What Scooters Does Medicare Cover?
Medicare Part B covers power wheelchairs, power scooters, and motorized wheelchairs, but some exclusions apply.
Medicare Part B does not cover the cost of using a wheelchair, motorized wheelchair or scooter. The beneficiary must pay for the associated cost of transportation, including mileage.
The transportation cost is limited to the mileage the beneficiary travels from home to the destination. For example, if the beneficiary travels from home to work and back home, the mileage charged is the distance traveled to work.
Medicare does not provide coverage for maintenance and replacement of wheelchair and scooter. However, the beneficiary can receive a discount on the item if it is purchased from a Medicare certified provider or supplier.
The beneficiary can also receive a discount on the item purchased from a non-Medicare certified provider or supplier, but the cost of the item must be the same as the Medicare price.
For more information please visit Medicare.gov.
What is Medicaid?
Medicaid is a state-administered program that provides medical coverage for certain low-income persons.
Medicaid programs vary significantly from state to state. In many states, Medicaid eligibility is based on financial as well as medical criteria.
Many states provide services for people with disabilities through waivers that are approved by the federal government.
For additional information, please visit Medicaid.gov or the State Medicaid Directory.
What is Medicare Advantage?
Medicare Advantage is a way for people with Medicare to get their health care from a private health plan, instead of the traditional Medicare system. Medicare Advantage gives you a network of doctors and other health care professionals, and offers you extra benefits like prescription drugs and vision care.
The cost of Medicare Advantage is covered by a premium paid by the beneficiary.
For more information on Medicare Advantage, please visit Medicare.gov or the Medicare Advantage Directory.
What is the Medicare Coverage Gap?
Medicare Part D provides coverage for prescription drugs. The Medicare Part D coverage gap, also known as the “donut hole,” is the period of time from when your prescription drug coverage exceeds your drug plan's initial coverage limit to when you reach the catastrophic coverage threshold. Not all Part D plans have a coverage gap.
During this time, the beneficiary is responsible for the full cost of their prescriptions. The beneficiary will pay the first $3.30 in costs for generic prescription drugs and $8.50 for brand-name drugs. Once the beneficiary reaches the catastrophic coverage threshold, they will only pay a small copayment for their prescriptions.
For more information on the coverage gap, please visit Medicare.gov.
What is Medicare Part D?
Medicare Part D is a prescription drug coverage plan. It is also known as the Medicare “D” plan.
If the beneficiary is eligible for supplemental coverage (Medicare Advantage, employer-sponsored plans, etc.), they will only be eligible to enroll in a Medicare Part D plan if they are not receiving prescription drug coverage through their supplemental plan.
For more information on Medicare Part D, please visit Medicare.gov or the Medicare Part D Directory.
What is Medicare Part C?
Medicare Part C is the Medicare Advantage plan.
Medicare Part C is a health insurance plan that Medicare beneficiaries can purchase to help cover their health care costs.
There are two types of Medicare Advantage Plans.
A Medicare Advantage Plan (like a PPO) allows the beneficiary to choose their own doctor and has a flexible benefits program.
A Medicare Advantage HMO Plan, which stands for Health Maintenance Organization, enrolls beneficiaries into a network of doctors and other health care professionals.
The Medicare Advantage plan may also cover other health-related needs like prescription drugs and dental care.
What does medicare cover?
Medicare Part B covers medically necessary skilled nursing facility care, home health care, and hospice care.
Medicare Part A covers hospital care, skilled nursing facility care, home health care, hospice care, and some home health services.
What does medicaid cover?
Medicaid covers nursing facility services, home health services, and hospice services.
Medicaid covers all services and supplies related to the diagnosis and treatment of a medical condition.
Who is eligible for medicare?
To be eligible for Medicare, you must be enrolled in Social Security. You must also be a U.S. citizen or a resident alien.
You may also be eligible for Medicare if you are the spouse of a person who is eligible for Social Security disability or retirement benefits, or if you are the surviving spouse of a person who was eligible for Social Security benefits.
Who is eligible for medicaid?
Eligibility for Medicaid is based on both income and asset limits.
To qualify for Medicaid, members of a household must have decreased income and/or assets below certain levels. If a person is eligible, the rest of the household's income and assets may still count toward the household's eligibility.
Members of a household may be eligible for Medicaid if their income and assets are at or below the maximum income and asset limits.
In addition to a low income, a person must be either disabled or pregnant or have a dependent child who is eligible for Medicaid.
What do medicare and medicaid have to do with each other?
Medicare and Medicaid have nothing to do with one another.
Medicare is a federally-funded health insurance program that pays for health care costs for privately insured people who are age 65 or older, as well as some younger people who have certain disabilities.
Medicaid is a state-run program that pays for medical care for people with low incomes or who have disabilities.