Electric Wheelchairs and Medicare - What You and Your Family Need to Know

It's been an interesting few years for those that followMedicare Electric Wheelchair Eligibility
the relationship between the electric wheelchairTo be eligible to receive an electric wheelchair through
industry and Medicare. Fifteen years ago, chances areMedicare a person must have what is considered a
you never heard of electric wheelchairs. Although theydaily living activity need for it and that need must be
have been around for longer than that, they were notinside the home. Medicare currently does not covered
readily available until the past 10 to 12 years.electric wheelchairs or scooters for people who
That's when companies like The Scooter Store andexclusively need them outside the home.
Hoveround began to market the wheelchairs nationallyDaily living activities include feeding, bathing, dressing,
in the same manor that diabetic supply companiestoileting and so on. What does this really mean? It
promoted diabetic medical supplies that were Medicaremeans that a person must need the chair to get
covered. When these companies began their nationalaround inside the home for at least one of these
advertising campaigns for electric wheelchairs, theactivities. Medicare will only consider the person eligible
demand for the equipment nearly tripled in under threeif he or she cannot conduct these specific daily living
years (from 1999 to 2002). The Medicare expendituresrequirements with the use of a manual wheelchair,
for these wheelchairs increased by a whopping $556cane, walker or freely.
million over this time period.How Much will an Electric Wheelchair Cost?
This does not, however, mean that the increase hasThe pricing for electric wheelchairs differs throughout
been a bad thing for Medicare. According to a 2005the country. Whatever the allowable price is in your
independent study, the electric wheelchair industryarea, Medicare will typically pay for 80 percent of the
actually saves Medicare billions annually becausecost. The remaining copayment may be picked up by
Medicare people who receive electric wheelchairsyour supplemental Medicare insurance if you have one.
tend to be healthier overall and suffer fewer injuries.If you do not, you are responsible for the remaining 20
The study found that the rate of people with brokenpercent (normally between $1,200 and up).
hips was significantly lower when individuals hadHow Do I Get an Electric Wheelchair?
electric wheelchairs.You need to first ask your doctor if you are eligible
Over the past three to five years, the electricand if you meet the minimum Medicare requirements. If
wheelchair industry and Medicare have battled overyour doctor says you do, then contact a medical
who should qualify for this type of medical equipmentequipment supply company (either a local one or a
and how much Medicare should pay for those thatnational one like The Scooter Store or Hoveround).
receive it. Last year, Medicare finally released whatThe medical equipment supply company will direct you
seems to be the new directive for pricing and eligibilitywhat to do next.
for electric wheelchairs. Below is a brief overview.