Tuesday, April 16, 2024

Will Medicare Pay For A Roho Cushion

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Does Medicare Cover Seat Cushions

The BEST Wheelchair Cushion – ROHO Contour Select beats over $5K in cushions

Getting a seat cushion for a wheelchair is not just about comfort. It also helps with pressure relief, skin protection, positioning and more stability while seated.

Whatever the reason, the question often comes up does Medicare cover seat cushions?. We answer this question below. And youll also find information about seat cushion costs as well as other general info about them.

How Often Will Medicare Replace A Wheelchair

If your equipment is worn out, Medicare will only replace it if you have had the item in your possession for its whole lifetime. An items lifetime depends on the type of equipment but, in the context of getting a replacement, it is never less than five years from the date that you began using the equipment.

How To Choose The Best Roho/air Wheelchair Cushion

Perhaps one of the most unique and innovative categories of wheelchair cushions on the market are ROHO/Air cushions. These innovative cushions implement an air cell block format, which inflate to effectively redistribute pressure and prevent skin breakdown caused by long-term wheelchair use.

Each ROHO/Air cushion implements the same general air cell format, but different designs do so in different ways. Because of this, choosing the perfect ROHO/Air cushion means taking several features and options into consideration.

To make the selection process easy and stress-free, this article will guide you through the most important features and benefits when purchasing your ROHO/Air wheelchair cushion!

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Price Is Not The Only Thing That Matters When It Comes To Buying Your New Mosaic Wheelchair Cushion By Roho Great Customer Service Is Priceless

The MOSAIC Cushion is made of 2.75 in. interconnected air cells that are easy to inflate and adjust. This extremely lightweight cushion is designed to provide a comfortable and stable sitting environment. The MOSAIC cushion is perfectly suited for individuals who require skin/soft tissue protection, support and comfort, and who are looking for a cost-effective application cushion for comfort.


  • MOSAIC Wheelchair Cushion weighs 0.75 lbs. / 0.4 kg
  • Washable, reusable cover is included
  • Height: 2.75 in. / 7 cm
  • MOSAIC Wheelchair Cushion has a 315 lb. weight capacity
  • Per mfgr 18″ x 16″ can be turned to achieve 16″ x 18″ Cushion

This product is not eligible for shipping outside of the United States or U.S. Territories.

Includes MOSAIC cushion, two-way stretch cover, hand inflation pump, repair kit, and operating instructions. Optional Heavy Duty cover is available.
Construction Polyvinylchloride made without DEHP
Sizes Available 16 in. x 16 in. / 40.5 cm x 40.5 cm18 in. x 16 in. / 45.5 cm x 40.5 cm18 in. x 18 in. / 45.5 cm x 45.5 cm
Height 2.75 in. / 7 cm without load
Weight Limit 250 lbs / 113 kg
Weight Limit Description There is a weight limit of 250 lb. , and the cushion must be properly sized to the individual.
Warranty Cushion: 12-Month Limited Warranty. Cover: 6-Month Warranty.
Accessories Accessories available that can be used with the MOSAIC Cushion:Contour Base, Planar Solid Seat Insert, Privacy Shield and Cushion Retainer.

What Does Mosaic Cushion Do For Your Body

ROHO Cushions

Proven Protection: The innovative design of the MOSAIC cushion allows you to sink comfortably into it, shaping to the unique contours of your body. Available in an expanded range of sizes to better fit your seating surface, MOSAIC provides basic preventative skin and soft tissue protection at an affordable price.

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Will Medicare Cover The Cost Of A Roho/air Wheelchair Cushion

Generally, Medicare will cover up to 80% of the cushion, while the user pays the remaining 20%. Keep in mind that Medicare coverage of any wheelchair cushion is varying and dependent upon a doctors diagnosis.

In order to qualify for Medicare coverage, an individual must receive a prescription for a licensed physician stating that they would benefit from the use of a wheelchair cushion. Because of this, it is highly advised that you discuss a wheelchair cushion with your doctor prior to purchase.

Does Medicare Pay For Lift Chairs For The Elderly

Yes, Medicare Part B does cover some of the costs of a lift chair. However, there are 2 important factors to consider: Part B only helps pay for the lifting device, not the chair itself. For example, the lifting device coverage does not include fabric, cushions or any accessories like heat foam or massage pads.

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What Can I Do With Leftover Depends

If you or someone you know has unopened medical supplies, including incontinence products such as diapers, pull-ons and pads, donate them to a local diaper bank, shelter, senior center or hospice organization. Ask family members and friends if they know someone who would benefit from these supplies.

Wheelchairs And Types Of Seat Cushions

ROHO Hybrid Elite Wheelchair Cushion – Product Review

A wheelchair seat cushion, similar to a household seat cushion, provides padding and relief from pressure. They are great for people who have to spend long periods in their wheelchairs.

There are two main types skin protection varieties and positioning seat or back cushions.

