does amazon accept medicare assignment for walkers

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Upright Walkers Covered by Medicare: A Comprehensive Guide

Upright walkers have become increasingly popular among seniors and individuals with mobility issues. These walkers are designed to promote better posture and reduce strain on the back, shoulders, and neck. With the growing demand for upright walkers, many people are wondering if they are covered by Medicare.

SHOP OUR COLLECTION OF UPRIGHT WALKERS HERE

The question at hand is, "Does medicare pay for upright walkers?" and the good news is that Medicare does cover upright walkers, as long as they are deemed medically necessary. This means that if a doctor prescribes an upright walker for a patient, Medicare will typically cover the cost. However, there are certain criteria that must be met in order for the walker to be covered.

One of the main requirements for Medicare coverage is that the walker must be considered durable medical equipment (DME). This means that the walker must be designed for repeated use, be primarily used for a medical purpose, and be appropriate for use in the home. Additionally, the walker must be prescribed by a doctor and purchased from a Medicare-approved supplier. By meeting these criteria, individuals can have peace of mind knowing that their upright walker will be covered by Medicare.

Understanding Medicare Coverage

Eligibility Criteria for Upright Walkers

Medicare provides coverage for upright walkers for individuals who meet certain eligibility criteria. The individual must have a medical need for the walker, and the walker must be prescribed by a healthcare provider. The individual must also be enrolled in Medicare Part B, which covers medically necessary durable medical equipment (DME).

To qualify for coverage, the individual must have a mobility limitation that significantly impairs their ability to perform daily activities within the home. This may include difficulty walking, standing, or balancing. The individual must also have a medical condition that requires the use of an upright walker, such as arthritis, spinal cord injury, or multiple sclerosis.

SHOP OUR COLLECTION OF UPRIGHT   WALKERS HERE

Medicare Part B and Durable Medical Equipment

Medicare Part B covers medically necessary durable medical equipment (DME), including upright walkers. However, the individual must meet certain requirements to qualify for coverage. The walker must be prescribed by a healthcare provider, and the individual must have a medical need for the walker.

Under Medicare Part B, the individual is responsible for paying 20% of the Medicare-approved amount for the walker. The remaining 80% is covered by Medicare. The individual may also be responsible for paying the annual deductible for Medicare Part B.

It is important to note that Medicare Part D, which covers prescription drugs, does not cover upright walkers. However, some Medicare Advantage plans may provide coverage for upright walkers as an additional benefit.

In summary, Medicare provides coverage for upright walkers for individuals who meet certain eligibility criteria. The individual must have a medical need for the walker, and the walker must be prescribed by a healthcare provider. Medicare Part B covers 80% of the Medicare-approved amount for the walker, and the individual is responsible for paying the remaining 20%.

Types of Upright Walkers

Upright walkers are mobility aids that are designed to provide support and stability to individuals who have difficulty walking or maintaining balance. These walkers are covered by Medicare, provided they meet certain criteria. There are two main types of upright walkers that are covered by Medicare: standard upright walkers and upright walkers with seats.

Standard Upright Walkers

Standard upright walkers are designed to provide support and stability to individuals who have difficulty walking or maintaining balance. These walkers are lightweight and easy to maneuver, making them ideal for use indoors and outdoors. They typically feature four legs with rubber tips that provide excellent traction on a variety of surfaces.

Standard upright walkers covered by Medicare are available in a range of sizes and styles to meet the needs of different individuals. Some models feature adjustable height settings, while others have padded handgrips for increased comfort. Medicare may cover the cost of a standard upright walker if the individual has a medical need for it and meets certain eligibility criteria.

Upright Walker with Seat Covered by Medicare

Upright walkers with seats are designed to provide support and stability to individuals who have difficulty walking or maintaining balance, while also providing a place to sit when needed. These walkers typically feature a padded seat and backrest, as well as a storage compartment for personal items.

Upright walkers with seats covered by Medicare are available in a range of sizes and styles to meet the needs of different individuals. Some models feature adjustable height settings, while others have padded handgrips for increased comfort. Medicare may cover the cost of an upright walker with a seat if the individual has a medical need for it and meets certain eligibility criteria.

In conclusion, these medicare covered upright walkers are an excellent mobility aid for individuals who have difficulty walking or maintaining balance. Medicare covers the cost of these walkers, provided they meet certain eligibility criteria. Standard upright walkers and upright walkers with seats are the two main types of upright walkers covered by Medicare, and they are available in a range of sizes and styles to meet the needs of different individuals.

