Medicare Coverage of Manual Wheelchairs
The Medicare program helps pay for wheelchairs for People with Medicare.
Medicare will not pay for a wheelchair used as a convenience item or for leisure activities.
This means that wheelchairs used for shopping or other activities that require walking
a longer range than you may be able to walk does not meet the terms for
Your physician must complete a Certificate of Medical Necessity (CMN) to be filed with the claim from your supplier.
For most manual wheelchairs, ten monthly rental payments are made by Medicare before you are given the option to purchase the wheelchair. Medicare does not purchase most manual wheelchairs until you have made this choice.
If you Choose to Purchase your rental wheelchair:
If you sign a purchase agreement at the tenth month with your supplier, Medicare
will make three more rental payments (13 total rental payments).
You are responsible for the 20% coinsurance amount and, for unassigned claims, the balance between the Medicare allowed amount and the supplier's charge for the wheelchair.
If you select this option, you own the wheelchair and are responsible for the maintenance.
If you Choose to Continue Renting:
If you sign a rental agreement at the tenth month with your supplier, Medicare makes a total of 15 rental payments. You are responsible for the 20% coinsurance amount and, for unassigned claims, the balance between the Medicare allowed amount and the supplier's charge. The wheelchair remains yours to use as long as you medically need it; however, the supplier maintains title and ownership of the wheelchair. The supplier is also responsible for the maintenance of the wheelchair.
For More Information call DMERC Customer Service 1-800-842-2052