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Lift Chairs and Medicare

  • Publish Date : 2009/02/11 - (Rev. 2013/06/03)
  • Author : Ronald Rougeaux

Synopsis:

Examines reimbursement by insurance companies such as Medicare on lift chair products in the US.

Main Document

While buying a new lift chair, many times people tend to think that their purchase will be eventually reimbursed by the Medicare.

However, there are certain facts about lift chairs and Medicare that you should know before buying a new one. Earlier, insurance companies such as Medicare used to reimburse the cost of buying a lift chair. However, for the most part, they no longer offer this. There are several restrictions that have been introduced by Medicare to prevent reimbursements.

Examining reimbursement by insurance companies such as Medicare on lift chair products in the US

Are you eligible for a Medicare lift chair reimbursement

In this modern world, lift chairs are a remarkable invention particularly useful for those individuals who experience trouble in getting up from their chair. In fact, lift chair provides the freedom to sit and stand without the help of others, especially for people suffering with back problems, arthritis and various other illnesses. While buying a new lift chair, many times people tend to think that their purchase will be eventually reimbursed by the Medicare. However, there are certain facts about lift chairs and Medicare that you should know before buying a new one.

Earlier, insurance companies such as Medicare used to reimburse the cost of buying a lift chair. However, for the most part, they no longer offer this. There are several restrictions that have been introduced by Medicare to prevent reimbursements.

Some of these restrictions are listed below.

1. Rather than reimbursing the entire cost of the lift chair, Medicare will provide reimbursement only for the cost of lifting mechanism. This is because, according to Medicare, the lift mechanism present in the lift chair is durable and does not get damaged easily.

2. The reimbursement will be provided only when the usage of lift chair is recommended to the patient by a registered and certified doctor. According to Medicare, the lift chair must be used by the physician as a part of treatment regimen and must either provide improvement to the existing condition of the patient or has to help in arresting the condition from further deterioration.

3. In order to purchase a lift chair and apply for a reimbursement with Medicare, the individual must be suffering from a medically-related debilitating health condition that can include severe arthritis, muscular dystrophy or any other neuromuscular disorder.

4. There are different types of lift chairs that are available in the market. Under the Medicare reimbursement policy, only chairs that can be operated smoothly and those controlled by the patient are covered. So, that means the cost of buying a lift chair that operates by spring release mechanism (only) is not reimbursed.

5. The total reimbursement amount varies from state to state. In general, this amount is something around $300.

So, in order to buy a lift chair through Medicare, you have to make an upfront payment and then apply for a reimbursement claim with Medicare. Normally, filing a reimbursement form thru Medicare is simple process filing three documents. One is the Certificate of Medical Necessity or (CMN) that indicates the necessity of buying the equipment, a doctor's prescription for a lift chair and a copy of the bill of sale.

It's important that the doctor's prescription and the CMN are both signed by the doctor. All these three documents must be posted to the Medicare's regional claims' office. Upon approval of the application, the applicant will be provided with a check containing the reimbursed amount for the lift chair. As always, be sure to check with Medicare for the latest in information whether you're eligible for a Medicare reimbursement.


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