Access & Mobility Products
| 302 Virginia Avenue Huntington, WV 25701 (800)933-4364 or (304)522-6808 |
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A word about Medicare and other
insurance coverage
insurance coverage
| The insurance we are asked about most is Medicare. If you have Medicare and are looking for coverage for a Power Mobility Device, here are the basic steps to getting covered: STEP ONE: Visit with your physician for a face-to-face examination and discuss your mobility options. examination with your treating physician prior to writing a prescription for a power mobility device. During your exam, your physician must first During your exam, your physician must first wheelchair before considering a scooter or consider the use of cane, walker, and manual power wheelchair. If your physician feels that your mobility needs must be resolved with a scooter or power wheelchair, this will be supported in your medical records and a prescription will be written. A Physical Therapist or Occupational Therapist may also conduct an additional assessment if your physician deems necessary. STEP TWO: Have your physician fax or mail the written prescription and medical records to Access & Mobility Products or fax them to (304)697-6808 (Attn: Justin). We must receive the written prescription and supporting documentation (medical records) within 45 days from the date of your face-to-face examination. Once received, we will work with you and your physician to determine the appropriate scooter or power wheelchair model for your needs. STEP THREE: We will conduct a home assessment to ensure that you have adequate access and maneuverability space.* The primary reason for a power mobility device (as far as Medicare is concerned) is to compensate for your mobility limitations within your home and your ability to perform activities of daily living including toileting, grooming, bathing, dressing and eating. Therefore, it is critical to determine if your home environment will support the use of a scooter or power wheelchair. * This home assessment may be completed at any time in the process of obtaining your power mobility device. STEP FOUR: We will order your product (if your condition requires something that we do not have in stock), deliver it to your home and instruct you on how to operate it. Delivery of the scooter or power wheelchair must be no more than 120 days following your face-to-face exam. |
We are set up to bill Medicare, WV Medicaid, WV
Worker's Compensation, Blue Cross/Blue Shield, Many
PEIA plans, United Healthcare, ChampVA, Champus
Tricare, and many other private insurance plans.
Please contact us, or your insurance carrier for more
information.
Worker's Compensation, Blue Cross/Blue Shield, Many
PEIA plans, United Healthcare, ChampVA, Champus
Tricare, and many other private insurance plans.
Please contact us, or your insurance carrier for more
information.
| Note: These are relatively new Medicare requirements and many physicians are not yet familiar with them. If your physician is not familiar with these guidelines, call us at (304)522-6808 and ask for Justin. We'll be glad to help explain the new process! Physicians Medicare FAQs Q: Can I get any chair or scooter I want? A: Yes, but you may have to pay extra for any upgrade. Medicare caps its payments on reimbursement to a certain dollar amount. We have a great selection of powerchairs and scooters that we can provide to you within Medicare's allowable budget. However, if you want a chair, or an accessory that goes beyond Medicare's cap, you must pay the difference. Please note that there are no surprises here. We tell you when you are selecting equipment exactly what Medicare will cover and what they won't. Q: Will Medicare pay for repairs to my Mobility Device? A: Yes, we must get a detailed prescription from your physician for any parts that may need replaced. If you want us to repair your equipment before receiving a doctor's order, we'll be glad to, however you must pay for the repair out of pocket and once we receive the doctor's order, we will have Medicare reimburse you directly. Q: Will Medicare pay for a lift to transport my Mobility Device? A: No, Medicare policy states that only mobility in the home is covered, therefore any lift you may need must be privately funded. Please call us for pricing and options on the lift you need. Q: What will my co-pay be? A: Your copay is 20% of the billed amount. For powerchairs, the billed amount is normally around $4500 all the way up to $15,000 or more! Your copay would start at $900 and go up with the cost of the device. If you have a secondary insurance carrier (like AARP, for example) they will normally pickup the 20% leaving you with no out-of-pocket expense. If you do not have a secondary carrier and cannot afford the co-pay, please call us anyway. We are a small, family run business, and as such are more flexible than the national guys (whoever they are ;) in working with people one on one to be sure they can get their needed equipment. |
WV Medicaid Coverage:
Please call us for details. The WV Medicaid coverage guidelines for Mobility Devices is
about as complicated as quantum physics. Please be aware up front that it often takes some
time to get your equipment approved.
Please call us for details. The WV Medicaid coverage guidelines for Mobility Devices is
about as complicated as quantum physics. Please be aware up front that it often takes some
time to get your equipment approved.
Private Insurance:
We can bill many private carriers. The guidelines are a little different for each. In most cases
you can call the phone number on your insurance card to find out if you have a DME
(durable medical equipment) benefit and what the guidelines are.
We can bill many private carriers. The guidelines are a little different for each. In most cases
you can call the phone number on your insurance card to find out if you have a DME
(durable medical equipment) benefit and what the guidelines are.
Other Funding:
The Veteran's Administration will provide mobility equipment for qualifying veterans. Ask
your VA primary care physician for assistance if you are a veteran and need a scooter or
There are many other groups, both national and local, that may assist you with funding.
First, try any groups or churches that you already belong to. After this, we recommend
following the guidelines on THIS PAGE provided by Pride Mobility Products.
The Veteran's Administration will provide mobility equipment for qualifying veterans. Ask
your VA primary care physician for assistance if you are a veteran and need a scooter or
There are many other groups, both national and local, that may assist you with funding.
First, try any groups or churches that you already belong to. After this, we recommend
following the guidelines on THIS PAGE provided by Pride Mobility Products.