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Is Hoveround Covered By Medicare

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How Can I Get A Free Electric Wheelchair

How Someone Would Qualify for a Hoveround with Medicare

You may be entitled to a free electric wheelchair if you are a Medicaid enrollee and your state covers it. You may also receive funding for most of the cost of your electric wheelchair if you’re a Medicare beneficiary and it’s a safe and necessary option. Some private health care insurance plans also cover electric wheelchairs.

If you’re ineligible for an electric wheelchair through Medicaid, Medicare or your private insurer, you may be able to get a free electric wheelchair through a nonprofit organization. Several regional organizations provide subsidized or free refurbished wheelchairs to local people in need. Your doctor or a local support group or forum can help you find a local organization that provides donated wheelchairs to people who need them.

Shopping For Power Wheelchairs Covered By Medicare

There can be a lot of questions when shopping for an electric wheelchair. In addition to wanting information on Medicare-approved power wheelchairs, you may also have questions about how fast motorized wheelchairs can go, can they get wet, and how much do they weigh.

There are several factors that can determine power wheelchair speed. The average wheelchair will go up to 4 mph, but there are some that have faster speeds. The weight of the user and the terrain are two main factors if the wheelchair can go faster.

When it comes to moisture, its always best to avoid getting your electric wheelchair wet, but sometimes it can be unavoidable. What matters is what you do after any contact with water, to preserve the performance and life of the wheelchair.

When it comes to the weight of a power wheelchair, some electric wheelchairs are designed to be more lightweight and portable, so they are built with lighter materials. One wheelchair can weigh 53 pounds without batteries, while another can weigh 195 pounds because it is designed to be heavier to support larger weight capacities.

What Are People Saying About Hoveround Power Wheelchairs

Reviews for Hoveround wheelchairs mention that the products are powerful and comfortable and ride smoothly and quietly. Some of the reviewers of older models state theyre very satisfied with the longevity of their wheelchairs. Many of the families who left reviews appreciated the white glove service, which took care of a lot of the red tape involved with insurance.

While many of the reviews for Hoveround wheelchairs are positive, some of them mention drawbacks, such as questionable build quality on some models and the limited warranty. Others commented that returning a defective or unsatisfactory wheelchair can be difficult.

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Are You Making The Right Mobility Choice

If you have questions about finding the right power mobility device for your particular needs, talk to a Hoveround Mobility Specialist at 800-542-7236. Hoveround offers a complete selection of maneuverable power chairs, stylish mobility scooters and other mobility products to fulfill a variety of personal mobility needs.

1Insurance coverage depends on medical necessity as determined by insurer. Valid doctor’s prescription required. Hoveround currently does not take Medicare assignment on electric scooters and most other DME companies also do not accept Medicare assignment on scooters. Find more information about Medicare’s benefit for power scooters and power wheelchairs by visiting Medicare.gov.

This article is for informational and educational purposes only and is not intended to replace professional medical advice.

Medicare Requirements For Scooters And Power Chairs

Hoveround Power Wheelchair with Medicare Assignment

People who have become disabled and can no longer walk, or cannot walk without difficulty, may benefit from a mobility scooter or powerchair. Although TV commercials suggest that the process is fast and painless, your healthcare provider will fill out paperwork that will help you to receive a scooter or power chair at little or no cost, many disabled individuals and their caregivers find out that the process can be much more difficult. The authorization process sometimes requires several trips to a healthcare provider or specialist and conforming to complex Medicare rules.

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Medicaid Electric Wheelchair Eligibility

You’ll need to be eligible for Medicaid coverage before you can receive funding for an electric wheelchair through Medicaid. Federal law sets mandatory eligibility groups, which means that all states must legally cover residents belonging to certain populations. For example, all states must provide Medicaid coverage to low-income families and people receiving Supplemental Security Income .

In 2010, the Affordable Care Act was introduced to allow states to voluntarily expand Medicaid benefits to people who would not previously have been eligible. Following the act, all states expanded Medicaid to children from families living on a minimum of 133% of the federal poverty level . Many states expanded benefits to adults in the same circumstances.

To qualify for Medicaid, you’ll usually need to meet certain financial eligibility requirements and be a resident in the state you claim. Some states extend coverage to individuals deemed to be “medically needy” who would not otherwise qualify.

If you’re a Medicaid enrollee, you may be entitled to funding for an electric wheelchair if your doctor verifies that it’s medically necessary. Some states set additional eligibility requirements for electric wheelchairs through Medicaid. For example, they may restrict funding for certain accessories or require some beneficiaries to complete a course of physical therapy beforehand.

Does Medicare Cover Electric Wheelchairs

Medicare Part B may cover DME if it’s medically necessary, including electric wheelchairs, and you may require prior authorization. It doesn’t usually cover accessories for wheelchair users such as ramps.

If you’re eligible, Medicare pays up to 80% of the Medicare-approved amount, and you are liable for the remaining 20%. You may also be eligible if you have a Medicare Advantage Plan, and some plans cover a wider range of accessories than Original Medicare.

To qualify for funding for an electric wheelchair through Medicare Part B, you must satisfy all the following criteria.

