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Will Medicare cover the cost of wheelchairs and walkers?

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Q: Will Medicare cover the cost of wheelchairs and walkers?

A: Yes. Medicare Part B covers a portion of the cost for medically-necessary wheelchairs, walkers and other in-home medical equipment. (Medicare will not cover power wheelchairs that are only needed for use outside the home.) Talk with your doctor about your needs. He or she can write an order for the medically necessary equipment, which can be filled at a designated medical supply company.

Are there special requirements for my doctor to be able to order a wheelchair?

Both the doctor and the medical equipment supplier must be enrolled in Medicare in order for the claim to be covered, so double check before you purchase medical equipment.

And you’ll want to understand the difference between providers that accept assignment with Medicare and those that don’t. A durable medical equipment supplier that’s enrolled in Medicare might not accept assignment, which means that the patient will end up paying more for the equipment. As long as the supplier is enrolled in Medicare and also accepts assignment, the patient will not have to pay more than the Part B deductible and 20% of the rest of the cost. (See page 12 of this booklet for more information on how this works).

How does competitive bidding affect Medicare's coverage for durable medical equipment?

You may live in an area that was using Medicare’s Competitive Bidding Program for durable medical equipment prior to 2019, or for some services in 2021. Beneficiaries in those areas needed to make sure they were using a Medicare contract supplier, but because the Competitive Bidding Program resulted in lower costs on durable medical equipment, the portion that the patient paid was also lower.

For 2019 and 2020, there was a temporary gap in the Competitive Bidding Program for durable medical equipment. New contracts took effect as of January 2021, but only apply to back and knee braces. So for the time being, the competitive bidding program doesn’t apply to walkers or wheelchairs.

What if I have coverage through Medigap or Medicare Advantage?

If a person has a Medigap (Medicare supplemental insurance) plan, it will likely pay all or a portion of the 20% coinsurance for durable medical equipment like wheelchairs. And if a person still has Medigap Plan C or Plan F, it will also cover the Part B deductible (the other Medigap plans do not cover the Part B deductible; this includes all Medigap plans available to beneficiaries who became eligible for Medicare after the end of 2019).

Coverage of durable medical equipment will vary from plan to plan if the enrollee has Medicare Advantage coverage. These plans are required to cover the same things that Original Medicare covers, so they do provide benefits for durable medical equipment. But the specifics of the coverage will vary depending on the plan. In that case, the Medicare Advantage insurer will be able to explain the coverage details and what steps need to be taken (eg. a prescription from a doctor, prior authorization, etc.) in order to have coverage under the plan.

Read the Medicare booklet about durable medical equipment.

Used wheelchairs, walkers and basic medical supplies can also be found at even greater savings as church bazaars, estate sales, garage sales, and online.

Louise Norris is an individual health insurance broker who has been writing about health insurance and health reform since 2006. She has written dozens of opinions and educational pieces about the Affordable Care Act for Her state health exchange updates are regularly cited by media who cover health reform and by other health insurance experts.

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Apolinar Hernandez
2 years ago

My husband need a walker

Dolly Ciardulli
2 years ago

I have Medicare. I bought a inexpensive wheelchair from Walmart. Does Medicare pay for it

Brandi Jenelle Perry
1 year ago

I broke my neck and is on disability would someone supply me with a motorized wheelchair

1 year ago

Hi Brandi,

I am sorry to hear that. You should contact your doctor to order you a motorized wheelchair. This article explains how Medicare should cover this expense.

Donna Hogan
1 year ago

I have bought a walker for my dad. How can I get Medicare to pay? What are the steps involved?

Catherine Lee
4 months ago

Is there a form that I give to the Doctor to make the order – so that the recliner we order will be reimbursed by medicare?

4 months ago
Reply to  Catherine Lee

As long as the doctor and equipment supplier are both enrolled in Medicare (that’s important), the doctor can write an order that the supplier can fill. So you’ll want to start by discussing this with the doctor and have them get the process started.

I assume that the chair has a lift mechanism in it? If so, and if the doctor documents that it’s medically necessary, Medicare Part B will cover 80% of the Medicare-approved amount for the lift motor in the chair. But Medicare will not pay for the rest of the chair itself. And Medicare will not pay for the cost of the lift mechanism if they’ve already paid for a wheelchair or scooter for this beneficiary.

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