Monday, May 16, 2022

Does Medicare Pay For Chair Lifts For Seniors

Don't Miss

Stairlift Grants Available In England Wales And Northern Ireland

Does Medicare Pays For Lift Chairs?

Residents of England, Wales and Northern Ireland can apply for the Disabled Facilities Grant which is provided for the purpose of making modifications to the home to make it safer for older adults and the disabled.

You will need a referral by a healthcare professional such as an Occupational Therapist or social care worker.

Contact your physician for more information.

When Does Medicare Cover Emergency Medical Transport Services

Medicare covers medically necessary medical transportation to the closest hospital in the event of an emergency. Medicare Part B generally pays all but 20% of the Medicare-approved amount for most doctor services plus any Part B deductible. Ambulance companies must accept the Medicare-approved amount as payment in full. This also applies to emergency air medical transport services. If Medicare determines your condition did not warrant emergency medical transportation, it may not cover any of the costs.

In some very limited cases, Medicare will also cover non-emergency medical transport services by ambulance, but you must have a written order from your health-care provider stating that your medical condition requires transportation by ambulance.

Keep in mind that Medicare is testing a new program in a few states for beneficiaries who need scheduled, non-emergency medical transportation three or more times in a short period. In these states, the ambulance company is required to get prior authorization before a fourth ride is arranged if Medicare denies authorization, and you still use the ambulance, the company may bill you in full for all charges. States and districts currently affected by the program include:

  • New Jersey
  • West Virginia
  • North Carolina

New To Medicare?

Becoming eligible for Medicare can be daunting. But don’t worry, we’re here to help you understand Medicare in 15 minutes or less.

How Much Does A Stairlift Cost

If you have to pay the full price for a stairlift, the cost could range anywhere from $2,000 up to $5,000 or more depending on the make and model of the lift. If you have a curved staircase, the cost of installing a custom stair lift goes up significantly, possibly as high as $10,000 or more. If this is more than you can afford up-front, we offer financing options through OneMain Financial !

Or if you go the rental route, typical costs of renting a stairlift is between $300 to $500 per month.

But theres no need to guess at pricing! Simply request a free consultation and one of our specialists will come out and inspect your stairway and let you know exactly how much to expect the installation to cost.

Also Check: How To Get Help Paying Your Medicare Premium

Does Medicare Cover Power Lift Chairs

According to Medicare Part B, coverage may be applicable to a portion of the lift chair as Durable Medical Equipment under particular circumstances. A lift chair unit consists of two main components, the chair itself and the motorized lift mechanism. Medicare can only cover the seat-lift mechanism because that is the component that can be considered under the DME rule, even if it is built into the unit.

Does Medicare cover power lift chairs? A beneficiary may be eligible for a power lift chair Medicare covers if the following criteria are met:

  • You have severe arthritis in your hip or knee
  • You have muscular dystrophy or another type of neuromuscular disease
  • You must be unable to stand up from a regular armchair or any chair in your home
  • Your doctor determines that regular movement is medically necessary and that the seat lift may improve your condition or prevent it from getting worse. The seat lift must be prescribed as part of your treatment plan
  • Because of your condition, you are unable to stand up and would otherwise be confined to a chair or bed without the equipment
  • Youre able to control the seat lift yourself, the device operates smoothly, and the equipment helps you sit or stand without other help

Vertical Vs Inclined Platform Lifts

Will Medicare Pay For A Lift Chair Recliner

There are two types of platform lifts: vertical platform and inclined platform:

Vertical platform lifts, which can extend up to 14 feet, are most commonly installed in homes, as well as outside to access porches. They are similar to elevators, moving straight up and down, but are more cost efficient. Unlike elevators, vertical platform lifts are not fully enclosed, though a cage often encloses the platform of the lift. For installation, a 6-foot square area of space is required. Unfortunately, the landings required for vertical platform lifts cant always be installed on all floors or near doors in all homes, which makes inclined platform lifts the desirable option.

