Medicare covers wheelchairs as durable medical equipment when you meet the rules. Here's how to get one covered.
How does Medicare cover wheelchairs?
Medicare Part B covers wheelchairs and scooters as durable medical equipment (DME) when your doctor certifies you need one to move around inside your home because of a health condition. You'll need a face-to-face exam and a written order from your doctor. Manual wheelchairs, power wheelchairs, and power-operated scooters can all be covered, with power equipment requiring proof that you can't use a manual chair safely. You pay 20% of the Medicare-approved amount after your Part B deductible, and you must get the equipment from a supplier enrolled in Medicare. Depending on the item, Medicare may rent or buy it. Call 1-800-MEDIGAP at 1-800-633-4427.
What you pay and how to lower your cost
Under Original Medicare you pay 20% of the Medicare-approved amount for a covered wheelchair after your Part B deductible, and Medicare pays 80%. For a power wheelchair, that 20% can be a significant sum. A Medigap (Medicare Supplement) plan can pay some or all of that coinsurance, reducing your out-of-pocket cost. It's also important to use a supplier that accepts Medicare assignment, otherwise you could pay more. In some areas, competitive bidding affects which suppliers you can use. To make sure your wheelchair is covered and to lower your costs, call 1-800-MEDIGAP for free help.