Medicare Coverage for Scooters

The business of providing medical equipment to Medicare patients brings in a lot of money every year to companies all over the country. The problem is that some of these companies develop television commercials that make it look like it is very easy to get important equipment such as electric scooters. These commercials also make it look like the supplier is the place where the approval process starts for getting an electric scooter. Medicare patients need to be very careful when watching commercials like this because they are a little misleading. Any kind of medical expense that is covered by Medicare begins with your doctor and not with a phone call to a supply company's convenient toll free number.

Does Medicare Cover Scooters?

Electric scooters are becoming more and more popular because they really are an option for people who have limited mobility. If you are having difficulty walking for whatever reason, then you may qualify for a scooter. Medicare will help you pay for a scooter and get you mobile and out experiencing life again. Medicare will cover 80 percent of the costs of getting scooter after your Medicare deductible has been paid. If you have supplemental Medicare gap insurance, then you can also get your 20 percent co-pay taken care of and the scooter will be yours at no out of pocket expense to you. But your doctor must follow a very precise procedure before determining if you qualify for a scooter.

How to Get Approved for a Scooter by Medicare?

Your doctor may start the process of evaluating you for a scooter and then ask a certified therapist to add in their opinion. In many cases, Medicare requires the opinions of two medical professionals before approving the purchase of a scooter. There is an extensive evaluation process that your doctor and a therapist must go through before you can be approved for a scooter. Your ability to use a scooter is based just as much on your ability to control the scooter, as it is your need to have the scooter to get around.

The first phase of evaluating your need for a scooter begins with evaluating your overall strength. You need to be able to remain seated in an upright position and have sufficient leg strength to remain in that seated position in order to use a scooter. If you do not have the body strength to support your body, then you are a danger to yourself and others when you try to operate an electric scooter. You also need the leg strength to at least be able to get on and off the scooter to be able to use it regularly.

The next consideration for being approved for an electric scooter is whether or not you have the upper body strength to use a scooter safely. Your overall body may be strong enough to allow you to sit upright in a scooter, but if your upper body is not strong enough to steer the scooter and use the controls, then you are putting yourself and others in danger by using a scooter. You must have the strength to maintain the scooter in a variety of conditions to qualify for using a scooter.

The final consideration in being approved for an electric scooter is your overall coordination. If your balance is impaired or your depth perception is off, then you could get seriously injured using a scooter as well as being a danger to others. A scooter is a more powerful kind of mobility unit than an electric wheel chair. That is why there are so many considerations before allowing you to have one.

Once your doctor and therapist have determined that you do need a scooter and that you would be able to safely operate one, they will submit their comprehensive reports to Medicare. Once you have been approved by Medicare to seek out a scooter purchase, then you can move forward with getting one. But you need to understand the different kinds of suppliers before you can make a purchase that will not cost you a lot of money.

Scooter Suppliers

When you contact a scooter supplier, make sure that it is a participating Medicare supplier that accepts assignments. An assignment from Medicare means that the supplier will charge only the Medicare-approved maximum price for the scooter. With this kind of a supplier, you know exactly how much your 20 percent co-payment will be. If you choose a scooter supplier that is participating but does not accept assignments, then that scooter supplier can charge whatever it wants up to 15 percent over the Medicare-approved price. This will mean that your co-payment would be higher and you may be responsible for the co-payment yourself, as your supplemental insurance may not cover it.

Before you go out and assume that you qualify for an electric scooter from Medicare based on what a television commercial tells you, it is a good idea to get the facts from your doctor. You need to go through a comprehensive screening process before you can be approved to use a scooter and have Medicare pay for the majority of the costs. Remember that there are plenty of good suppliers that do not run television commercials. Always investigate multiple suppliers before you decide on one to make sure that you are getting the best possible deal.