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Choosing a Mobility Scooter
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Medicare is a significant resource that helps those with mobility challenges to acquire needed equipment. Hometown is expert at handling Medicare paperwork and can help you navigate the qualification process.
Understanding the Medicare Process
Understanding how to take advantage of the benefits offered through Medicare and Medicaid can be challenging. Hometown personnel can help you make sense of the Medicare qualification rules.
Medicare's Wheelchair and Scooter Benefit
For Medicare to cover wheelchairs and scooters your doctor must state that you need this equipment because of your medical condition. Medicare will pay 80% of the Medicare-approved amount, after you've met the Part B deductible (you pay 20% of the Medicare-approved amount).
For you to be eligible for any device known as "mobility assistive equipment" (cane, crutches, walkers, manual wheelchair, power wheelchair, scooter), the item(s) must be needed in your home.
Medicare beneficiaries may qualify for reimbursement of the cost of a power wheelchair or power mobility scooter when the following conditions are met:
Download Medicare's Wheelchair and Scooter Benefit Guide
Have a health condition where you need help with activities of daily living like bathing, dressing, getting in or out of the bed or chair, moving around, or using the bathroom
Be able to safely operate and get on and off the wheelchair or scooter
Have good vision
Be mentally able to safely use a scooter, or have someone with you who can make sure the device is used correctly and safely
The equipment also must be useful within the physical layout of your home (it must not be too big for your home or blocked by things in its path).
Manual Wheelchair
You may need a manual wheelchair if you can’t use a cane or walker safely. The wheelchair can’t be a high strength, ultra-lightweight wheelchair that you can buy without renting it first.
Rolling Chair/Geri-chair
You may need a rolling chair if you need more support than a wheelchair can give. These chairs have small wheels, that must be at least 5 inches in diameter. The rolling chair must be designed to meet your needs due to illness or other impairment.
Power-Operated Vehicle/Scooter
You may need a power-operated scooter if you can't use a cane or walker or operate a manual wheelchair.
Power Wheelchair
You may need a motorized wheelchair if you can’t use a manual wheelchair in your home, or if you don’t qualify for a power-operated scooter because you aren’t strong enough to sit up or to work the scooter controls safely in your home.
Before you get either a power wheelchair or scooter, you must meet with a doctor who can explain to Medicare (in the form of an order) why you need the device. The doctor also must be able to tell Medicare that you can operate it safely.
Remember, you must have a medical need for Medicare to cover a power wheelchair or scooter. Medicare won't cover this equipment if it will be used mainly for leisure or recreational activities, or if it's only needed to move around outside your home.