Does Medicare Cover Mobility Scooters?

February 11, 2021

As we (or our loved one’s) age, mobility can become a definite issue. Almost a quarter of Medicare recipients over 65 are reported as needing to use a device for mobility. Moreover, the device is to get around their homes and throughout their daily lives.

Many people don’t know that Mobility scooters may be covered partially by Medicare Part B. Some specific requirements must be met, of course, but many times Medicare will cover part of the cost of the purchase or rental of a mobility scooter. Keep reading to learn more about mobility scooters and Medicare according to Healthline

Eligibility Requirements

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First off, you must meet the Medicare Power Mobility Device (PMD) requirements before they help pay for a mobility scooter. They’re only approved when you or your loved one needs help getting around in the home, not for only outside activity. An in-person appointment is required with your doctor to get a prescription for a mobility scooter, which your doctor will submit to Medicare for approval. Medicare Part B should cover some of the cost or rental for durable medical equipment, such as a PMD. Medicare Part C can also cover part of the price, as well as Medigap coverage.

There is a list of criteria that are required to be met before Medicare will approve your prescription. You must have a health condition that makes getting around in your own home extremely difficult. Your mobility must hinder your ability to do activities such as bathing and using the bathroom to the point that using a cane, walker, or crutches does not help. You must be strong enough to sit on your own and able to operate a mobilized scooter safely. You must be able to get on and off the scooter safely on your own or always have someone with you to help. Lastly, your residence must be accessible enough for your scooter to fit into your bathroom and through your doors and hallways.

Mobility Scooter Costs

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One of the biggest concerns with getting you or your loved one a mobility scooter can be a concern over the device’s price. In general, Medicare Part B will cover 80 percent of the cost to rent or buy a PMD. Part C and Medigap can possibly also cover part of the bill. Make sure you use a Medicare-approved supplier to purchase your mobility scooter. 

Furthermore, you should check on whether or not you will have to pay the cost of the scooter up-front and get reimbursed by Medicare, or if they will bill Medicare directly. Renting a scooter could be a better option for you or your loved one if it is only needed for a short time. The process for renting a scooter is similar, but Medicare will make monthly payments for you as long as it is deemed medically necessary. 

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If you or your loved one requires a PMD such as a mobility scooter to get around the home, please follow the proper steps to procure the scooter. That way, you can keep the costs down. Make sure to apply and enroll in original Medicare (Parts A & B). Then, make an appointment with your Medicare-approved doctor for an in-person meeting to get a prescription for a PMD. Again, your doctor should send it to Medicare. You need to choose between renting and buying a scooter and find a Medicare-approved supplier. Finally, make sure you discuss all costs and payments before you sign an agreement.