Helpful Resources

Don’t Miss: Does Medicare Pay For Maintenance Chiropractic Care

Medicare Part B Costs

Medicare Part B is the portion of Medicare that pays for the lifting mechanism of the lift chair. With Part B, youll first need to meet your deductible, which is $203 in 2021.

Once youve met the deductible, youll pay 20 percent of the Medicare-approved amount for the lift mechanism. You will also pay 100 percent of the remaining cost of the chair.

Are Stair Lifts Tax Deductible

In order for any medical equipment to qualify for a tax deduction, it must be considered medically necessary. This means that you must have a prescription or written recommendation from your doctor.

Generally, most home modifications that are done for the purpose of making the home a safer environment for the senior who is aging in place can be tax deductible.

Read Also: How To Get New Medicare Card Without Social Security Number

Do Medicare Advantage Plans Cover Lift Chairs

Advantage plans are provided by private companies contracted by Medicare to provide the same services and coverage as Original Medicare Parts A and B, and that includes lift chairs if you qualify under the Medicare guidelines.

Medicare Advantage plans have been allowed, up to this point, to offer some extra benefits which are for vision and hearing, but in the next year they will be allowed to add new benefits which can be tailored to peoples illnesses, so there may be greater coverage for lift chairs.

How to get coverage, and where to get equipment, will depend on who your provider is, and you should talk with them about suppliers and the acquisition procedure.

Area Agencies On Aging

How To Get a Lift Chair Covered by Insurance

Some Area Agencies on Aging may offer home modifications as part of the services that are provided. Depending on the area in which the individual lives, the program may offer home repair and modification services on a sliding scale or free of charge. The Eldercare Locator link will help you find your Area Agency on Aging.

Don’t Miss: How Much Does Medicare Pay For Hospice

When Does Medicare Cover Adjustable Beds

Medicare covers an adjustable bed when you have a specific medical need for it. You must have a face-to-face visit with your doctor or provider within 6 months of your doctor placing the order for the bed.

You must also be enrolled in Medicare Part B, which is part of original Medicare, to have an adjustable bed or any other durable medical equipment covered.

To be considered for coverage, you must have the following:

  • a condition that requires special equipment or positioning not possible with a standard bed
  • a prescription from your doctor for an adjustable bed that describes your medical condition and why it requires an adjustable bed
  • medical records that support the need for an adjustable bed
  • physician reports that detail the medical condition for which an adjustable bed is needed

Some conditions that might cause you to need an adjustable bed include:

  • those that require frequent positioning of your body to address pain, contractures, or poor alignment

Level Of Care Required

To be eligible for a waiver, the recipient must meet the Level of Care Required threshold. Level of Care Required means that an individual must be eligible to receive a specific level of care through regular Medicaid to utilize a waiver program. For instance, someone who receives Medicaid but is capable of living with their family or on their own, often does not meet the required level of care. However, a disabled individual who is unable to remain at home due to a disability or worsening health would be deemed Nursing Home Eligible or Eligible for Institutional Level of Care. If equipment such as a stair lift or skilled home care allows the individual to remain at home, they are likely eligible for a waiver.

Don’t Miss: Does Medicare Pay For Mobility Scooters

Alternatives To Stair Lifts

Stair lifts, without financial assistance, can be beyond the reach of many families. Unfortunately, there are very few less expensive alternatives. One option is to install handrails on both sides of the staircase. This narrows the staircase considerably, allowing stair climbers to stabilize themselves from both sides simultaneously. The handrails should extend one foot beyond the top and bottom of the stairway. Though obviously not perfect, this solution should cost less than $200 installed.

A second option is sliding stair rails. These are grab bars, which slide and lock into position in front of the stair climber and move along as they climb or descend. One manufacturer of these products is called StairAid. StairAids, though still fairly expensive, cost approximately 50 percent less than an electric stair lift.

