Does Medicare Cover the Cost of an Electric Scooter?

For many individuals, electric scooters provide an essential means of mobility, especially for those with limited physical capabilities. If you're wondering whether Medicare will cover the cost of an electric scooter, you're not alone. This common question is crucial for those looking to maintain mobility while managing healthcare costs.

Understanding Medicare Coverage for Mobility Devices

Medicare Part B, which covers medical services and supplies, may provide financial assistance for durable medical equipment (DME) like electric scooters. However, specific criteria must be met:

1. Medical Necessity: Your doctor must deem an electric scooter medically necessary due to a condition that significantly limits your mobility.


2. Prescription & Documentation: A written prescription and necessary documentation must be provided to prove your need for the scooter.


3. Accredited Suppliers: You must purchase or rent the scooter from a Medicare-accredited supplier.

Steps to Ensure Medicare Coverage for an Electric Scooter

1. Consult Your Doctor: Start by consulting your healthcare provider. They will evaluate your health condition and determine if an electric scooter is necessary for your everyday activities.


2. Certification and Documentation: Ensure all necessary documentation is completed by your doctor and submitted to Medicare.


3. Supplier Selection: Choose a supplier that accepts Medicare assignments to avoid paying more than the intended copayment.


4. Approval Process: Be prepared for Medicare to review the necessity of the scooter. They may contact you or your doctor for additional information.

Out-Of-Pocket Costs

Medicare typically covers 80% of the approved amount, leaving you responsible for the remaining 20% as a copayment. Keep in mind, if the scooter costs exceed the approved amount, you may need supplementary coverage or pay the difference out of pocket.

Considerations and Alternatives

• Medicare Advantage Plans: Depending on your plan, additional options or lower out-of-pocket expenses might be available through alternative Medicare Advantage Plans.


• Secondary Insurance: If you have supplemental insurance, it could potentially cover some or all of the remaining costs.

Final Thoughts

While Medicare Part B may cover the cost of an electric scooter, the process requires confirmation of medical necessity, proper documentation, and coordination with approved suppliers. By understanding these steps and your insurance options, you can better navigate the intricacies of Medicare coverage to ensure you acquire the mobility device you need.