There are several insurance options available to help cover the cost of assistive technology, specifically custom power wheelchairs. The primary sources include:
Medicare: This federal program covers power wheelchairs as durable medical equipment (DME) when they are deemed medically necessary to perform mobility-related activities of daily living within the home. Coverage typically pays for 80 percent of the cost after the deductible is met. This requires a face-to-face evaluation by a practitioner and a Standard Written Order.
Medicaid: State-specific Medicaid programs and waivers are available in states like New York, Georgia, and Michigan. These often provide enhanced access for low-income individuals and can cover a significant portion of the costs, sometimes up to 95-100 percent.
Private Insurance: Providers such as Blue Cross Blue Shield or Aetna often mirror Medicare guidelines but may offer more flexibility. Depending on the specific plan, they typically cover between 70 percent and 90 percent of the costs after deductibles. Prior authorization and a physician’s prescription are generally required.
At MedEquipped, we assist by coordinating the necessary documentation and clinical evaluations to navigate these insurance requirements, aiming to streamline the approval process within 30 to 60 days.
Related FAQs
-
What are Wheelchair Fitting Services?
Read More »: What are Wheelchair Fitting Services?Wheelchair fitting services are professional clinical assessments designed to ensure a mobility device is perfectly matched to an individual’s physical anatomy, lifestyle, and environment. These services are essential for individuals with complex needs and are led by certified Assistive Technology…
-
What are the Insurance Options for Assistive Technology?
Read More »: What are the Insurance Options for Assistive Technology?There are several insurance options available to help cover the cost of assistive technology, specifically custom power wheelchairs. The primary sources include: Medicare: This federal program covers power wheelchairs as durable medical equipment (DME) when they are deemed medically necessary…
-
What are the Options for Assistive Technology Funding for Wheelchairs?
Read More »: What are the Options for Assistive Technology Funding for Wheelchairs?Funding for wheelchairs, specifically custom power models, is available through several primary channels including federal and state grants, insurance coverage, and low-interest loans. At MedEquipped, certified Assistive Technology Professionals (ATPs) help coordinate these sources to streamline the process for residents…
-
How do I Apply for Assistive Technology Grants in 2026?
Read More »: How do I Apply for Assistive Technology Grants in 2026?To apply for assistive technology grants in 2026, you should begin by gathering essential medical documentation, including a prescription from a healthcare provider and recent evaluations from a physician or therapist that detail your mobility needs. It is important to…
-
What are the State Programs for Assistive Technology Funding in the Us?
Read More »: What are the State Programs for Assistive Technology Funding in the Us?State programs for assistive technology funding in the United States provide localized financial assistance tailored to regional needs, specifically in states like New York, Georgia, and Michigan. These programs often include grants, low-interest loans, and device reuse initiatives to help…
