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Scooters Power Operated Vehicles (POVs)/Scooters Medicare has modernized the policy and replaced the Bed or Chair Confinment requirements with consideration now given to the beneficiary's ability to safely and in a reasonable time fream participate in one or more Mobility Related Activities of Daily Living (MRADLs). A face-to-face examination with your referring physician is required prior to any PMD being prescribed. Medicare looks for the following information from your physician: Face-to-face examination: The report of the face-to-face examination (see Policy Article) should provide information relating to the following questions: (each one has to be addressed in the chart notes!!!!) What is this patient's mobility limitation and how does it interfere with the performance of activities of daily living? Why can't a cane or walker meet this patient's mobility needs in the home? Why can't a manual wheelchair meet this patient's mobility needs in the home? Does this patient have the physical and mental abilities to operate a POV (scooter) safely in the home? for

Jazzy Power Chairs

The Physician also has to address the above AND Does the patient have the physical and mental abilities to operate a power wheelchair in the home?

Lift Chairs Medicare Coverage Criteria Lift Chairs A seat lift mechanism is covered if all of the following criteria are met: 1. The patient must have severe arthritis of the hip or knee or have a severe neuromuscular disease. 2. The seat lift mechanism must be a part of the physician's course of treatment and be prescribed to effect improvement, or arrest or retard deterioration in the patient's condition. 3. The patient must be completely incapable of standing up from a regular armchair or any chair in their home. (The fact that a patient has difficulty or is even incapable of getting up from a chair, particularly a low chair, is not sufficient justification for a seat lift mechanism. Almost all patients who are capable of ambulating can get out of an ordinary chair if the seat height is appropriate and the chair has arms.) 4. Once standing, the patient must have the ability to ambulate. Coverage is limited to the seat lift mechanism, even if it is incorporated into a chair.

Related Web Site Links The Centers for Medicare & Medicaid Services (CMS) http://cms.hhs.gov

Region A DMERC www.umd.nycpic.com/dmrmrp.html

Region B DMERC www.astar-federal.com

Region C DMERC www.pgba.com

Region D DMERC www.cignamedicare.com

Official US Government Site for Medicare Information www.medicare.gov

Medicare HMO - www.medicarehmo.com

WebMD - www.webmd.com

AARP - www.aarp.org

Social Security Administration - www.ssa.gov

Hospital Beds

Does Medicare Cover Hospital Beds?

Medicare will cover a hospital bed when you can show a medical necessity for the bed You must also be covered under Medicare part B and have been assessed by your doctor. The doctor must document your need and write you an order (prescription) for the equipment. Only your doctor can prescribe the equipment for you, so do not order anything until you have visited your doctor no matter what the sales person tells you.

• The doctor must support the need by documenting it in your medical record and give you a signed and dated order (prescription) for the equipment.
• The order must be received by the supplier before Medicare is billed and it must be kept on file by the supplier.

ALL PRODUCTS

Adjustable Beds
Hospital Beds
Lift-Chairs
Scooters
Scooter-Lifts
Stair-Lifts
Wheelchairs
Wheelchair-Lifts

Insurance

For all Your Medicare Needs for the Purchase of An Electric Wheelchair, Lift-Chair, Scooter or Hospital Bed, please ask for Jay Rajendra at 800-233-7382

or EMail Jay Rejendra and let him know:

1. What Product and Model are you interested in

2. What is your Age, Weight and Height

3. Whether you have Medicare or other Insurance

4. Your Name, Address and Phone Number (we promise to never add your information to any type of list)

Medicare Slide Presentation

Prescription Requirements

Examination Requirements

Insurance