When determining if you qualify for a PWC (powered wheelchair) or powered mobility device, there will be an initial evaluation which will help assess what is actually contributing to your mobility limitations. These limitations are usually caused by underlying or apparent causes caused diagnoses or medical issues that only your primary care physician can diagnose you with. This diagnosis of medical limitations is then reported to your insurance to determine if you qualify for a powered wheelchair. Your insurance will help cover all or part of what is needed to purchase your powered wheelchair only if the following conditions are met:
- There is an existing health condition which contributes to mobility limitations you may experience in your home.
- Diseases of the musculoskeletal system and connective tissues
- Diseases or conditions that affect the skin and subcutaneous tissue
- Temporary or permanent instances of injury or trauma which contribute to mobility limitations
- External causes of morbidity (auto accidents, slips, falls, etc),
- And others, however, your primary care physicians is the only one required to diagnose you with whatever condition or medical issue you may be experiencing.
- You are limited and or unable to perform ADLs (activities of daily living) such as: bathing, cooking, dressing, getting in and out of bed or a chair, using the bathroom. This includes your inability to perform these activities even with the use of a cane, crutch, seated walker or walker.
- If you are considered as safely able to operate, get on and get off a powered wheelchair, or if someone such as a caregiver is always with you and available to help you safely use and operate the device.
- If the device is for in-home use only. Insurance will not pay for a powered wheelchair intended for outside use.
- Also, the requested device must be able to fit inside your home. If a powered wheelchair that is too large is requested, you will not be approved for it if you are not able to safely and efficiently use it within your home.
For more information concerning your mobility needs be sure to contact your doctor and also contact us here at Aeroflow Healthcare @ 888-345-1780 on how we can assist you.