Medicare and Private Insurance
Several of our products are covered by private insurance and/or Medicare when prescribed by a physician prior to purchase. The coverage amount varies with the particular insurance plan. In cases where an insurer requires or prefers that an "in-network" provider be used, call us before placing any order online.
When possible, we will submit claims on your behalf. Medicare will typically reimburse you in less than two months.
When placing your order, indicate your intent to obtain insurance coverage either by clicking the "Bill Medicare" option or entering a comment in the comments section. Please provide us with your physician's name and phone number.
will also need additional patient insurance information. We recommend
telephone contact with the patient or caregiver to ensure that this
information is complete, accurate and secure.
For the U-Step Walker, Medicare requires that the physician document a need for an advanced walker: "A heavy duty, multiple braking system, variable wheel resistance walker (E0147) is covered for patients who meet coverage criteria for a standard walker and who are unable to use a standard walker due to a severe neurologic disorder or other condition causing the restricted use of one hand."
The reimbursement amount averages $440 but varies by a few dollars for each state. Medicare does not cover the laser light option.
A patient who has received prior Medicare reimbursement for a power scooter/chair may not qualify for walker coverage. Also, a patient who was reimbursed for any type of walker during the prior five years must document a need for another walker based on a change in health or damage to the prior walker.
Medicare approves advanced walkers for home use only. Therefore, patients in a hospital, skilled nursing facility or hospice are not eligible for reimbursement.
For the LaserCane, Medicare offers only the standard reimbursement amount for a regular cane, approximately $15. Some private insurance plans offer higher coverage levels, however.
Update January 2011:
Under a new Medicare program, patients residing in the following metropolitan areas can only receive Medicare Part B coverage if they purchase equipment from designated stores serving those areas:
Dallas - Fort Worth
Miami - Fort Lauderdale
Riverside - San Bernadino
In the unlikely event of our not being able to obtain supporting documentation from your physician, we will contact you for your
Please call us at 1-877-390-9454 if you have questions about insurance and Medicare coverage.