Dilemma: Due to the fact of back pain and knee arthritis, I’m interested in obtaining a electricity lift recliner for my residing place that is quick for me to get into and out of. Does Medicare address them?
Solution: Of course, Medicare does in truth present some coverage for lift chairs, furnished your medical doctor prescribes it for a clinical motive, but they will not address the total cost of the chair.
Medicare will pay back only for the motorized lifting system, which is regarded resilient medical gear, or DME, and is covered beneath Portion B.
The other sections of the chair — the frame, cushioning and upholstery — are not lined.
In this article are a several a lot more facts you really should know.
To start with, for all those who are not common with them, lift chairs, which seem like traditional recliners, have motorized elevate mechanisms constructed in that help with standing up and sitting down for people today with minimal mobility. With the drive of a button, a lift chair hoists a particular person from sitting down to a place that will allow for comfortably standing up. It also performs in reverse to assistance a man or woman gently acquire a sitting position.
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Medicare protection specifications
If you’re a Medicare beneficiary, to locate out if you qualify for protection, you’ll need to have to get a prescription and a “Certificate of Professional medical Necessity” from your physician that implies your need for a carry chair. The situations you will want to fulfill include:
- That you have critical arthritis of the hip or knee, or a extreme neuromuscular condition.
- That you can not stand up on your possess from a frequent chair.
- At the time standing, you can stroll independently or with the aid of a walker or cane.
- That you do not reside in a expert nursing facility, hospice or nursing household facility.
You’ll also need to have to invest in your raise chair from an machines provider that’s enrolled in Medicare. To discover and look at Medicare accredited suppliers in your spot, go to Medicare.gov/medical-devices-suppliers, sort in your ZIP code and “Seat Raise Mechanisms” in the products box.
If you do qualify, Medicare will shell out 80% of the authorised price of the chair’s motorized lifting mechanism, just after you’ve satisfied your Section B yearly deductible.
You, or your Medigap supplemental coverage (if you have just one), will pay back the remaining 20% of the raise system. You will also pay 100% of the remaining value of the chair.
You need to also be knowledgeable that if you do acquire your raise chair from a Medicare provider, you will very likely fork out for the full value of the chair upfront and can then request reimbursement from Medicare. Lift chairs can run anywhere from $400 to $2,000 or additional, based on the cloth, possibilities and upgrades.
The reimbursement is typically from $250 to $300, dependent on the condition you stay in.
If you occur to get your Medicare gains via a personal Medicare Advantage program, it too gives elevate chair protection, but it may impose different rules and will most likely need you to see an in-network provider. You are going to have to have to speak to your prepare immediately for aspects.
If you obtain that Medicare will not protect your carry chair or if you’re seeking for anything a lot less highly-priced, there are assistive products and solutions you can incorporate to your present-day furnishings, like the Stander EZ Stand-N-Go (Stander.com, $140), which has adjustable guidance handles that can be applied on any couch or recliner to enable with sitting down and standing up.
Another way to make your home furnishings extra accessible is by rising its peak with “furniture risers.” These generally array from 2 to 5 inches in top and are inserted below the legs of your home furniture. Prices vary from a couple of dollars up to $50 or a lot more and can be obtained at retail outlets, this sort of as Walmart and Goal, or on the net at Amazon.com.
Jim Miller is editor of the Savvy Senior. Send out your senior issues to Savvy Senior, P.O. Box 5443, Norman, Alright 73070, or take a look at www.savvysenior.org.