Archives for August 2014

How to Determine if Medicare Will Cover Your Power Wheelchair

Are you looking at using a power wheelchair for your mobility needs? If so you are probably wondering how to determine if Medicare will cover your power wheelchair.  Medicare may assist in the purchase; there are just a few things you should know before you start the process. If the following applies to you then you may qualify for Medicare assistance:

  1. If you suffer from certain limited mobility issues. These issues must negatively affect your ability to perform one or more mobility related activities you participate in on a regular basis. This includes activities such as: cooking, cleaning, bathing, dressing, grooming and other common activities performed within the home.
  2. If you are 65 years of age of or older you qualify for Medicare assistance.
  3. If you are under the age of 65 and suffer from permanent kidney failure (beginning 3 months after dialysis begins) you qualify for Medicare assistance.
  4. If you are under 65 years of age and are permanently disabled and entitled to Social Security benefits (beginning 24 months after the start of the disability benefits) you qualify for Medicare assistance.

Medicare will not approve coverage of a power wheelchair if it is only used for the following:

  • Outside
  • Shopping centers
  • Grocery stores
  • Strolls down the street or to the neighbors home
  • Any other outside activities that require walking longer than you can possibly walk
  • If the activity is not considered medically necessary

Medicare requires that your physician and provider evaluate your needs to determine if a power wheelchair is in fact needed. All of these above activities will not meet Medicare’s standards/terms for covering a power wheelchair. Below we have included the terms required for Medicare to cover a power wheelchair for mobility assistance.

Medicare will approve coverage of a power wheelchair if the following apply:

  • Individual mobility is grossly impaired and affects ability to participate in one of more of the MRADLs.
  • A cane or walker does not improve mobility.
  • A manual wheelchair is not adequate for medical improvement.
  • Patient can safely transfer on and off the power wheelchair.
  • Patient is mentally and physically capable of operating the equipment safely in the home.
  • Patient’s home support use of the power wheelchair with adequate space.

The need for a power wheelchair must be supported with documentation from a F2F (face-to-face) visit with your primary care physician. During this F2F visit, your doctor must perform an actual mobility evaluation, which will review your history of mobility issues and include a physical exam to determine your current mobility level. A physical therapist or occupational therapist may be required in addition to your primary care physician.

How to determine if Medicare will cover your power wheelchair is made simple by Aeroflow Healthcare. Our trained mobility staff of professionals can walk you through the process of receiving a power wheelchair. Contact us today at 888-345-1780. You can also Qualify Through your Insurance by clicking here. When completing this form be sure and fill it out completely. All information is needed in order to successfully determine your qualification via your insurance. We look forward to hearing from you soon!

What is Your Level of Mobility?

As life situations change it is important to assess your mobility needs.  Mobility equipment has evolved throughout the years and now no matter what your level of mobility is, there is technology and equipment available to meet your needs.  So, the real question is, how do you know what type of equipment you need to enhance your quality of life, safety and independence?  Assessing your level of mobility is not as difficult as you would think; let’s get started!

If you suffer from mobility limitations you have a wide array of mobility products available to meet your specific needs.  There are many factors to consider when assessing your level of mobility, which is why the first step is to see your primary physician.  Not only will they be able to assess and confirm your mobility limitations, but they will also be able to write a prescription for the mobility equipment you will need.

A cane or walker/rollator may be a viable solution if you have good balance, are able to perform daily living activities with confidence and step-ups, curbs and stairs are easily negotiated.  It is important to note that you will not be able to obtain a power wheelchair if your level of mobility only warrants a cane or walker/rollator.

Say you need a little more stability than a cane and walker/rollator can offer, the next thing you need to ask yourself is if your home is ready for a wheelchair.  Are the doors and thresholds wide enough to maneuver a chair safely and negotiate room transitions?  If you have the strength and the ability to self-propel the chair and are willing to push the chair if needed, a manual wheelchair may be the best fit.

If your level of mobility requires a bit more assistance due to strength, posture, and balance limitations, there are power mobility options that will fit your lifestyle.  Again, it is important to note that you must see your physician before applying to obtain mobility equipment.  Both scooters and power wheelchairs are great options when it comes to individuals with more severe mobility limitations.  If your level of mobility does not allow for a manual wheelchair but you can maintain strength, posture and balance and there is adequate maneuvering space in the home, a scooter is good option.  However, if you need a little more assistance than a scooter can offer, a power wheelchair sounds like it would be the best option for your level of mobility.

We understand that choosing the right mobility equipment for your level of mobility can be a confusing process, but we’re here to help!  At Aeroflow Healthcare, our mobility specialists will be able to explain what is and is not covered by your insurance and answer questions you have regarding your mobility equipment options.  We look forward to helping you so give us a call at (888) 345-1780 or fill out our Equipment Through Insurance form and start the processes of regaining your independence today!