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Medicare does provide some coverage for lift chairs, provided a doctor prescribes it for a medical reason. However, Medicare does not cover the entire cost for the chair. The motorized lifting mechanism is considered durable medical equipment (DME), which is covered under Part B.
Medicare does provide some coverage for lift chairs, provided a doctor prescribes it for a medical reason. However, Medicare does not cover the entire cost for the chair. The motorized lifting mechanism is considered durable medical equipment (DME), which is covered under Part B.
Lift chairs vary in price from around $400 to over $800 or more depending on the features included.
Are Recliner Lift Chairs Covered by Medicare? The motorized lift mechanism of the lift chair or seat-lift chair is a Medicare-covered item. If you qualify, Medicare may cover up to 80 percent of the approved amount for the seat lift mechanism.
How do I qualify for Medicare to cover my lift chair? First, you must get a prescription from your physician that states your lift chair is a medical necessity. Next, you and your physician will complete and submit a Certificate of Medical Necessity for Seat Lift Mechanisms Form, PDF opens new window.
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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%.
Certificate of Medical Neccessity CMS-849-Seat Lift Mechanisms.
A manually operated seat lift mechanism is billed using HCPCS code E0629. When providing a seat lift mechanism that is incorporated into a chair as a complete unit at the time of purchase, suppliers must bill the item using the established HCPCS code for the seat-lift mechanism.
How do I qualify for Medicare to cover my lift chair? First, you must get a prescription from your physician that states your lift chair is a medical necessity. Next, you and your physician will complete and submit a Certificate of Medical Necessity for Seat Lift Mechanisms Form, PDF opens new window.
Medicare Payment Category - inexpensive and routinely purchased. Coverage of an E0627 seat-lift mechanism is limited to those types that operate smoothly, can be controlled by the patient, and effectively assist a patient in standing up and sitting down without assistance.

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