For seniors and individuals with limited mobility, a power wheelchair (also called a power chair) can be life-changing. It offers independence, safety, and freedom of movement, especially for those who find it difficult—or impossible—to get around using a cane, walker, or manual wheelchair.
The good news? Medicare may cover the cost of a power chair if certain conditions are met. Here’s everything you need to know about how to get a power chair through Medicare, including qualifications, steps, and coverage limits.
What Is a Power Chair?
A power chair is a battery-operated mobility device that is controlled by a joystick or other interface. Unlike mobility scooters, which are generally used outdoors and require more upper body strength, power chairs are designed for indoor and outdoor use, especially in tight spaces like homes or apartments.
Key features often include:
- Joystick control
- Padded, supportive seating
- Tight turning radius
- Footrests and armrests
- Rechargeable battery system
For people with severe mobility limitations, a power chair can provide a safer and more comfortable alternative to manual wheelchairs or scooters.
Does Medicare Cover Power Chairs?
Yes, Medicare Part B (Medical Insurance) may cover 80% of the cost of a power wheelchair if it’s deemed medically necessary by your doctor.
To qualify, the power chair must be:
- Prescribed by a Medicare-enrolled doctor
- For use in the home (not just outdoors)
- Necessary due to a medical condition that limits mobility
- Used by someone who cannot use a manual wheelchair or walker safely
Once approved, you’ll typically be responsible for 20% of the cost after your annual Part B deductible is met.
Steps to Get a Power Chair Through Medicare
To successfully receive a Medicare-covered power chair, follow these steps:
1. Visit Your Doctor
Your primary care physician or specialist must evaluate your condition and determine whether a power chair is medically necessary. They will document your mobility limitations in your medical records.
2. Receive a Written Prescription
Medicare requires a face-to-face exam with your doctor, followed by a detailed written order (prescription) for the power chair.
3. Choose a Medicare-Approved Supplier
You must get your equipment from a Medicare-enrolled Durable Medical Equipment (DME) supplier. They will submit the required paperwork and request authorization from Medicare.
4. Wait for Approval
In some cases, Medicare will require prior authorization before the supplier can deliver the power chair. Your provider will help manage this process.
5. Pay the Coinsurance
Once approved, Medicare typically pays 80% of the cost, and you are responsible for the remaining 20%, unless you have supplemental insurance (like Medigap or Medicaid).
What Medicare Doesn’t Cover
While Medicare covers many standard power chairs, it does not typically cover:
- Power chairs intended solely for outdoor use
- Custom or luxury models with features not deemed medically necessary
- Chairs purchased without a face-to-face evaluation
- Chairs obtained from non-approved suppliers
Always work with a Medicare-enrolled doctor and supplier to avoid denied claims.
Options for Low-Income Beneficiaries
If you cannot afford the 20% coinsurance, you may be eligible for help through:
- Medicaid (varies by state)
- A Medicare Savings Program
- Extra Help/Low-Income Subsidy
- Charity or nonprofit organizations that provide mobility equipment
Be sure to ask your supplier or case worker about local resources.
Final Thoughts: Regain Your Freedom
Power chairs can restore independence and dignity for seniors and individuals with mobility challenges. Thanks to Medicare, the cost doesn’t have to be a barrier—if you qualify and follow the proper steps, a power chair can be affordable and accessible.Take the first step by scheduling a conversation with your doctor to explore whether a power chair is right for you—and let Medicare help you get moving again.