  • A manual wheelchair is unsuitable for your home, or you can’t support yourself in or control a power scooter.
  • Your health condition significantly restricts your movements around your home.
  • You can operate and get in and out of your wheelchair or have an assistant available to help and keep you safe.
  • Your doctor and wheelchair provider are Medicare enrollees.
  • Your electric wheelchair is suitable and safe to use inside your home.

Medicare won’t cover an electric wheelchair unless your doctor has examined you face to face and checked that an electric wheelchair is a suitable option for you. They will need to verify that an electric wheelchair is medically necessary and that you can use it safely.

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How Much Does An Electric Wheelchair Cost

How much an electric wheelchair costs varies widely depending on the brand and model, and you’ll generally have to pay more if you want an adjustable or customized wheelchair or the most up-to-date features.

Generally, you should expect to pay somewhere between $2,000 and $6,000 for a non-customized electric wheelchair. However, customized models can cost between $12,000 and $50,000.

What Steps Do I Need To Take

UPHP Medicare Advantage Plans (HMO) 2020

Keep these facts in mind as you consider the steps you need to take when considering a scooter for mobility

  • Medicare Part B covers power-operated vehicles and manual wheelchairs as durable medical equipment that your doctor prescribes for use in your home.
  • You must have a face-to-face examination and a written prescription from a doctor or other treating provider before Medicare helps pay for a power wheelchair.
  • Power wheelchairs are covered only when theyre medically necessary.

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Who Should Consider Hoveround Power Wheelchairs

Seniors Aging in Place

The LX-5 and MP5 Power Wheelchairs can improve the mobility of seniors at home who want to age in place rather than move to an assisted living facility or other outside community. Due to the round design, these chairs can maneuver even in tight spaces, such as older homes that have more compact spaces. The powered chairs can also travel outside, giving seniors the opportunity to travel short distances around town, simulating the experience of walking.

Bariatric Adults

Adults who have trouble getting around due to their weight plus other disabilities may find the Teknique series of Hoveround powered wheelchairs their best mobility option. The HD6 Bariatric model can travel up to 15 miles and carry individuals who weigh up to 600 pounds.

What Do You Do If Your Current Supplier Decides Not To Become A Grandfathered Supplier

If you have a supplier who chooses not to become a grandfathered client you have two choices:

  • You can keep them as a supplier and pay out of pocket
  • You can switch to a Medicare contract supplier and have Medicare coverage
  • If you want to enjoy the benefits of Part B coverage, you should locate a supplier who is contracted with Medicare. That way you wont have to pay more than 20% of the full value of the scooter. However, you can still choose to stay with your current supplier if youre happy with their service.

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    Does Medicare Cover Scooters

    A mobility scooter might qualify for Medicare Part B coverage if all of the following apply:1

    • The beneficiary has had a mobility examination by a physician and the physician has written a valid doctor’s prescription.
    • It is a reasonable and necessary mobility solution.
    • Its primary use is for activities of daily living inside the home.
    • Other mobility products such as a cane, walker or manual wheelchair will not resolve the beneficiar’s mobility limitations.

    Fwd Heavy Duty Power Wheelchair

    Hoveround Customer Service

    The FWD is the most affordable wheelchair model in Hoverounds heavy-duty Teknique series. Its also the most compact and maneuverable, with a turning radius of 24 inches and a top speed of 4.2 miles per hour. The weight capacity is 300 pounds, and you can order the seat in a variety of sizes and recline levels. This FWD wheelchair features a front-wheel drivetrain that gives you more power and maneuverability than many other electric wheelchairs.

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    The Difference Between Medicare & Medicaid

    Medicaid is a state-run program that provides hospital and medical coverage for low-income individuals. Each state has its own rules about who is eligible and what is covered under Medicaid. Alternatively, Medicare is a federal program available to all U.S. citizens after their 65th birthday. Some people qualify for both Medicare and Medicaid. For more information about the Medicaid program, contact your local medical assistance agency, social services or welfare office.

    How Much Will It Cost Me

    If your DME provider accepts the Medicare assignment costs, youll be paying 20% of the Medicare-approved amount, and then the Part B deductible applies. Medicare.gov says, depending on the type of equipment, you may need to rent the equipment, you may need to buy the equipment, or you may be able to choose whether to rent or buy the equipment.

    After youve visited your doctor, and he/she has written you a prescription for a scooter, you can obtain details from a DME provider, and they can share options with you. General prices for a decent scooter will range from $750-$2,000.

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    Does Medicaid Cover Electric Wheelchairs

    • Does Medicaid cover electric wheelchairs? Discover how funding for electric wheelchairs works through Medicaid and Medicare and where to get a free wheelchair.

    If you have a medical condition that makes it hard to move around your home or local area, an electric wheelchair can significantly improve your quality of life and independence. However, electric wheelchairs are expensive, so it’s important to consider how to fund them.

    So, does Medicaid cover electric wheelchairs? Below, you can find out if Medicaid and Medicare cover electric wheelchairs, who’s eligible and how to get a free wheelchair if you don’t qualify.

