Navigating Power Wheelchair Prices and Medicare Coverage

In recent years, the availability and affordability of power wheelchairs have become increasingly important topics for individuals with mobility issues. These devices, which offer enhanced mobility and independence, come with varying features and price tags. Understanding these costs and potential coverage options, such as those provided by Medicare, is crucial for making informed decisions.

The Cost of Power Wheelchairs
The price of a power wheelchair can vary widely depending on several factors:

1. Features and Customization: Basic models may start around $1,500 to $2,000, while more advanced models with additional features such as reclining seats, specialty controls, or all-terrain capabilities can range from $5,000 to $15,000 or more.

2. Brand and Quality: Established brands with reputations for durability and reliability often come at a higher price point compared to lesser-known brands.

3. Insurance Coverage: Insurance policies, including Medicare, may cover a portion of the cost, which can significantly reduce out-of-pocket expenses.  Often patients don't have to pay anything out of pocket due to their Medicare and insurance coverage for the power wheelchair.

Understanding Medicare Coverage
Medicare, the federal health insurance program primarily for adults aged 65 and older and younger individuals with disabilities, can help alleviate the financial burden of acquiring a power wheelchair under certain conditions:

1. Medicare Part B: This part of Medicare covers durable medical equipment (DME), including power wheelchairs, if they are deemed medically necessary. To qualify, the wheelchair must be prescribed by a doctor or healthcare provider.

2. Eligibility Requirements: Medicare typically covers 80% of the Medicare-approved amount for DME after the Part B deductible is met. Beneficiaries are responsible for the remaining 20%, unless they have supplemental insurance (Medigap) to cover this cost.

Steps to Obtain a Power Wheelchair Through Medicare
Navigating Medicare coverage for a power wheelchair involves several steps and Patients Choice Medical is here to help you do it:

1. Consultation and Prescription: First, consult with your doctor or healthcare provider to determine if a power wheelchair is necessary. They will need to write a prescription detailing the medical need for the device.

2. Contact Patient Choice Medical: Patient Choice Medical participates in the Medicare program and can provide the specific type of power wheelchair prescribed and help you understand your options.

3. Documentation and Approval: The supplier will handle much of the paperwork, including submitting a claim to Medicare for coverage approval. Medicare will review the claim and, if approved, provide coverage according to its guidelines.

4. Payment and Delivery: After approval, Medicare will pay its share directly to Patient Choice Medical.  You will be responsible for any deductible and coinsurance amounts. Patient Choice Medical will deliver and set up the power wheelchair for you.


While the cost of power wheelchairs can be substantial, Medicare coverage can significantly ease the financial burden for eligible individuals. By understanding the features available and the Medicare coverage process, individuals can make informed decisions that promote independence and mobility. Always consult with healthcare professionals and Medicare representatives to ensure you meet all requirements and receive the necessary assistance in obtaining a power wheelchair.