
Factors Considered When Deciding if Medicare Will Cover a Mobility Scooter
When considering whether or not Medicare will cover a mobility scooter, there are several factors that will be taken into consideration. These include:
Age
Medicare only covers individuals who are 65 years old or older, or those under 65 who are disabled. If you do not meet either of these criteria, Medicare will not cover the cost of a mobility scooter.
Medical Need
In order for Medicare to cover a mobility scooter, your doctor must certify that it is medically necessary for you to use one. This means that you must be unable to walk without assistance, or require the aid of a cane or walker in order to move around.
Cost
Medicare will only cover the cost of a mobility scooter if the total cost is deemed to be reasonable. If the cost of the scooter exceeds the amount set by Medicare, you may be required to pay the difference out-of-pocket.
Advice on Choosing a Mobility Scooter That Medicare May Cover
When choosing a mobility scooter, you should consider the following factors to ensure that Medicare will cover the cost:
Consider Mobility Features
Mobility scooters come in a variety of styles and sizes, and each has its own unique features. Consider the size and weight capacity of the scooter, as well as the battery life and speed. Make sure that the scooter you choose has the features that you need to get around safely and comfortably.
Research Different Brands
It’s important to research different brands of mobility scooters to ensure that you’re getting the best quality product for your money. Look for reviews online and speak to other users of mobility scooters for their recommendations.
Ask Your Doctor for Recommendations
If you’re still unsure about which mobility scooter to choose, speak to your doctor for their advice. They may be able to point you in the right direction and provide additional information on which models are covered by Medicare.
Conclusion
In conclusion, Medicare does cover mobility scooters, but there are certain criteria that must be met in order for Medicare to pay for the cost. Be sure to speak with your doctor to get a prescription for a medically necessary scooter, and consider mobility features, research different brands, and ask your doctor for recommendations when choosing a mobility scooter.
