2 Things Insurance wants to know Before They Will Fund Your Wheelchair

Buying a wheelchair isn’t as easy as you might think, especially if you want one that fits your personal style and preferences. If you are depending on insurance for funding, then qualifying for a wheelchair that meets your insurance requirements is just as important.

Not only does the wheelchair have to be ideal for your purposes, but to qualify for wheelchair funding you have to be the right candidate for your ideal wheelchair. This is even more so for custom rehab equipment like power assist which will cost more than a regular transport wheelchair.

Power assist wheelchairs fill the space between power wheelchairs and manual wheelchairs. Since it is an expensive specialized device, insurance providers have to be convinced that this is the best option for you.

The following 2 very important questions need to be answered before an insurance company will fund your power assist wheelchair.

1. Is A Power Assist Wheelchair Right for You?

You have to determine for sure if a power assist wheelchair is the right chair for you.

If you are unable to fully use your upper extremities and a full power chair is the only option for your mobility, a power assist wheelchair can be ruled out in this situation. On the other hand, if you are ambulatory and can use a walker for mobility, a wheelchair of any kind might be unnecessary.

But a power assist wheelchair will work for people who fall in between these two extremes people like multiple sclerosis users, pediatrics, and quadriplegics. It also has to work for your home circumstances.

2. Is A Power Assist Wheelchair A Medical Necessity?

Not that long ago the only choice wheelchair users had was manual wheelchair which required a fair amount of physical upper body strength or the inconvenience and the reduced independence of having to use a power chair. They had to choose physical overexertion or losing out on their active lifestyle entirely.

There were wheelchair users who wanted to remain active but didn’t want to experience pain or fatigue. Now the power assist wheelchair has become the perfect solution. It fulfills a medical requirement for regulated physical exercise – that may assist in preventing disorders such as hypertension, stroke, diabetes, and joint pain – that also minimizes the chance for repetitive stress problems that may permanently hamper mobility.

Getting Insurance Approval

If you really believe that a power assist wheelchair is right for you and is a medical necessity, it will be easier to prove to the insurance company and get the funding you need.


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