If you need a lift chair for your current condition, your insurance can affect your options. Here is what to know about coverage for Medicare and lift chairs.
Are you struggling to get in and out of a chair due to your health changes?
Conditions such as arthritis, aging, or surgery can make it difficult for you to get in and out of the chair. However, if you’re considering investing in a lift chair, you may have realized that a lift chair’s entire cost is too much for you to afford.
Is there any connection between Medicare and lift chairs? This quick guide will help you to understand if Medicare covers the cost of lift chairs. Keep reading to learn more!
What Is a Lift Chair?
A lift chair is not the same thing as a stairlift or a patient lift. A stairlift carries someone up and down a staircase, while a patient lift helps caregivers move their patients from one area to the next.
A lift chair will have a similar appearance to an oversized fabric recliner or a leather recliner. A lift chair is a seated lift mechanism. This mechanism is responsible for tilting the back part of the chair and the chair’s base forward.
By tilting and different positions, a lift chair helps to raise a person into a standing position. A lift chair will also help put a person back into a seated position.
Do You Have to Meet Certain Circumstances?
Medicare will cover the cost of a lift chair if you meet specific requirements.
Firstly, Medicare has to determine that the cost of the lift chair is a medical necessity. Determination is made when the following criteria are met:
- The patient has critical arthritis of their knees or their hips
- The patient has a severe neuromuscular disease
- the patient cannot stand up from a regular chair
- The patient can walk with the help of a cane, walker, or walk on their own when they’re standing up.
If a patient has to directly transfer to a wheelchair because they cannot walk or stand by themselves, Medicare will not cover the lift chair’s cost.
Another reason why Medicare will approve paying for the entire cost of a lift chair is if a physician recommends the lift chair as a course of treatment. A doctor has to suggest that the chair will slow the deterioration of the patient’s condition or improve upon their current condition.
For this to be possible, the patient has to receive a Medical Necessity Certificate for seated mechanisms from the CMS.
Medicare And Lift Chairs: Understanding Your Coverage
Lift chairs are an excellent piece of medical equipment to use if you’re struggling to stand up from a sitting position. Understanding the coverage of Medicare and lift chairs is very complicated. There are several expectations that you need to understand to qualify for Medicare coverage.
Learning about how your current medical condition qualifies you and what could disqualify you is crucial, allowing you to avoid the hassle that comes with a denial of a Medicare claim.
Are you looking for help with your Medicare questions? Contact here for your Medicare concerns and personal quote.