Medicare Part B can cover medically necessary wheelchairs and mobility scooters as durable medical equipment. The specific device, documentation and supplier must meet the coverage requirements. A preferred model or a need for convenience alone does not establish coverage.
Requirements to check
| Step | What to confirm |
|---|---|
| Medical assessment | Your treating provider documents the mobility need and appropriate equipment for home use. |
| Power wheelchair or scooter | A face-to-face examination and written prescription are required. |
| Supplier | The equipment supplier is enrolled in Medicare; ask whether it accepts assignment. |
| Prior authorization | Certain power-wheelchair types require approval before Medicare pays. |
When prior authorization applies, the supplier normally submits the request and supporting documentation. A request may fail because the medical requirements are not met or because information is missing. If more information is needed, ask the supplier about resubmitting it.
Costs and rental arrangements
With Original Medicare, you generally pay 20% of the Medicare-approved amount after the Part B deductible if the supplier accepts assignment. Depending on the equipment, you may rent, buy or have a choice. Some rental items become your property after the required rental payments.
Ask for an itemized estimate identifying the base equipment, accessories, optional upgrades and any amount you must pay. If the supplier does not accept assignment, costs and payment arrangements can differ. Confirm assignment for all rental months.
Before ordering
- Complete the treating provider’s assessment and obtain the required order.
- Verify the exact equipment category and supplier enrollment.
- Ask whether prior authorization is required and whether it was approved.
- Confirm the delivery, setup, repair and rental or purchase arrangements.
- If you have Medicare Advantage, verify the supplier network, authorization and cost sharing with that plan.
Keep the prescription, authorization response, delivery record and bill. A product advertised as Medicare-approved does not guarantee that it is covered for you. Your clinician and equipment team should determine fit and safe use; this guide does not select a device for your medical needs.