    The Customer Service Experience

    Understanding Medicare Advantage…

    When calling Hoveround, customers are greeted by friendly staff who help suggest an appropriate power chair model. Staff also help customers file for insurance claims and offer guidance in scheduling a mobility evaluation. Those who want to pay out-of-pocket for their power chair can do so over the phone or order directly from the website.

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    Assessment Of Your Medical Needs

    You must address specific questions in your face-to-face interview with a healthcare provider. Specifically, you or your caregiver must answer:

    • What is your mobility challenge and how does it interfere with your daily activities?
    • Why cant a cane or walker handle your mobility needs?
    • Why cant a manual wheelchair be used to meet your mobility needs?
    • Are you capable of transferring to and from the PMD and operating it safely within your home?
    • Do you have the physical and mental capacity to operate the PMD by yourself?

    Steering And Handling Ability

    Electric mobility scooters are steered by handlebars and operated through controls located on the vehicle’s tiller. This type of set up works well for an individual with enough upper body strength, arm reach and range of motion to manage the power scooter safely. For others, a power chair might be a better solution.

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    How To Get A Mobility Scooter Covered By Medicare

    Please note that Parentgiving does not accept Medicare. This article explains how, if you qualify for Medicare Part B, Medicare can help pay for the cost of a scooter.Lets face itthe older we get the harder it becomes to move around. If youre a senior and you suffer from mobility issues you may qualify for a scooter if you meet the right requirements.

    How Can I Get More Information About Medicare And Medicare Wheelchair Benefits

    Not Sure? Let Us Help!

    This site has a variety of information about Medicare as it relates to mobility aids such as power wheelchairs. Please call us toll-free at 1-800-542-7236 and we’ll be happy to discuss the Medicare guidelines and power wheelchair details with you.

    Additional information can also be found in the publication Medicare & You , available by calling the Medicare toll free number, 1-800-MEDICARE, or at www.medicare.gov.

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    How Much Does A Hoveround Electric Wheelchair Cost

    Hoverounds basic power and electric wheelchairs cost between $2,595 and $4,395. The least expensive model is the Hoveround LX-5 Power Wheelchair, and the most expensive is the HD6 Bariatric Electric Wheelchair. The FWD Power Wheelchair starts at $3,495, and the XHD Heavy Duty Power Wheelchair starts at $3,995. The exact cost of your wheelchair will depend on some customizable features, such as the size of the seat and the degree of recline. Your insurance or government benefits may fully or partially refund the cost of your Hoveround wheelchair.

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    The following guide discusses the three steps that are necessary to have Medicare help cover the cost of your power wheelchair or mobility scooter.

    Step 1 Doctor’s Visit

    After speaking with a Hoveround Mobility Specialist on the phone, visit your doctor to discuss your potential need for a motorized wheelchair.

    • Must be a face-to-face mobility evaluation – It cannot be a general appointment.
    • Your doctor will ask you a series of questions and conduct an evaluation to determine whether you will benefit from a motorized wheelchair.
    • Your doctor will recommend the wheelchair type that best fits your physical mobility needs.
    • Your doctor must prescribe a power wheelchair in order to move on to the next step in the Medicare process.

    Step 2 Hoveround Begins Medicare Paperwork

    Step 3 Motorized Wheelchair Delivery & Training

    1Insurance coverage depends on medical necessity as determined by insurer. Valid doctor’s prescription required.

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    What Makes Me Eligible

    First, you need to be enrolled in original Medicare and meet the PMD eligibility requirements. You’ll only be approved if you need a scooter to move around in your home. There is no coverage for scooters needed outside.

    You’ll need to meet with your doctor who takes Medicare, and they’ll evaluate your medical condition and prescribe a mobility scooter if necessary. The doctor will create a prescription that lets Medicare that the scooter is necessary.

    Here are the criteria you need to meet for Medicare to pay for your mobility scooter:

    • You have a health condition that makes it difficult for you to move around in your home.
    • Have difficulties with daily activities, like using the bathroom or getting dressed.
    • Your home needs to be large enough to accommodate scooter use.

    Once your Part B deductible is paid, Medicare may cover 80% of the cost to rent or buy a mobility scooter.

    Hoveround Electric Wheelchair Review

    Hoverround Commercial 2003

    Best for Medicare Recipients

    Hoveround makes one of the best electric wheelchairs for seniors on Medicare by using a unique industry innovation that maximizes mobility and comfort. Its Round for a Reason® design gives you the ability to navigate tight spaces without damaging your home. By controlling the entire design and build process, Hoveround is able to produce an electric wheelchair thats customized to the needs of a wide range of Medicare recipients. Friendly mobility specialists will visit your property to ensure your chair fits your living situation and is covered by your Medicare benefits. When you order a wheelchair or other mobility product from Hoveround, it will be delivered directly to your home.

    Pros:

    • Full-service company handles all aspects of production, sale, distribution and servicing of chairs
    • Unique chair accessories include cane holders, cup holders, oxygen tank support attachments and more
    • Highly maneuverable 789iop /with a great turning radius

    Cons:

    • Models and heavy and cannot be folded

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