Wheelchairs and power mobility devices are among the most scrutinized Medicare DME categories. Getting one covered requires specific documentation and a face-to-face examination.
Does Medicare Cover Wheelchairs?
Yes. Medicare Part B covers wheelchairs (both manual and power) and power mobility devices when they're prescribed as medically necessary for use in your home. Equipment is rented for 13 months — after which you own it.
Qualifying Criteria
Your doctor must document that you have a medical condition causing significant difficulty with mobility, cannot perform mobility-related activities of daily living even with a cane or walker, your home environment accommodates the equipment, and you are capable of safely operating the device.
The Face-to-Face Requirement
For power wheelchairs, Medicare requires a face-to-face examination by your treating physician within 45 days before the written order is issued. Claims are routinely denied if this requirement is missed.
What You Pay
Medicare pays 80% of the approved amount after your Part B deductible. You pay 20%. For complex power wheelchairs, Medicare requires prior authorization before the chair is delivered.
Finding an Accredited Wheelchair Supplier
For complex rehab wheelchairs, look for suppliers with CRTS (Certified Rehab Technology Supplier) credentials. Search DMEHelper to find Medicare-enrolled wheelchair suppliers by city and verify their NPI.