What a journey — and what a generous goal to document it all for others. Let's tackle each question as best as possible.
1. Monthly DME Billing
This is actually a known quirk with some insurance plans. Some private insurers do bill power wheelchairs as a monthly rental rather than a one-time purchase, especially in the early Show Full Answer
What a journey — and what a generous goal to document it all for others. Let's tackle each question as best as possible.
1. Monthly DME Billing
This is actually a known quirk with some insurance plans. Some private insurers do bill power wheelchairs as a monthly rental rather than a one-time purchase, especially in the early months. This can absolutely affect how costs hit your deductible. It's worth calling your insurance company directly and asking specifically:
- Will this be billed as a one-time purchase or a monthly rental?
- How many months before ownership transfers to you?
- What is the total out-of-pocket cost under each billing method?
Getting this in writing or confirmed via a recorded call is strongly recommended. 2. Getting a Scooter
Yes, some MyMSTeam members have successfully obtained scooters through insurance. The key requirement is typically that a doctor documents you *can* operate a scooter but cannot manage a manual wheelchair. Your persistence is absolutely the right approach here. 3. Other Things to Know
Here are some important tips that may help avoid more surprises:
- Prior authorization is common — private insurers typically manually review power wheelchair requests before approving
- If denied, appeal — you have the right to formally appeal any denial
- Doctor documentation matters — a detailed, face-to-face appointment note from your doctor strengthens your case significantly
- Confirm supplier network status in writing before proceeding with any vendor
- MS Navigators through the National Multiple Sclerosis Society can help guide you through finding appropriate equipment and financial resources
- The MS Foundation's Assistive Technology Program may also offer support
One MyMSTeam member described the process as exhausting but advised knowing exactly what you need and why before making calls — which sounds exactly like where you are now. Keep going! 💪
September 20
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