INSURANCE

Q: Will Medicare Part B cover the cost of a recliner lift chair?

A: Lift chairs are seated, cushioned furniture pieces that look like ordinary recliners. The biggest difference is that a lift chair has a motorized device that makes it easier for a person with mobility issues to gently get up or down from the chair. Today’s lift chairs come equipped with a wide variety of options including heat and massage features and full reclining position for sleeping.

Medicare considers lift chairs durable medical equipment (DME) under your Part B coverage. Reimbursement is limited to the costs associated with the part of the chair considered medically necessary which is the motor and device that ‘lifts’ you out of the seat. (Medicare will not reimburse for spring-type lift devices.)

To qualify for reimbursement, you must be able to operate the chair by yourself.

Those who live in assisted living facilities, skilled nursing facilities, or nursing homes do not qualify for this benefit.

Medicare requires that the lift chair be constructed of durable materials (DME) and of a quality that is suitable for in-home use. It must be able to withstand repeated use and expected to last at least 3 years. The lift chair must also be purchased through a supplier who accepts Medicare assignment. Once you purchase your lift chair, you or your provider will submit a claim to Medicare, and you will be reimbursed for the portion of the cost covered by Medicare. Medicare also requires a prescription from your physician to verify that the chair is required for medical reasons. Some examples of medical conditions include arthritis in the knees or hips, balance, or mobility issues. muscular dystrophy, and other neuromuscular diseases.

Before going out to purchase a lift chair, talk to your physician. He or she may have recommendations for the type of chair and the features that will be most beneficial for you. Also, contact Medicare for a list of Medicare-approved suppliers. If you have a Medicare Advantage plan or a Medicare Supplement, call them for specific information on their coverage for lift chairs.

When you are in the market for health insurance including a Medicare Advantage plan, Medicare Supplement, Affordable Care coverage, Vision, Dental or more, contact me at 440-255-5700 or email me at Lmutsko@mutskoinsurance.com. I look forward to helping you.

Laura Mutsko Mutsko Insurance Services, LLC 6982 Spinach Drive, Mentor, OH 44060 440-255-5700 www.mutskoinsurance.com