Skin protection cushions are great for people who are having trouble adjusting their positions in their seats. Its also useful for those who may suffer or already have suffered from pressure ulcers.

On the other hand, positioning seat or back cushions are for people who need support for offset postural asymmetries caused by paralysis of the limbs or similar conditions.

Seat cushions are typically made from a few different types of materials. Foam cushions which are low maintenance and low cost. Gel cushions which are ideal for pressure relief and the best positioning. And also air cushions which are low maintenance and also provide fantastic pressure relief.

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What Is A Pressure Or Bed Sore

A pressure sore, or commonly referred to as a bed sore, is a sore that develops from pressure on the tissue and skin around a bone that is created when blood flow to the area is compromised. Blood flow compromised, typically when you are confined to a wheelchair or bed after an illness or injury Pressure sores are caused by a combination of pressure, friction , and shear force .

A New Cushion Can Make A Difference

There are instances when you will need a new cushion ahead of the 3 years. You need to have a look at your skin in the butt area twice daily. If your skin is red after extended sitting, you should see your doctor about getting a referral to a Physical Therapist or Occupational Therapist for an evaluation.

If your cushion isnt doing its job of protecting your skin, get an evaluation done and the process rolling for getting a new cushion. If there is a documented change in your medical condition which makes the cushion ineffective, the insurance provider should pay for a new one.

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It May Be Time To Replace Your Cushion

There isnt any specific time line about how often cushions should be replaced according to Medicare. Experts on the Medicare guidelines are certain that they will pay for a new cushion every 3 years.

The ordering process for new cushions is slow, which is another reason you should request one every 3 years. It is best to order a new cushion when the current one is still in good condition. Your clinician will be able to help you with your evaluation and ordering process. If you wait too long you could be at risk of developing pressure sores.

Some other advantages of getting a new cushion every 3 years include having your old cushion as a backup when needed. You can even use it for extra cushioning.

Time To Purchase A Roho Cushion

ROHO Harmony Cushion

Now that you understand how a ROHO cushion can help you, as well as when and how to use it, it is time to purchase. We are here to help you choose the right product as well.

Monday through Thursday between 9 am and 5:30 pm EST & Fridays between 9 am and 5 pm we have representatives that can answer questions, typically within 15 minutes.

You can always place an order on our website at any time.

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License For Use Of Physicians Current Procedural Terminology Fourth Edition

End User Point and Click Amendment:CPT codes, descriptions and other data only are copyright 2020 American Medical Association. American Medical Association. All Rights Reserved . CPT is a trademark of the American Medical Association .

You, your employees and agents are authorized to use CPT only as contained in the following authorized materials of CMS internally within your organization within the United States for the sole use by yourself, employees and agents. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services . You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.

Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, AMA Plaza, 330 Wabash Ave., Suite 39300, Chicago, IL 60611-5885. Applications are available at the AMA Web site, .

About The Medical Department Store:

The Medical Department Store has been serving SouthWest Florida for over 30 years and is proud to maintain an A+ rating from the Better Business Bureau.Our staff is a available Monday – Friday from 9am – 5pm for assistance by calling 1-866-218-0902, by fax at 941-488-0011, and by e-mail at

MDS is a full service Durable Medical Equipment /Home Medical Equipment provider of equipment and supplies for Sale, Rental or Repair. We carry over 8,000 items in stock, including inventory in every major healthcare category: Respiratory , Mobility , Equipment Mastectomy, Urological Supplies, Incontinence, Ostomy, Wound Care, Orthopedic, .

We are committed to providing for all your home medical equipment and supply needs and stand by our promise with guaranteed service. We do this by consistently offering quality brand name products, competitive pricing and exceptional customer service.

Our staff is fully trained in the proper use of all equipment and supplies we sell or rent. Our service team will take the time to explain, demonstrate and educate on the proper use of equipment. Each MDS Team Member follows established supplier standards and will conduct themselves with the highest degree of professionalism.

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When Would You Use A Pressure Cushion

Patients who cannot reposition themselves independently when they get uncomfortable. These patients might slump to one side, forward or slide down the chair, needing help from carers or family members to regain a mid-line posture. Patients who have thin or fragile skin and who are a high pressure injury risk.

When Should You Use A Roho Cushion

Best Value in Air – ROHO Mosaic Wheelchair Cushion Review

So you have been told you have experienced an illness or injury that places you at higher risk for developing one, or worse, have developed a pressure sore? What does that mean and how to treat varies based on the staging of the sore.

Read on to learn more about pressure sores and how a ROHO Cushions can help with prevention and healing.

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What Is The Best Mattress Topper For Bed Sores

Best Pressure Relief Mattress Toppers Best Price Mattress 4 Memory Foam Mattress Topper . SleepBetter Conventional Foam Mattress Topper. SleepJoy ViscO2 Memory Foam Mattress Topper . LUCID Ventilated Memory Foam Mattress Topper . Newpoint Home Deluxe Mattress Pad. Bedsack by Perfect Fit.

