Lazy Boy Lift Chairs Covered By Medicare

Certification of Medical Necessity for Seat Lift Mechanisms – CMS-849

Your primary care physician must provide you with a prescription for the lift chair. Form CMS-849 must be completed and submitted to CMS.

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How Much Will a Lift Chair Cost Me After Medicare Pays their Portion?

Typically, you’ll pay somewhere around $350 for the lifting mechanism of the lift chair after Medicare pays their portion. There’s also a deductible that falls under Part B. However, if you have a Medigap plan, the above cost-sharing may be covered 100%.

It’s important to note that if you choose not to purchase a chair through a Medicare-approved supplier, Medicare will not cover the lifting mechanism. Healthcare providers can provide their patients with a list of local approved suppliers. The local Social Security office can also provide Medicare beneficiaries with updated listings of suppliers. Medicare.gov also can provide a full list of local suppliers.

Lift chairs comprise of three different types of seats.

Two-Position Lift Chair – This chair is known to be the simplest of the three.

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It reclines in two positions: A 90-degree upright position and a 45-degree position with an individual’s legs at an elevation and back at a recline.

Both the leg elevator and reclining motor are part of one engine, which enables the elevation of the leg support as the chair begins to recline.

Three-Position Lift Chair – The three-position chair offers a 45-degree reclined angle and an upright angle, like its two-position counterparts.

This chair’s reclining position offers an angle that lies almost entirely flat. The supine posture helps relieve pressure from the back.

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All components of the chair are one moving motor, like the two-position chair.

Infinite-Position Lift Chair – The infinite position chair is the most adjustable of the three options.

These seats allow for sitting upright, lying flat, angling your back at a 45-degree angle, and elevating your legs.

These zero-gravity chairs operate by two motors and are typically the most expensive of the three chair options. These are, by far, the most flexible of the lift chairs.

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Learn if You Qualify for Lift Chair Recliner Medicare Coverage

Schedule a face-to-face examination with your doctor or other treating physician. You must obtain a prescription for the seat lift mechanism from your doctor before Medicare helps pay for a lift chair.

Your authorized Pride provider has a special form that your physician must fill out. Take this form (or have your provider send it) to your doctor. It contains several questions about your condition that will help determine whether Medicare may cover it.

To qualify for the seat lift mechanism under Medicare, review the following lift chairs recliners Medicare stipulations:

  • You must have severe arthritis of either the hip or knee or have severe neuromuscular disease. Your doctor will determine this
  • The seat lift mechanism must be a part of your doctor’s treatment plan to either help improve your condition or slow down or stop the progression of your condition
  • You must be unable to stand up from a regular arm chair or any chair in your home
  • Once standing, you must be able to walk, even if you use a cane or walker to do so
  • Medicare will not cover a lift chair if you are in the hospital or are in a skilled nursing facility
  • If Medicare has paid for a manual wheelchair, scooter or power wheelchair for you in the past
  • You may still qualify if the doctor determines your condition has improved and you are now able to walk, even if it’s with a cane or walker.

    FAQ

    What kind of lift chair Does Medicare pay for?

    Medicare Coverage for Lift Chairs

    However, Medicare does not cover the entire chair. Only the motorized lifting mechanism is covered by Medicare Part B as durable medical equipment, or DME. Medicare will pay 80 percent of the approved cost for the motorized device, but other costs still apply.

    Does Medicare supply lift chairs?

    Yes, lift chairs are covered by Part B of your Medicare coverage. They are considered durable medical equipment (DME) used to treat certain conditions like arthritis or other balance or mobility issues. These standards should be included in any Medicare Advantage Plan, too.

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