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Pianoboy57 Asked April 24, 2025

Will Medicare pay for a power chair for my wife?

She is 69 years old with Rheumatoid arthritis, almost non-ambulatory. We have a prescription for it. Any brands or options to avoid while shopping for one? What are good options?

bellagracie Apr 30, 2025
I have both Medicare and Medicaid as I moved last year to a long term care facility. Last month I was fitted for a power wheelchair. From what I was told, both Medicare and Medicaid together will pay for a custom fit power chair. A rep from a company came to do measurements and he was very helpful in thinking through what would work for me. I don't know if this is true, but at one time someone told me, if the DME you have no longer properly meets your needs, you do not have to wait five years for a replacement. I have also used the local Ombudsmen to advise and advocate for me, so if you happen to have an ombudsmen in your area that truly wants to help, they can be very helpful.

MACinCT Apr 26, 2025
Medicare might pay for one type such as a basic 3 wheeled that could tip over when making a turn depending on her physical build. See a DME specialist to help with the best fit although you might have to fund part of it

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brandee Apr 26, 2025
I'd buy from someone local (not online.) Make sure the local person also replaces the batteries and does repairs.

JoAnn29 Apr 25, 2025
The answer is yes they will cover it but you need to buy from a DME store as suggested. The store will actually do the paperwork for Medicare.

MidwestOT Apr 25, 2025
This is not something you want to buy without professional help for proper fit, needs, type, etc. Try to find a reputable DME(durable medical equipment)company that will provide an evaluation by a specialist. They should also be able to tell you if Medicare will pay—if she has not had any other wheelchair or walker paid for by Medicare in the past five years, she should qualify(I believe it’s still five years, not certain if it’s changed). They should file for you and clearly explain what your copayment would be if you have one. Make sure they order a good cushion as well.

If your wife has ever had therapy, you could ask them for recommendations or the prescribing doctor. It’s also worth asking people you know. If your wife has a Medicare advantage plan, I would start there to see who is in network, not usually an issue with traditional Medicare.

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