Does Medicare Cover Walkers? Walkers and Medicare: Do They Pay Walkers
Will Medicare pay for a walker? This is a common question among seniors and healthcare professionals alike.
Obtaining Medicare coverage for a walker can be challenging, so it’s critical to comprehend the steps involved and any related expenses.
In this post, we will explore the various aspects of Medicare coverage for walkers, helping you understand what to expect when seeking financial assistance for this essential mobility aid.
- Medicare Part B may cover walkers if they are prescribed by a doctor as medically necessary.
- Coverage typically includes 80% of the cost, with the patient responsible for the remaining 20% after meeting the Part B deductible.
- Walkers must be obtained from Medicare-enrolled suppliers who accept assignments.
Medicare Coverage for Walkers
Medicare can be a major help in acquiring medical devices, like walkers.
However, understanding the types of walkers covered by Medicare and determining your eligibility for coverage is crucial before making any purchases.
Types of Walkers Covered by Medicare
Medicare Part B covers durable medical equipment (DME), which includes different types of walkers depending on an individual’s needs. Some common walker categories include:
- Standard Walker: A basic four-legged frame without wheels that provides stability and support while walking.
- Rollator Walker: Also known as a rolling walker or wheeled walker, these come with three or four wheels and often feature hand brakes and a seat for resting.
- Hemi-Walker: Designed specifically for individuals who have limited use of one side of their body due to stroke or other conditions.
- Knee Walker: Ideal for those recovering from foot surgery or lower limb injuries who need non-weight bearing support during mobility.
Will Medicare Pay For a Walker?
Yes, Medicare Part B covers the purchase of a walker if it is deemed medically necessary by your healthcare provider.
There are specific requirements that must be met to qualify for coverage. For example, the walker must be:
- Prescribed by a doctor or healthcare provider
- Used in your home
- Reused after each use
- Not primarily for use outside the home
How to Apply for Medicare Coverage of a Walker
If you meet the requirements for Medicare coverage of a walker, you can follow these steps to apply:
Obtain a Prescription from Your Doctor
To begin the process of receiving Medicare coverage for your walker, obtain a prescription from your doctor or healthcare provider.
They must determine that using a walker is medically necessary due to limited mobility or other health conditions.
Ensure that your doctor includes specific information about why you need the device and any features required, such as wheels or hand brakes.
Choose an Approved Supplier
Next, find an approved supplier who accepts Medicare assignment.
By choosing one of these suppliers, you can ensure they have agreed to accept the Medicare-approved amount as full payment for covered items like walkers.
- Note: If you choose not to use an approved supplier accepting an assignment, there may be additional out-of-pocket costs involved with purchasing your walker.
Submit Required Documentation
To apply for Medicare coverage of your walker, submit all required documentation along with your application form (CMS-855S). The documents include:
- Your physician’s prescription detailing medical necessity;
- A completed CMS-855S enrollment form;
- Evidence supporting ownership if submitting claims on behalf of someone else; and,
- Any additional documentation requested by Medicare during their review process.
Keep in mind: It’s crucial to provide accurate and complete information on your application. Neglecting to supply exact and comprehensive data on your application may lead to rejection or postponement of coverage.
Wait for Approval
After sending the required records, Medicare will inspect your request and decide if they are going to finance the cost of your walker.
The approval process can take several weeks, so it’s essential to be patient during this time.
If approved, Medicare Part B (Medical Insurance) generally covers 80% of the Medicare-approved amount after you’ve met your yearly deductible.
You’ll be responsible for covering the remaining 20% out-of-pocket unless you have supplemental insurance that covers these costs.
Supplemental Insurance
If you’ve purchased a supplemental plan to help with out-of-pocket expenses that Medicare doesn’t cover, you should check to see what benefits your plan offers.
Medicare Advantage Coverage for Walkers
Medicare Advantage (Part C) plans also cover walkers, but the coverage may vary depending on the plan.
Some Medicare Advantage plans may offer additional benefits, such as coverage for transportation or home modifications, that can help make using a walker more manageable.
Medigap Coverage for Walkers
Medigap plans, also known as Medicare Supplement plans, can help cover the out-of-pocket costs associated with Medicare coverage for walkers.
Depending on the plan, Medigap may cover some or all of the 20% coinsurance that Medicare does not cover.
Get Help to Cover the Cost of Your Walker
You don’t need to wonder, “Will Medicare pay for a walker?” You can apply for Medicare coverage and ensure that you receive the necessary assistance to maintain your mobility and independence.
If you or someone you know wants to learn more about mobility options for seniors, be sure to visit SeniorSupported.com.
