Does medicare cover electric wheelchairs?

Yes, Medicare can cover electric wheelchairs, but there are specific criteria that need to be met. In order for Medicare to cover an electric wheelchair, the following conditions generally apply:

1. Medical Necessity: The electric wheelchair must be deemed medically necessary by a doctor. This means that the wheelchair is required to help you with mobility within your home.

2. Doctor’s Prescription: A doctor’s prescription stating the medical necessity of the electric wheelchair is usually required.

3. Face-to-Face Examination: You need to have a face-to-face examination with a healthcare provider who is enrolled in Medicare to determine if an electric wheelchair is necessary.

4. Documentation: Documentation that supports the medical necessity of the electric wheelchair, including the patient’s medical history and specific mobility limitations.

5. Supplier Enrollment: The supplier of the electric wheelchair must be enrolled in Medicare.

6. Coverage Rules: Medicare has specific coverage rules, and the electric wheelchair must meet those criteria. For example, it must be intended for indoor use and must not exceed certain dimensions and weight limits.
   
   

It’s important to note that while Medicare may cover a portion of the cost of an electric wheelchair, there may still be out-of-pocket expenses. Also, coverage can vary based on the specific Medicare plan you have. It’s recommended to contact Medicare or your Medicare Advantage plan directly to get accurate and up-to-date information on coverage for electric wheelchairs.