The process for getting your scooter paid for (they call it "reimbursed") by Medicare and most private insurances companies is complicated. Here is the process:
Step 1: After meeting with you in person, your doctor must certify in writing that:
- You need a power mobility scooter for use in getting around your residence. That is, to get from kitchen to bathroom, bedroom to living room, etc. NOT to get around the shopping mall, theme park, sporting events, etc.
- That you are capable of operating a scooter.
- You have tried all less costly products to get around your residence including a wheelchair, walker, etc.
Step 2: You may be required to submit to an evaluation by an occupational or physical therapist that you’re physically capable of operating a scooter. The OT or PT will note this in writing.
Step 3: You will take the documents from your doctor and OT/PT to an Authorized scooter provider in your area. They will provide you with the scooter, that in their judgment meets your needs. You may not pick your provider and only within the range of models that provider has on hand, will you get to choose the model you want.
Step 4: Because that scooter provider is contracted with insurance, their prices will be about 60% higher than prices you’ll find online. You’ll be expected to pay 20% and your insurance company will pay 80%.
Expect this entire process to take 4-8 months. For most purchasers, it's not worth the effort.
Getting reimbursed for a scooter you've already purchased
If you've already purchased your scooter, similar rules to the above apply. You will still need a doctor's certification, etc. Medicare or your insurance company may require documentation from where it was purchased. If other customers experiences are any example, you will spend the same 4-8 months gathering and submitting documentation and then get denied.
Additionally, it is important to note that due to Medicare rules, our extended warranty will be void if a Medicare application for reimbursement is submitted and/or approved.
Want to learn more? Click here to read Medicare's fact sheet on this topic