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Thread: Patient lifts and Medicare

  1. #1

    Patient lifts and Medicare

    I have been under the impression that medicare did not pay for patient lifts.

    I just came across this..

    https://www.medicare.gov/coverage/patient-lifts.html
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    Your Medicare Coverage

    Patient lifts


    How often is it covered?

    Medicare Part B (Medical Insurance) covers patient lifts as durable medical equipment (DME) that your doctor prescribes for use in your home.

    Who's eligible?

    All people with Part B are covered.

    Your costs in Original Medicare

    If your supplier accepts assignment, you pay 20% of the Medicare-approved amount, and the Part Bdeductible applies. Medicare pays for different kinds of DME in different ways. Depending on the type of equipment, you may need to rent the equipment, you may need to buy the equipment, or you may be able to choose whether to rent or buy the equipment.
    Medicare will only cover your DME if your doctors and DME suppliers are enrolled in Medicare. Doctors and suppliers have to meet strict standards to enroll and stay enrolled in Medicare. If your doctors or suppliers aren?t enrolled, Medicare won?t pay the claims submitted by them.
    It?s also important to ask your suppliers if they participate in Medicare before you get DME. If suppliers are participating suppliers, they must accept assignment. If suppliers are enrolled in Medicare but aren?t ?participating,? they may choose not to accept assignment. If suppliers don't accept assignment, there?s no limit on the amount they can charge you.

    Competitive Bidding Program

    If you live in or visit certain areas, you may be affected by Medicare's Competitive Bidding Program. If you have Original Medicare and get competitively bid equipment and supplies in competitive bidding areas, Medicare may only help pay for these equipment and supplies if they're provided by contract suppliers. Contract suppliers can't charge you more than the 20% coinsurance and any unmet yearly deductible for any equipment or supplies included in the Competitive Bidding Program.




  2. #2
    I wonder when this changed. I read the Medicare book every year and wasn't aware of this. Perhaps a floor -based hoyer type lift. But I wonder if they would pay for a ceiling mounted track type lift like I have. I would think a lift is a lift but the cost difference is tremendous. You can get a decent floor lift for under $2000 and my overhead lift system cost over three times that.

  3. #3
    Crags is right. In my experience, Medicare pays only enough for a manually operated (not power) floor-based lift, and will not cover things like floor based powered lifts or ceiling track lifts. Also, under the competitive bidding regs, they may require that you get the brand/model of lift that they determine as "equivalent" to the lift ordered/requested. Often this ends up being an Invacare C based manual lift, which is a really poor excuse for a lift at all.

    (KLD)

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