How Much Does Medicare Cover For A Lift Chair

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How Much Does Medicare Cover For A Lift Chair – Who benefits? What are Medicare Cover lift chairs? Paying for a lift chair through Medicare Eligibility for coverage How to start paying

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How Much Does Medicare Cover For A Lift Chair

How Much Does Medicare Cover For A Lift Chair

For eligible individuals, Medicare will cover a percentage of the cost of a lift chair because it is considered a durable medical device. So Medicare only covers items deemed medically necessary — in this case, lifting equipment, which typically costs around $500. Medicare does not cover parts of the chair, even if it is attached to the chair.

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The lift chair, much like a traditional chair, helps users move from sitting to standing at the push of a button. If the seat is on a slope, the angle makes it easier for the passenger to sit or stand. Some chairlifts are equipped with additional amenities such as heating and massages. Others allow the user to recline to a fully horizontal position, making it easier to sleep or relax.

Words that are often confused: Be careful not to confuse chair lifts with stair lifts or patient lifts. Stair lifts get you safely from one level of the house to another, and the seats are designed to slide up and down stairs and vice versa. A patient lift helps the elderly move from bed to a chair or, usually, a wheelchair.

A lift chair is ideal for older adults who have difficulty with balance, mobility, or pain, and can help those who have trouble sitting or standing. They are especially useful for people with muscle or joint problems, and for people recovering from surgery.

Although Medicare covers high chairs, Medicare does not cover all costs associated with high chairs. Coverage depends on the type of Medicare program you are enrolled in. In addition, Medicare only pays for the cost of the chairlift device, not for any additional fabrics, pillows, accessories, or upgrades. This is because this part of the lift chair is not considered medically necessary.

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Medicare Advantage providers (the private insurance companies you choose to replace traditional Medicare) are required by law to provide the same benefits as Medicare, if not more. So you can look forward to comparable lift chair replacement options. In addition, each type of coverage has specific provisions regarding the right to change the lift chair.

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Lift chairs are classified as durable medical equipment or DME. DME is an essential piece of equipment that you have repeatedly used for medical purposes at home for more than 3 years. Better known examples of DMEs include walkers, portable oxygen concentrators, hospital beds, wheelchairs, and blood glucose meters.

FYI: Not all oxygen concentrators are the same. For our favorites, check out this year’s list of the best portable oxygen concentrators.

How Much Does Medicare Cover For A Lift Chair

Lift chairs can be expensive, typically $400 to $2,000 depending on the provider and any extras. The average lift chair costs about $700.

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However, there is also good news. If you have a prescription and got your drug through a Medicare provider, you will be reimbursed for 80 percent of the cost of a motorized chairlift. This usually reduces the total cost by about $300, which means it could potentially cost you as little as $100. If you buy a chair for an average of $700 and get a replacement for an average of $300, the total cost will be around $400. If you have additional insurance or discounts, this can also help lower your final costs.

Remember that you must get your Medicare Part B deduction before Medicare starts paying for 80 percent of approved items and services. If you haven’t reached your deduction, expect to pay $203 in 2021 before you get 80 percent coverage.

Even if Medicare has previously paid for another motorized device, such as a scooter or wheelchair, there is a chance it won’t cover a lift chair.

Use the step-by-step process below as a guide to getting reimbursed for your lift chair through Medicare.

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Of course, getting the right insurance coverage is the first step before buying a lift chair that Medicare will replace you with. This includes enrolling in Medicare Parts A and B, paying your monthly premium, and paying your annual bill.

After you receive a $203 deduction, Medicare Part B will cover 80 percent of Medicare-approved DME purchases. In the case of a lift chair, this means that Medicare will reimburse you for 80 percent of the cost of the lift that uses the lift chair. Unfortunately, the government does not consider a lift chair seat a medical necessity, which means you are financially responsible for the actual cost of the chair and 20 percent of the cost of the lift system.

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Talk to your Medicare doctor to determine if a lift chair is a medically necessary step for you or a loved one. If you decide to continue purchasing a lift chair, be sure to obtain a prescription and complete and mail to your physician the medically necessary lift chair certificate form.

How Much Does Medicare Cover For A Lift Chair

When you buy a lift chair, make sure you ask all potential sellers if they are Medicare providers. Otherwise, Medicare will not reimburse you for the cost of the lift. You can start your search by entering your zip code on the Medicare Medical Equipment and Supplies page to avoid problems later. Once you find a Medicare-approved seller offering the seat you want, double-check the approval and make your purchase.

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In most cases, you will need to purchase a lift chair first and then provide all the information you need to Medicare for reimbursement. Medicare will confirm your eligibility after you certify that your prescription determines the medical need for the location and that you are using a provider who participates in Medicare. After all, you don’t want to find out that you’re not eligible for a refund after you’ve paid for a seat, shipped it, and got used to it.

After you make a purchase, most Medicare-approved sellers will apply to Medicare on your behalf. However, you can also submit it yourself. Claims filed online are processed faster and take only 14 days. As a rule, all claims are processed within approximately 30 days.

While Medicare won’t cover the full cost of your lift chair, it can certainly be a useful way to offset the high cost. Be sure to get your prescription and keep your receipt to get the refund you deserve.

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As the Medicare Expert for Medigap.com, Lindsey Malzone has a wealth of experience helping older people understand the ins and outs of