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Medicare Reimbursement

If you have Medicare or private insurance, and believe your lift chair should be covered, please contact us. Our staff will be happy to provide expert guidance to obtain the best solution under your insurance coverage.

If you have Medicare coverage and qualify, Medicare will reimburse you for the cost of the lift mechanism inside the chair. This is approximately $300 depending on which Medicare region you are in. Approximately 80% of our customers file for reimbursement.

Only the seat lift mechanism on a lift chair could be considered medically necessary if all of the following coverage criteria are met:

  • The patient must have severe arthritis of the hip or knee or have a severe neuromuscular disease.
  • The seat lift mechanism must be a part of the physician's course of treatment and be prescribed to effect improvement, or arrest or retard deterioration in the patient's condition.
  • The patient must be completely incapable of standing up from a regular armchair or any chair in their home. (The fact that a patient has difficulty or is even incapable of getting up from a chair, particularly a low chair, is not sufficient justification for a seat lift mechanism. Almost all patients who are capable of ambulating can get out of an ordinary chair if the seat height is appropriate and the chair has arms.)
  • Once standing, the patient must have the ability to ambulate (walk).
  • Coverage of seat lift mechanisms is limited to those types which operate smoothly, can be controlled by the patient, and effectively assist a patient in standing up and sitting down without other assistance. Excluded from coverage is the type of lift which operates by spring release mechanism with a sudden, catapult-like motion and jolts the patient from a seated to a standing position. Coverage is limited to the seat lift mechanism, even if it is incorporated into a chair.

Claims require three things: a receipt for your purchase, a certificate of medical necessity, and a doctor's prescription. After your purchase, we will send you a receipt. You then send all three to your local Medicare claims office for processing.

 

 
 
     
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