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Medicare & Insurance

MyMediMart.com does not bill Medicare or insurance companies and therefore does not accept Medicare or Insurance as payment. We suggest you contact them directly to find out eligibility requirements. However, by the following these steps you may be able to receive up to 80% reimbursement on certain products (see qualifications below). Please note that these guidelines apply generally but do not constitute a guarantee of reimbursement approval. For exact eligibility information please contact Medicare or your insurance provider directly.

In cases of eligibility, You can buy from MyMediMart.com, using your credit card, and have it delivered to your door. You will then need to submit our invoice, a doctor’s prescription for the item ordered; proof of delivery (such as a packing slip or shipping receipt); and for Medicare reimbursements, a Form 1490.

If you are approved, Medicare or your Insurance will reimburse you (Medicare pays 80% of the cost, you supplementary Insurance will cover the rest). For other insurance providers, please contact the company directly to ascertain their policy for each item.

Eligible products for reimbursement

In order to be approved for Medicare reimbursement, specific criteria must be met. These criteria vary from product to product. Below is an overview of the criteria used by Medicare to determine eligibility of your product.

Lift Chairs

To qualify for a return please note the following:
  • 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.
  • Once standing, the patient must have the ability to walk.
  • By Medicare standards, 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. Medicare requires that the physician ordering the seat lift mechanism must be the attending physician or a consulting physician for the disease or condition resulting in the need for a seat lift.

Note that, even in qualifying cases, Medicare covers only the seat-lift mechanism itself (typically up to $300, depending on the state). In addition, the patient’s attending physician for the condition under treatment must also be the prescribing physician for the chair lift.

Note that, even in qualifying cases, Medicare covers only the seat-lift mechanism itself (typically up to $300, depending on the state). In addition, the patient’s attending physician for the condition under treatment must also be the prescribing physician for the chair lift.

Power Wheelchairs and Mobility Scooters

  • The beneficiary must have a mobility limitation which prevents them from performing one or more mobility related activities of daily living in the home, including toileting, eating, bathing, and grooming.
  • There can not be other conditions that limit the beneficiary from performing mobility-related activities of daily living at home, such as significant impairments of cognition or judgment and/or vision. This only applies if these other conditions can not be solved through other means, including caregiver support.
  • The beneficiary must demonstrate the capability and the willingness to consistently operate the device safely.
  • A cane, walker, or manual wheelchair will not provide the necessary functional mobility.
  • The beneficiary’s environment must allow for the use of a power wheelchair or scooter in all areas where the mobility related activities of daily living are customarily performed.
  • For a scooter, the beneficiary must have sufficient strength and postural stability to operate the scooter.
  • For a power wheelchair, the additional features provided by a power wheelchair must be required by the beneficiary in order to perform one or more mobility-related activities of daily living.
 

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