A third option is Stair Blocks. These are blocks approximately one-foot-wide, the width of a stair and one-half the height of a stair. A block is placed on each step and when a user climbs, they alternate between the regular stair and the block. Stair blocks make climbing easier, but the individual still must climb and may still experience a fall. See a video.

Lastly, there are vertical or inclined platform lifts, perhaps better thought of as elevator lifts. Typically, these cost more than stair lifts but can accommodate persons confined to wheelchairs. Learn more.

Eldercare Financial Assistance Locator

  • Discover all of your options
  • Search over 400 Programs

Are Stair Lifts Covered By Medicare

Does Medicare And Super 65 Cover Chair Lifts In

Stair lifts are among the most popular additions for seniors who want to age in place. The benefits of these devices improved safety, enhanced confidence, minimal structural disruption are both undeniable and incalculable. What is calculable, however, is the cost of a stair lift. A typical model can run between $2,500 and $5,500 for a straight staircase and $10,000 or more for a curved staircase. At the Barrier Free Store, weve installed thousands of stair lifts in homes all across the Upper Peninsula, and one of the most common questions were asked is whether or not Medicare will cover the cost of a stair lift. The answer is, unfortunately, no. Medicare classifies lifts as home modifications rather than durable medical equipment. But that doesnt mean there arent other resources available to Michigan residents that can help offset the cost of a stair lift.

Read Also: Does Medicare Cover Ambulance Transport

Housing Grants For Disabled Veterans

The VA provides grants to veterans and service members with certain service-connected permanent disabilities. These grants are available to help buy or build an adapted home, or modify an existing home to accommodate a disability.

The Specially Adapted Housing grant helps veterans with certain disabilities live independently in a barrier-free environment. SAH grants can be used to remodel an existing home if it can be made suitable for specially adapted housing.

According to the VHA Handbook, stairlifts may be furnished as part of medical and/or prosthetic services to eligible veterans provided that they are medically necessary for the veterans care and treatment.

How To Prove Medical Necessity

One way to show medical necessity is to have your doctor prescribe an in-home assessment as part of your plan of care for an illness or injury. The evaluator should also look at your abilities to recommend certain modifications as part of the medical intervention.

The American Occupational Therapy Association describes three scenarios and how Medicare is likely to respond to each.6

In the first scenario, a medical provider asks an occupational therapy office to assess a client at home. The client has undergone a recent serious illness that decreased their functional performance. An occupational therapist goes to the home for a functional assessment and home environment review. The therapist makes recommendations for certain home modifications as part of the medical intervention. Medicare covers the evaluation itself and could subsidize the recommended modifications because theyre part of the occupational therapy plan of care.

The letter should include:

  • Diagnosis information
  • The specific features offered by the particular tub prescribed and how the tub addresses your medical need
  • The duration of treatment
  • The specification that alternative treatments cost more, do not exist or do not work as effectively

Its possible to get coverage for a condition you expect to have for the rest of your life, but your doctor needs to regularly submit a letter of medical necessity.

Don’t Miss: How Much Does Medicare Part B Cost At Age 65

What Part Of Medicare Pays For Lift Chair Costs

      People experiencing life changes due to age, arthritis, or a mobility-limiting surgery can buy a lift chair for assistance getting up or down from sitting position or standing position.

      The high cost of lift chairs can be a significant expense for Medicare beneficiaries. However, Medicare Part B covers lift chairs that a doctor deems medically necessary and prescribes for use in your home. You must satisfy some requirements to have your lift chair costs paid under the durable medical equipment coverage.

      Learn about the benefits of lift chairs, how Medicare covers them, and where to get a Medicare-approved lift chair.

      How Much Is Medicares Lift Chair Recliner Reimbursement

      Medicare lift chair.wmv

      Medicare will only reimburse for the lifting mechanism of the lift chair . The reimbursement is only for 80% of the lifting mechanism. The remaining 20% of the lifting mechanism and the chair itself will not be reimbursed. Reimbursement is capped at different amounts for different stated. Below is the maximum for each state .

