Understanding Medicare and Durable Medical Equipment

Every year, many millions of Americans use MedicareFor instance, in order for a lift chair to be covered, the
to help provide affordable health care. Medicare is ainsured must suffer from severe arthritis or have
type of federally funded insurance that is available tosevere knee or hip problems that prevent them from
those who are over the age of 65 or suffer from astanding from any chair in their home. Once standing
few different physical conditions, such as those withthey must be able to walk without assistance. If the
acute kidney problems. Medicare not only helpsinsured meets these requirements, the lift chair will be
provide affordable health care, but can also be used topartially reimbursed, usually up to about $300 of the
cover the costs of some types of durable medicalcosts, which accounts for the cost of the lifting
equipment.mechanism. This differs from other types of home
Medicare is divided into several parts, which are usedmedical equipment, of which 80% of the cost is
to group the different kinds of services offered bytypically covered by Medicare. There are also some
Medicare. For example, Part A Medicare Benefitsother requirements that the insured must meet in order
cover things like extended hospital stays. Durablefor the lift chair to be covered.
Medical Equipment is covered by Part B Benefits, so inWhile a great number of those who use Medicare are
order to receive reimbursement for these kinds ofcovered by the traditional Part A, Part B, and Part C
devices, it is necessary to receive Part B Benefits.benefits, there is another type of Medicare coverage
Most of those on Medicare do receive Part B Benefits,available. This there type of coverage is called a
but in some situations it might not be available.Medicare Advantage Plan. A Medicare Advantage
However, if you receive Part B Benefits, you willPlan is a program that is offered by a private
usually be able to have the cost of your durableinsurance company. The plan itself is still funded by the
medical equipment covered.Federal Government and is required to cover the
Durable Medical Equipment actually covers a greatsame things that traditional Medicare would, however
deal of different kinds of home medical equipment.the private companies are allowed to choose how
This includes prosthetics, wheelchairs, eye glasses,they cover the items. This means they might offer a
hospital beds, and many other devices. The devicesdiscount on prescriptions, while charging more for
are covered differently though, with the insured oftendurable medical equipment. Medicare Advantage Plans
having to meet a number of specific requirements.have also been in the news lately due to potential rate
For example, in order for a mobility scooter to beincreases, which were approved by Congress.
covered, the insured must need the mobility scooterFor those who can receive Medicare, it can be an
for use in all areas of their home and not just for useimportant tool for providing affordable health care.
when away from the home. Lift chairs are anotherMany would not be able to afford it otherwise and it
type of device that has some special requirementscan make many types of home medical equipment,
and also limitations that the insured must meet.such as the wheelchair, much more affordable.