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Thread: How frequently will Medicare (plus secondary) fund a replacement back rest?

  1. #1
    Senior Member
    Join Date
    Aug 2003
    Location
    Seattle, WA
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    516

    How frequently will Medicare (plus secondary) fund a replacement back rest?

    I managed to acquire an ADI backrest approximately 2 years ago (it may be more). As we've fine tuned my chair, seat angle, etc a lot I've realized that I would prefer to have an 8" backrest rather than a 10" (because I like the non-adjustable hardware, otherwise we might be able to make a 10" work better). My 10" is currently angled a bit using the adjustability of the ZRA, and I sit up really nice and tall and feel good on flat ground. However I often feel as though I'm going to pitch forward when I'm going down hills, which is pretty limited (hills includes curb cuts).

    Do I have any chance of Medicare + secondary (they usually will pick up the extra % that medicare doesn't cover) funding another backrest (and I believe 8" will mean it's a custom job) or do I just need to eat rice and beans for the next year so I can buy one?

    The chair is over 6 years old, btw.

  2. #2
    If your chair is over 6 years old and Medicare paid for it, you will probably have to get a new wheelchair to get a new back. If Medicare did not pay for it, it is not in their computer and therefore does not exist.
    You will find a guide to preserving shoulder function @
    http://www.rstce.pitt.edu/RSTCE_Reso...imb_Injury.pdf

    See my personal webpage @
    http://cccforum55.freehostia.com/

  3. #3
    Senior Member
    Join Date
    Aug 2003
    Location
    Seattle, WA
    Posts
    516
    They paid for the chair 6 years ago, and the backrest 2ish years ago (when the chair was originally ordered I just used the upholstery back).

  4. #4
    Medicare has this policy for certain things and I believe chairs fall into that category so anything past five years Medicare will not pay for it.
    C-7 incomplete Since 2004

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