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How Much Does A Good Quality Wheelchair Cost

Typical costs: A standard, manual wheelchair costs an average of $500, according to the Robert Wood Johnson Foundation . A chair meant for everyday use costs between $1,000 and $2,000 depending upon the features of the chair, which can include an individualized seat, various types of wheels and a lightweight frame.

What Do You Need To Know About The Roho Cushion


ROHO Cushions provide a comfortable, functional, and customizable sitting solution for people who may experience pain while sitting. Each cushions air pockets are easy to set up and completely adjustable for maximum comfort. Choose between a lycra cover with a non-skid mesh bottom or a heavy-duty, water resistant cover.

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Standout Products In Roho/air Wheelchair Cushions

ROHO/Air wheelchair cushions are available in a wide variety of shapes, sizes, and formats each one with distinct advantages! Whether you are purchasing a cushion for yourself, your loved one, or for a patient, Rehabmart offers a wide selection of cushions from trusted medical equipment manufacturers.

Here is a selection of frequently purchased ROHO/Air wheelchair cushions available from Rehabmart:

What Is A Roho Wheelchair Cushion

ROHO wheelchair cushions provide pressure relief and comfort to wheelchair users. ROHO seat cushions adjust constantly to an individuals body movement to protect them from skin breakdown. Their conformity of the cells accommodate and meet the one-of-a-kind skin integrity needs for each client throughout the day.

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Cushion Design: Air Cells Or Comfort Cells

One of the features which most noticeably distinguishes one air-based cushion from another is the number of either air cells or comfort cells within the cushion.

ROHO brand cushions are predominantly composed of dozens of interconnected air cells, which are built into the framework of the cushion itself. These air cells allow air to move through the cushion and effectively redistribute pressure, providing optimal user comfort.

Most other air-based cushions without the ROHO name are divided into compartments, and those compartments are filled with small comfort cells, which resemble packing peanuts .

Comfort cells can be added and removed to various compartments within the cushion by hand, making for a highly customizable user profile.

Hcpcs Code For A Roho Cushion

Pressure Reduction from Air and Foam – ROHO AirLite Wheelchair Cushion Review

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The HARMONY Cushion provides an individual with a lightweight, stable solution. By combining a ROHO AIR FLOATATIONcushion insert on top of a pre-contoured foam base that is encased within a fluid-resistant cover, the individual can maintain independence and freedom without the worry of adding unnecessary weight to their mobility system.

ROHO manufactures 3 heights of cushions a High Profile, which has 4 tall air cells, a Mid Profile cushion with 3 tall air cells, and a Low Profile that has 2.5 tall air cells. The purpose of a ROHO cushion is to decrease the amount of pressure on the sitting area through a patented technology of interconnected neoprene air cells that …

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HCPCS code and coverage criteria as part of the client assessment process. For coverage criteria in other countries, consult your local ROHO distributor. *May take up to three weeks for shipment. ROHO Seat Cushion Products

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How Do You Get Rid Of A Motorized Wheelchair

How to dispose of a used or broken wheelchair? Motorized wheelchairs have batteries that are bad for the environment if improperly disposed of, and push wheelchairs are mostly recyclable, so dont put it in your regular trash. Instead, you can drop off broken wheelchairs at power wheelchair junkyards for a fee.

How Do You Inflate A Roho Wheelchair Cushion

Inflating and Adjusting Standard ROHO Cushion

  • Place cushion on centered in a chair, with air cells faced up, the valve in the front-left corner of the user.
  • Turn valve counter-clockwise to open.
  • Slide pumps rubber nozzle over the cushion valve and inflate the cushion until it begins to slightly arch upward.
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    Important Reimbursement Changes To Consider When Choosing Your Next Wheelchair Cushion

    Every wheelchair cushion has a finite lifespan and eventually, every brand, make and model of cushion will wear beyond its usability. When this happens the cushion no longer supports and protects your skin the way it was designed putting you at risk of a pressure sore. This is why it is vital to replace your cushion before it fails.

    Two important questions Im frequently asked and have written about in the past are, How often should I replace my cushion? and How often will insurance pay for a new cushion? The answers to these two questions are linked. It is a good idea to replace your cushion as often as your insurance will pay for it. This way you are best protected with a cushion thats performing optimally, plus you can keep your old cushion for back-up use.

    Another important change, as of May 1st, is that CMS has enhanced the definition of an adjustable skin protection cushion vs. non-adjustable cushion under HCPCS codes . The old definition was very subjective and vague. Under the new CMS definition, only cushions that contain a fluid medium and that can be altered by addition or removal of the fluid will be considered adjustable. The adjustable cushion definition also covers cushions in which the adjustment is done by adding or removing packets of fluid medium . Cushions that are custom fit and/or custom molded are in a different HCPCS category than adjustable cushions.

    Questions you should ask include:


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