      State

      Recommended Reading: Does My Doctor Accept Medicare Advantage

      Medicare Stair Lift & Wheelchair Ramp Funding

      We hope this information can be used to help you or a loved one secure funding for a stairlift or wheelchair ramp. Please be aware that while you can seek these forms of funding, we do not accept any Medicare or Medicaid payments because we are not a Medicare or Medicaid provider.

      For more information, please contact us to discuss your options.

      Will The Va Pay For Stair Lifts

      If you were in the military, your military service benefits may get you some funding from the Veterans Administration , the VA Aid and Attendance Benefit.

      As a veteran you can also apply for financial help through government grants from any of the following:

      You can find a list of state programs here.

      Read Also: Does Kelsey Seybold Accept Medicare

      Power Lift Chairs Medicare Considers

      It is important that the unit is determined by a doctor or physician as medically necessary for health improvement or to prevent conditions from getting worse. A patient can schedule an in-person medical examination with a treating physician and receive a written prescription if the doctor feels the patients mobility issues would be resolved with a lift chair.

      Once appropriate documentation is collected from a doctor, selecting the type of power lift chair Medicare will cover is the next step. Since Medicare only covers the cost of the seat lift mechanism, and the beneficiary is responsible for the furniture portion of the lift chair, an individual should choose the lift chair that bests suits their taste and style, as well as their medical needs.

      Although the market for power lift chairs Medicare pays for has many manufacturers, Pride Mobility offers durable and stylish power lift chairs Medicare may cover. VivaLift!® Power Recliners offer customizable settings with ease for comfort and convenience. Adjustable features such as power headrest, power backrest, power lumbar and footrest extension provide comfort levels based on the individuals preference. The VivaLift! Voya Power Recliner includes a soft-touch remote with the USB charging port. The Sierra Power Lift Chair comes in three stonewash fabric color variations and offers infinite, lay-flat positioning for maximum comfort.

      For custom rehab solutions visit QuantumRehab.com

      Top Rated Assisted Living Communities By City

      Does Medicare Cover Lift Chairs

      Lift chairs are covered by Medicare Part B as durable medical equipment. If a doctor has recommended the use of a lift chair for a senior who has arthritis, balance issues or limited mobility, Medicare Part B or Medicare Advantage may cover the cost of the chair.

      Lift chairs can be a lifeline for many older adults, helping them remain in their own homes for longer. Many medical conditions make it challenging to navigate stairs, and mobility aids could make the difference between a senior staying in the home they love or being forced to downsize.

      Helpful Resources

      You May Like: Where Do I Apply For Medicare Benefits

      Are Brooks And Acorn Stairlifts The Same

      Acorn and Brooks stairlifts are the same product. Acorn sell directly to the public as Acorn and through their dealer network as Brooks. Brooks stairlifts are built to last, with low maintenance and high reliability. They run on DC power packs, which are automatically recharged at the end of every trip.

      So What Can You Do If You Have Medicare Part B

      My mom uses a walker sometimes, instead of a grab bar, to help her get in and out of the shower, as it can be re-positioned in so many ways.

      If your loved one is unable able to get in and out of the bathtub, a 3 in 1 portable commode chair is great for taking sponge baths.

      After my Mom had a hip replacement, we used our portable commode chair for several weeks.

      If you loved one is strong enough, you could put a floor to ceiling pole by the bathtub, so they have something to hold onto, or get a transfer seat which is very simple to use and safe.

      Although the transfer seat doesnt lower the person into the water, they can get over the water easily to wash themselves.

      I have an exhaustive article with over 50 safety tips for the bathroom that you can read here

      And another long article with 30+ caregiver tips on helping an elderly parent to bathe here

      Also Check: How To Get Prior Authorization For Medicare

      More articles

      Popular Articles