Medicare Billing Facts for Power Mobility & Lift Chairs

NuMotion is an authorized Medicare provider. Although we don't process Medicare claims through our catalog and internet store, we're happy to refer you to one of our branch locations where a professional Adaptive Technoloy Professional will come to your home and evaluate you for the right solution to fit your needs. Once we refer you to your local branch, they’ll find out if you're qualified for the equipment you need. Call us at NuMotion's Retail Sales Call Center at 1-877-876-5332 or go back to "contact us" on the web site, and we'll get the ball rolling for you. To find a branch near you, log on to and click on locations.

 Medicare Facts About Power Mobility Equipment:

Medicare beneficiaries may qualify for a power wheelchair or scooter if the following criteria are met:

The beneficiary must have a mobility limitation which prevents them from performing one or more mobility related activities of daily living in the home, including toileting, eating, bathing, and grooming.

There cannot be other conditions that limit the beneficiary from performing mobility-related activities of daily living at home, such as significant impairments of cognition or judgment and/or vision. This only applies if these other conditions cannot be solved through another means, including caregiver support. The beneficiary must demonstrate the capability and the willingness to consistently operate the device safely.

A cane, walker, or manual wheelchair will not provide the necessary functional mobility.
The beneficiary's environment must allow for the use of a power wheelchair or scooter in all areas where the mobility related activities of daily living are customarily performed.

For a scooter, the beneficiary must have sufficient strength and postural stability to operate the scooter.

Medicare Facts about lift chairs:

Medicare usually pays 80% on any amount, they assign to a covered item. This can vary by state and product category. There is a 20% co pay portion that Medicare does not pay. However; this amount is often covered by a secondary insurer.

Medicare cover's the seat lift mechanism only, not the actual chair itself. If  you quality Medicare will pay approximately $240.00 or 80% of 300.00 depending on the state you live in. You may qualify for a lift chair if you meet the following criteria:

The patient must have severe arthritis of the hip or knee, or have a severe neuromuscular disease.

The seat lift mechanism must be a part of the physician's course of treatment and be prescribed to affect improvement, or arrest or retard deterioration in the patient's condition.

The patient must be completely incapable of standing up from a regular armchair or any chair in their home. Once standing, the patient must have the ability to walk.
Individuals that have difficulty or are incapable of getting up from a chair, is not sufficient justification for a seat lift mechanism.

Most  patients who are capable of ambulating can get out of an ordinary chair with arms. Medicare requires that the physician ordering the seat lift mechanism must also be the attending physician or a consulting physician for the disease or condition resulting in the need for a seat lift.

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