Insurance Qualification - ABC Mobility
Let's see if insurance will help you...
- Do you have problems throughout the day with your mobility due to your health?
- Do you have trouble completing your daily activities due to heart, lung, arthritis, respiratory, stroke, diabetes, or any other health concerns?
- If "Yes" to question 2, would a mobility device allow you to better complete your daily activities?
- Would a mobility device give you more independence and freedom of movement?
- Could you safely operate a mobility device?
If the answers are yes to these questions, let's talk on the phone at (800)952-3217 or email us online and we'll see if you can qualify.
Will Insurance pay for a Power Wheelchair?
If you qualify, Insurance will pay for a portion of your power wheelchair.
How much will insurance pay towards the purchase?
The amount Insurance will pay depends on the type of mobility device you choose ... and your needs and the examination by your doctor. Often the majority of the expense is covered.
Who is responsible for the cost not covered by Insurance?
You will be responsible for the remaining amount, however most secondary insurance providers will cover an additional portion of the expense.
How do I know if I will qualify for insurance?
Insurance providers use certain criteria to determine that a motorized device is medically necessary. A "Certificate of Medical Necessity", also known as a CMN, needs to be completed by your physician. This form has specific questions for your physician to verify that you have a medical necessity for the motorized device.
Is there any additional information needed?
Along with the CMN "Certificate of Medical Necessity", a written prescription from your physician is required.
How does ABC Mobility help me obtain and start using my mobile device?
When you speak to a ABC Mobility representative, they will obtain the necessary information from you to do the following:
- Help verify if you can get insurance coverage for the mobile device
- Work with your physician if desired to determine the appropriate mobile device for the written prescription
- Work with you to complete the order your mobile device to be delivered to your home
- Provide assistance in setting up your mobile device for use so you can enjoy comfortable use of the device
- Provide information about maintenance options for ongoing device support
What is the criteria for insurance payment for scooters?
- The patient is unable to operate a manual wheelchair
- The patient is capable of safely operating the controls of the scooter
- The patient can transfer safely in and out of the scooter, and have adequate stability for safety
- The patients condition must be such that a mobile device is required for the patient to get around in his or her residence. A mobile device that is beneficial primarily in allowing the patient to perform leisure or recreation activities will be denied as not medically necessary by an insurance provider.
What is the criteria for insurance payment for power wheelchairs?
- The patient's condition is such that without the use of a wheelchair the patient would be bed or chair confined
- The patient's condition is such that a wheelchair is medically necessary
| 