I started the process in February, it's now July
My insurance denied my request for a scooter saying it is not necessary and not needed and I would use it for recreation and not essential daily activities
I am currently waiting for my insurance to review the appeal submitted by my doctor.
I am considering changing my request to an electric wheelchair, but not sure. I saw a wheelchair that folds, easy to handle on HSN. Now I am trying to find it with an approved vendor with my insurance.… read more
you probably already know this but these are the Medicare rules
Medicare Part B covers mobility scooters for individuals with Multiple Sclerosis (MS) if they are deemed medically necessary for use inside the home. Coverage typically applies when MS symptoms, such as severe weakness, balance issues, or fatigue, prevent the user from safely using a cane, walker, or manual wheelchair.
To qualify for this coverage, you must meet the following criteria:
Medical Necessity: A physician must certify that the scooter is required for daily activities within the home due to your MS diagnosis.
In-Person Evaluation: You must undergo a face-to-face exam with a Medicare-enrolled doctor who documents your mobility limitations.
Approved Supplier: The scooter must be purchased from a supplier that accepts Medicare assignment.
Cost Sharing: Medicare pays 80% of the approved amount after your Part B deductible is met; you are responsible for the remaining 20%, which may be covered by supplemental insurance (Medigap) or a Medicare Advantage Plan.
@A MyMSTeam Member my bad. I guess I'm worse at navigating this sight than i thought:(
@A MyMSTeam Member
I think you're replying to a different question. She is asking about mobility scooters.
I would just keep on working with your doctor -- i'll pray it goes through soon with the approval
Medicare always has their strict rules and other insurance follows usually
Scooters are only approved by Medicare if you need a scooter to move around in your home. Medicare won’t pay for a power wheelchair or scooter that is only needed for outside activities.
Getting a scooter prescription
Medicare requires a face-to-face meeting with your doctor.