You may have to get prior approval (known as “prior authorization”) for certain types of power wheelchairs before Medicare will cover the wheelchair cost.
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Your DME supplier should:
You don’t need to do anything. If your physician prescribes one of these wheelchairs to you, your DME supplier will usually submit a prior authorization request and all documentation to Medicare on your behalf. Medicare will review the information to make sure that you’re eligible and meet all requirements for power wheelchair coverage. Your Medicare coverage and benefits will stay the same, and you shouldn’t experience delays getting the items you need.
Your prior authorization request may be denied if:
If Medicare needs additional information, your DME supplier may resubmit your prior authorization request.
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