For many seniors, a lift chair can be a significant addition to their daily living, providing both comfort and necessary assistance. Understanding whether Medicare covers such equipment is crucial for managing healthcare expenses effectively. At Carvo Insurance Group, we specialize in providing clear, detailed information about Medicare coverage through our instant online quotes, instant online binding, and instant online insurance proposals. This blog post will explore common questions about Medicare coverage for lift chairs and how you can get the support you need.
What is a Lift Chair?
Q: Can you explain what a lift chair is and why it might be needed?
A: A lift chair is a motorized recliner that assists the user in standing up from a seated position and sitting down. It’s particularly beneficial for individuals who have limited mobility due to age, surgery, or conditions like arthritis. The chair operates smoothly, lifting forward and upward to help the person stand without strain.
Does Medicare Cover Lift Chairs?
Q: Will Medicare pay for a lift chair?
A: Medicare Part B (Medical Insurance) covers the lifting mechanism of lift chairs as durable medical equipment (DME) under certain conditions, but it does not cover the entire cost of the chair itself. The coverage is specific to the mechanism because it is considered a medical necessity when prescribed by a doctor for a qualifying condition.
How Can You Qualify for a Lift Chair Under Medicare?
Q: What are the conditions that must be met for Medicare to cover a lift chair?
A: To qualify for coverage, the following criteria must be met:
- You must have severe arthritis of the hip or knee, or a severe neuromuscular disease.
- The lift chair must be part of your doctor’s prescribed treatment plan to improve, slow, or stop the deterioration of your condition.
- You must be unable to stand up from a regular chair in your home.
- Once standing, you must have the ability to walk independently or with the aid of a walker or cane.
- Your doctor must fill out and submit a Certificate of Medical Necessity for a seat lift mechanism.
How Much Will Medicare Cover?
Q: If qualified, how much of the cost does Medicare cover for a lift chair?
A: If you qualify for a lift chair under Medicare, Medicare will cover 80% of the amount approved for the lifting mechanism once you have met your Part B deductible. You are responsible for the remaining 20% and the cost of the chair itself. It’s important to purchase from a Medicare-approved supplier to ensure coverage.
How to Obtain a Lift Chair Through Medicare
Q: How do I go about obtaining a lift chair through Medicare?
A: You should start by consulting with your healthcare provider to determine if a lift chair is appropriate for your medical needs. If it is, your provider will need to write a prescription and fill out the necessary Medicare paperwork, including the Certificate of Medical Necessity. You then need to find a supplier that accepts Medicare assignment to ensure you get the coverage benefits.
Call to Action
Are you considering a lift chair and want to know if it’s covered by Medicare? Carvo Insurance Group can help. For an Instant Health Medicare Insurance Quote and more information about what Medicare covers, click here.
Conclusion
Q: Is getting a lift chair covered by Medicare a straightforward process?
A: While there are specific steps and qualifications required, with the right guidance and preparation, obtaining a Medicare-covered lift chair can be a straightforward process. At Carvo Insurance Group, we are here to help you navigate through the process and ensure that you receive the benefits you are entitled to under Medicare.