How to get Medicare to pay for a power scooter my husband needs?

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Hugemom Asked July 2016

How to get Medicare to pay for a power scooter my husband needs?

My husband is in a wheelchair and it is getting harder for me to push him around. Consequently, we go almost nowhere. I feel that if we were to get him a scooter, he would be much more willing to go out. I am looking at one that disassembles and would fit in my car. The salesperson at the Medical Equipment store said it is very difficult to get Medicare and/or supplemental insurance to pay even with a prescription. Has anyone been through this? How can we file the claim to make them realize how much a scooter would improve his quality of life? TIA.

Medicaid

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score 2 · Answer 1

HugeMom, the issue isn't whether the scooter would make life easier; it's rather a MEDICAL necessity. That should be the focus of the script and your efforts to get a scooter for him.

You can also try to find one second hand. We picked one up for $125 or $150 (don't remember for sure) at a garage sale held by a woman's son after her death.

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score 1 · Answer 2

Hugemom, Doctors of Osteopathic Medicine, or DOs, are fully licensed physicians and surgeons who practice in all areas of medicine. They have the same rules and regulations as a MD physician.

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score 0 · Answer 3

Thanks for the help. His doc is a D.O. But I think that would be ok. They approved his wheelchair, a bariatric walker and a potty bench for him. I just think that a scooter would make this life much easier and more enjoyable for both of us.

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score 1 · Answer 4

Here is what Medicare says about power scooters.

https://www.medicare.gov/Pubs/pdf/11046.pdf

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score 1 · Answer 5

The prescription has to be written by an MD. So talk this over with his doctor, who must specify that this is for use IN the home. If you have a Medicare Advantage Plan (like an HMO or PPO), you must follow the plan’s rules for getting a wheelchair or scooter.

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How to get Medicare to pay for a power scooter my husband needs?

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