Wednesday, March 9, 2011

Medicare and Durable Medical Equipment Coverage


Medicare and Durable Medical Equipment Coverage
Question: My friend just got an RX for a walker (Rolator). When I took her to the medical supply store, she was told that Medicare does not cover the nice rolator with the seat now. They only cover the silver metal type one. Is this true?

Answer: Medicare has no such policy about the type of walker they cover. Your friend's prescription determines what Medicare will pay for (& I called Medicare just to make sure nothing has changed!) If she needs one with the seat because she can only walk short distances, they cover that, but her doctor has to write the RX specifically. Not sure why you were told that. I’ve heard all sorts of explanations that aren’t based on fact given to my clients. Be sure you are using an approved supplier. Texas is participating in a "competitive bidding" program Medicare has and you are required to use specific suppliers. You can go to www.medicare.gov/supplier and look for a supplier in your area. Confirm they are participating in the program before you buy as things can change!