Mobility scooters can improve quality of life for individuals with limited mobility. Understanding the process and requirements for Medicare coverage is essential. Consult a healthcare provider and a licensed supplier for guidance on qualifications and documentation.
Understanding Medicare Coverage for Mobility Scooters?
For more information about Medicare's coverage of mobility devices, visit GoodRx's guide on Medicare mobility scooters.
Medicare Part B covers durable medical equipment (DME), which can include mobility scooters if they are deemed medically necessary. To qualify, a doctor must prescribe the scooter and certify that it is required for daily activities, such as moving around the home. Medicare generally covers 80% of the approved amount for mobility scooters, while the remaining 20% is the responsibility of the individual after meeting the deductible.
It is important to work with a healthcare provider and a Medicare-approved DME supplier to ensure that the scooter meets Medicare's requirements for coverage.
How To Lower Your Out-Of-Pocket Costs
While Medicare may cover most of the cost, individuals are often responsible for the remaining balance. To help reduce out-of-pocket expenses, consider the following:
Secondary Insurance: Many people carry supplemental insurance1 alongside Medicare, which can often cover the leftover 20%, significantly easing the financial load. Be sure to check with your insurance provider to understand exactly what is covered.
How to Qualify for a Mobility Scooter Through Medicare
To qualify for Medicare coverage for a mobility scooter, the first step is to get a prescription from a doctor. The doctor must document the need for the scooter and explain why it is necessary for health and daily living. Working with a Medicare-approved supplier is also required, as they will submit the claim to Medicare on behalf of the individual.
Once the supplier receives approval from Medicare, the scooter can be obtained, typically with Medicare covering 80% of the cost. Discussing any out-of-pocket costs with the supplier is essential to avoid unexpected expenses.
For more details on how to qualify, visit Medicare's coverage guide for wheelchairs and scooters (PDF).
Other Options for Financial Assistance
If Medicare does not fully cover the cost of a mobility scooter, other options are available. Medicaid may offer additional assistance for those meeting eligibility requirements, especially in states with expanded Medicaid programs. Additionally, some non-profit organizations and charities provide financial help to those in need of mobility aids.
Local community programs and veteran benefits may also support mobility scooters. Researching these options is worthwhile for individuals requiring additional funding for a mobility scooter.