Canes, Walkers, Wheelchairs, and Scooters
Essentially the new Mobility Assistive Equipment regulations will ensure that Medicare funds are used to pay for:
Mobility needs for daily activities within the home
The lowest level of equipment required to accomplish these tasks.
The most medically appropriate equipment (that meets your needs, not your wants)
Medicare requires that your physician and provider evaluate your needs and expected use of the mobility product you will qualify for.
They must determine which is the least level of equipment needed to help you be mobile within your home to accomplish daily activities by asking the following questions:
Will a cane or crutches allow you to perform these activities in the home?
If not, will a walker allow you to accomplish these activities in the home?
If not, is there any type of manual wheelchair that will allow you to accomplish these activities in the home?
If not, will a scooter allow you to accomplish these activities in the home?
If not, will a power chair allow you to accomplish these activities in the home?
Keep in mind if you have another higher level product in mind that will allow you to do more beyond the confines of the home setting, you can discuss with your provider the option to upgrade to a higher level or more comfortable product by paying an additional out of pocket fee using the Advance Beneficiary Notice (ABN).
A face-to-face examination with your physician to specifically discuss your mobility limitations and need for powered mobility is required prior to the initial setup of a power chair or scooter.
Your home must be evaluated to ensure it will accommodate the use of any mobility product.
You may also be asked to see a physical therapist or occupational therapist to determine the best fit and equipment selection.