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How Medicare Pays for Walkers and Wheelchairs for Seniors

By: Home Care Pharmacy |
Home Care Pharmacy

Interested in walker Medicare? What about wheelchair Medicare? Both qualify for reimbursement from Medicare, so if you use one of these types of medical equipment, you can save some money. This also goes for related medical supplies. As a senior living in Simi Valley and surrounding areas, you are likely on a fixed income, which means your budget has to stretch as far as possible.

Wheelchairs and walkers are not cheap! You will be glad to know those are covered by Medicare. You will be even more thrilled to learn that we here at Home Care Pharmacy will actually bill Medicare for you – one of the only pharmacies in the area that offers this free service.

All you have to do is order your walkers and wheelchairs from us and will send in the claim to Medicare on your behalf. Here are some things to note:

  • Medicare Part B covers part of the cost for medically-necessary walkers, wheelchairs and other types of in-home equipment.
  • Medicare will not provide coverage for power wheelchairs that are required only for use outside the home.
  • Talk with your doctor first about your needs. Then, have your doctor write out a prescription.
  • Take that prescription to us.
  • We fill the order and submit the claim.

Keep in Mind…

  1. If you have a Medigap (Medicare supplemental insurance) plan, this will pay all or part of the 20% coinsurance for durable medical equipment.
  2. Both the physician and the medical equipment supplier have to be enrolled in Medicare for the claim to be covered. We recommend double checking before you buy any medical equipment.
  3. Coverage of your medical supplies equipment will depend on your specific plan.
  4. There is a difference between providers that accept assignment with Medicare and those that do not. A durable medical equipment supplier which is enrolled in Medicare may not accept assignment, meaning the patient will pay more for the equipment in the end. As long as the supplier is enrolled in Medicare AND accepts assignment, the patient won’t have to shell out cash for more than the Part B deductible and 20% of the remainder of the cost.
  5. The Part B deductible will apply; in most cases, patients will have to pay 20% of the cost after the deductible, or have them covered by supplemental coverage if applicable.
  6. There are more than 30 types of power-generated wheelchairs that need to be authorized. If a power wheelchair is medically necessary and your doctor prescribes one, the supplier will submit the prior-authorization request and the necessary documentation to Medicare so they can review it.

Contact Home Care Pharmacy

To order walkers and wheelchairs from us, and learn how we bill Medicare on your behalf, contact us today at 805-527-9600.

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