Electric scooters may be covered by Medicare either through Original Medicare Part B or private insurance companies. As mobility aids, electric scooters can greatly improve the quality of life for seniors and people with disabilities.
If you are a Medicare beneficiary, you may qualify for an electric scooter if you meet certain requirements. Specifically, the electric scooter must be medically necessary, prescribed by your doctor, and used to increase or maintain your mobility. It should also meet the standards set forth by Medicare.
Medicare Part B may cover a portion of the cost of an electric scooter if you meet these criteria.
An electric scooter, also known as a mobility scooter or power-operated vehicle, is a valuable aid for anyone who has difficulty walking for an extended period.
1. Durable Medical Equipment Benefits under Medicare:
Medicare covers power-assisted scooters and manual wheelchairs as durable medical equipment (DME). Your doctor must prescribe the equipment for you to receive assistance with the rental or purchase of DME.
Your doctor must determine whether the equipment is medically necessary, whether it is a scooter, wheelchair, or hospital bed. A face-to-face exam with your physician and a written prescription from the medical practitioner who provides treatment is required for coverage. This would be covered under Medicare Part B if approved (Medical Insurance). Furthermore, Medicare recipients are only eligible for DME coverage if their doctors and equipment providers participate in Medicare and accept assignments.
2. Electric Scooter Cost with Medicare:
There is a difference between being enrolled in Medicare and participating in Medicare. Enrolled indicates that they have agreed to accept Medicare insurance. Enrollment holds providers to high standards.
They agree to be paid directly by Medicare, accept the approved amount, and bill the Medicare recipient only for the deductible and coinsurance.
Your responsibility is to ask your doctors and suppliers if they are participating because they can charge whatever they want if they do not accept assignments. If the assignment is accepted, the provider receives the authorized amount from Medicare directly.
You will have the same Part A and Part B benefits as Original Medicare if you enroll in a Medicare Advantage plan, but many Medicare Advantage plans offer additional coverage.
3. Medical Equipment to Meet Your Specific Requirements:
Inactivity, social isolation, and depression can all exacerbate health problems. An electric scooter could help you or a loved one get around their home more easily and out of the house to see friends and participate in their community.
An electric scooter promotes self-sufficiency, societal participation, and social interaction. However, there are valid reasons why a doctor may determine that this equipment is not a good fit for a patient, such as vision impairment, mental impediment, inability to stay seated for an extended period, or the need for assistance mounting and dismounting from a scooter.
Consult your doctor to determine which options will best meet your specific requirements. If you are a good candidate for an electric scooter, the next step is to confirm your eligibility for Medicare benefits with your doctor and Medicare. If you are approved, have fun and stay safe.
Electric scooters can significantly benefit those with difficulty walking, whether elderly or disabled. It is vital to work with your doctor and Medicare to determine if you would be eligible for coverage of an electric scooter under the durable medical equipment benefits of Medicare. If you qualify, you will enjoy increased independence and quality of life.