Navigating Medicare & Insurance Reimbursement for Your Mobility Needs
Understanding how to make the most of your Medicare or insurance coverage can be a complex task. At Wheelchair and Scooter USA, we want to provide you with clarity and support. Here's what you need to know:
- Payment and Billing:
Wheelchair and Scooter USA does not directly bill Medicare or insurance companies. However, you can still utilize your coverage for eligible products.
- Insurance Coverage:
Reach out to your insurance company to understand your coverage options. You can make a purchase on our website and have the product delivered to your doorstep. To seek reimbursement, you'll need to submit the following documents to your insurance:
- Our invoice
- Your doctor's prescription and diagnosis
- Proof of delivery (packing slip)
Medicare Reimbursement For Your Mobility Needs
If you qualify for Medicare reimbursement, Medicare will cover 80% of the cost, while your supplementary insurance will cover the rest. To proceed without any upfront payment, find a local company that accepts Medicare assignment. Make sure you fill out the Medicare 1490 Form.
- Approval Process:
It's essential to complete and submit all required paperwork before you receive any equipment. Keep in mind that Medicare and insurance may have limitations on the approved equipment, limiting your choices.
- Eligible Products and Criteria:
Different products have specific criteria for reimbursement approval. Here's an overview of reimbursement criteria for specific categories:
Lift Chairs:
- Medicare covers the seat-lift mechanism, not the chair itself.
- The patient must have severe arthritis of the hip or knee or a severe neuromuscular disease.
- The seat lift mechanism must be part of the physician's treatment plan.
- The patient must be unable to stand up from a regular armchair or any chair in their home.
- The patient must be capable of walking once standing.
Power Wheelchairs and Mobility Scooters:
- The beneficiary must have a mobility limitation preventing daily activities.
- Other conditions shouldn't limit mobility-related activities.
- The beneficiary must safely operate the device and require it for daily activities.
- Environment and physical capability must allow for device usage.
At Wheelchair and Scooter USA, we're dedicated to ensuring you have the information you need to make informed decisions about your mobility needs. Feel free to explore our range of products and reach out if you have any questions about the reimbursement process.