Figuring out Medicare coverage can be overwhelming, especially if you are in the midst of a medical situation. If you need to get a power scooter because of a medical condition, understanding the requirements before you buy can help ensure that you get the coverage you need.
Power scooters are covered under Medicare, but you must meet the following criteria in order to qualify for coverage:
- Get the right insurance. Medicare Part A does not include coverage for power scooters. You will need to have Medicare Part B or another supplemental insurance plan such as Medicaid. Check with your provider to see how much of the purchase they will cover, and make sure you understand all of the specific requirements of the plan.
- Work with your doctor. You must have a documented diagnosis to get coverage for a power scooter, and you have to have a prescription from your doctor. The documentation in your medical file must indicate that you would not be able to function on a daily basis without the help of a scooter, so ask your doctor to be explicit in his or her description of your condition.
- Understand your co-pay. Medical equipment typically requires a 20 percent co-pay through Medicare, but some of this cost may also be covered by one of your supplemental plans, so check with your carrier to make sure you maximize your coverage.
After you have locked in your coverage, you need to select the right equipment. Your doctor may have specific recommendations for certain features or manufacturers, but it is important that you purchase from a Medicare-approved vendor. Make sure the company you work with has a Medicare supplier number and ask them whether they are a participating supplier. This means that they have agreed to accept the 20 percent co-pay for payment, rather than the full cost of the equipment.
The trained professionals at MAR-J Medical Supply in Boca Raton are here to answer your questions about insurance coverage and medical supplies. Whether you need information for yourself or a loved one, call us today to speak with a representative.