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If you are planning to buy a Powerchair through Medicare, please call and ask for Jay Rajendra "Dept. J". He works closely with our Medicare Biller "Delores" and will make it as simple and easy as possible for you to get approved on the Powerchair that you wish for. Please call (800)727-1954. Open Mon-Thu 10 - 6; Saturday 10 - 4 Pacific Time.
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Mobility Products - Medicare

A scooter could be considered medically necessary if all of the following coverage criteria are met:

Your condition is such that a wheelchair is required for you to get around in your home

You can transfer safely in and out of the scooter and have adequate trunk stability to be able to safely ride the scooter.

Usually cannot perform functional ambulation skills and has limited strength or use of the upper extremities.

The patient should also have adequate trunk stability to hold themselves upright in the seat.

If you have a condition that prevents you from functioning within your home and you are covered by Medicare Part "B" and/or Private insurance you could receive a Shoprider Mobility Products Scooter or Powerchair with little or no out of pocket expense.

Medical necessity and reimbursement amounts depend on the individual circumstances and policies of beneficiary.

The coverage criteria for power mobility devies (i.e. power wheelchairs and scooters) has changed and we want to help you better understand these changes. In order to determine if a power mobility device is right for you, you will need to follow these steps.

Step 1 MEDICARE COVERAGE - STEP BY STEP CONSUMER GUIDE

Visit with your physician for a face-to-face examination and discuss your mobility options. Medicare now requires a face-to-face examination with your physician prior to writing a prescription for a power mobility device.

During your exam, your physician must first consider the use of cane, walker, and manual wheelchair before considering a scooter or power wheelchair. If your physician feels that your mobility needs must be resolved with a scooter or power wheelchair, this must be supported in your medical records and a prescription can be written. A Physical Therapist or Occupational Therapist may also conduct an additional assessment if your physician deems it necessary.

Step 2 MEDICARE COVERAGE - STEP BY STEP CONSUMER GUIDE

Have your physician fax or mail the written prescription and medical records to your Mobility Supplier. The Mobility Supplier must receive the written prescription and supporting documentation (medical records) within 45 days from the date of your face-to-face examination.

Once received, the Mobility Supplier will work with you and your physician to determine the appropriate scooter or power wheelchair model for your needs.

Step 3 MEDICARE COVERAGE - STEP BY STEP CONSUMER GUIDE

Your Mobility Supplier will conduct a home assessment to ensure that you have adequate access and maneuverability space.*

The primary reason for a power mobility device is to compensate for your mobility limitations within your home and your ability to perform activities of daily living including toileting, grooming, bathing, dressing and eating. Therefore, it is critical to determine if your home environment will support the use of a scooter or power wheelchair.

Step 4 MEDICARE COVERAGE - STEP BY STEP CONSUMER GUIDE

Your Mobility Supplier will order the power mobility device prescribed by your physician or treating practitioner, deliver it to your home and instruct you on how to operate it. Delivery of the scooter or power wheelchair must be no more than 120 days following your face-to-face exam.

* This home assessment may be completed by the Mobility Supplier prior to, or at the time of, delivery of your power mobility device.