Process of Acquiring an Upright Walker

Acquiring an upright walker through Medicare can be a straightforward process for eligible beneficiaries. The following subsections outline the prescription requirements and steps to find a Medicare-approved supplier.

Prescription Requirements

Before obtaining an upright walker through Medicare, a prescription from a healthcare provider is required. The prescription must include the beneficiary's name, the type of walker needed, and the length of need. The healthcare provider must also document the beneficiary's medical condition that requires the use of an upright walker.

Finding a Medicare-Approved Supplier

Once the beneficiary has obtained a prescription, they can begin the process of finding a Medicare-approved supplier. Medicare's Supplier Directory website can be used to search for suppliers in the beneficiary's area. It is important to note that not all suppliers may offer upright walkers, so it may be necessary to contact multiple suppliers to find one that meets the beneficiary's needs.

Before selecting a supplier, it is recommended that the beneficiary compare prices and quality of the upright walkers offered. Medicare will only cover the cost of the walker, and not any additional features or accessories. The beneficiary should also confirm that the supplier accepts Medicare assignment, which means they agree to accept Medicare's approved amount as payment in full.

In summary, acquiring an upright walker through Medicare requires a prescription from a healthcare provider and finding a Medicare-approved supplier. By following these steps, eligible beneficiaries can obtain an upright walker to improve their mobility and quality of life.

Financial Considerations

Costs and Reimbursement

Upright walkers can be expensive, but Medicare may cover the cost of the equipment. According to Medicare guidelines, walkers are covered under Part B as durable medical equipment (DME) if they are medically necessary for the patient's condition. The patient must have a prescription from their doctor and the supplier must be enrolled in Medicare.

The cost of the walker will depend on the supplier and the type of walker needed. Medicare will pay 80% of the approved amount for the walker, and the patient will be responsible for the remaining 20%. It's important to note that Medicare will only pay for the cost of the walker once every five years, unless the patient's condition changes and a new walker is needed.

Co-Payments and Deductibles

Patients may be responsible for co-payments and deductibles when getting an upright walker through Medicare. The amount of the co-payment and deductible will depend on the patient's specific Medicare plan. It's important to check with the patient's plan to understand their financial responsibility.

In addition, patients may need to pay for any upgrades or additional features that are not considered medically necessary. For example, if the patient wants a walker with a built-in seat or storage compartment, they may need to pay for these features out of pocket.

Overall, patients should consider the costs and reimbursement options when deciding whether to get an upright walker through Medicare. It's important to work with the patient's healthcare provider and Medicare plan to understand the financial implications and ensure that the patient gets the necessary equipment to improve their mobility and quality of life.

Additional Resources

Support groups and organizations.

There are several support groups and organizations that can provide additional resources for individuals using upright walkers covered by Medicare. These groups can offer emotional support, education, and resources to help individuals navigate the Medicare system.

One such organization is the National Council on Aging (NCOA), which offers a variety of resources and support for older adults. They have a Medicare counseling program that can help individuals understand their coverage options and navigate the Medicare system . The NCOA also offers educational materials on fall prevention and mobility aids, including upright walkers.

Another organization that can provide support for individuals using upright walkers is the Arthritis Foundation. They offer resources and support for individuals with arthritis, including information on assistive devices like upright walkers. The Arthritis Foundation also has a helpline that individuals can call for additional information and support.

Educational Material

In addition to support groups and organizations, there are also several educational materials available for individuals using Medicare covered upright walkers. These materials can provide information on proper use and maintenance of the walker, as well as tips for improving mobility and preventing falls.

One resource is the Medicare & You handbook, which is provided by Medicare and contains information on coverage options and benefits. The handbook also includes information on mobility aids like upright walkers and can help individuals understand their coverage options.

Another resource is the National Institute on Aging (NIA), which offers educational materials on a variety of topics related to aging and mobility. The NIA has a booklet on exercise and physical activity for older adults, which includes information on using assistive devices like upright walkers.

Overall, there are several resources available for individuals using upright walkers covered by Medicare. By utilizing these resources, individuals can improve their mobility and maintain their independence.

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Does Medicare Cover Walkers? Walkers and Medicare: Do They Pay Walkers

Will Medicare pay for a walker? This is a common question among seniors and healthcare professionals alike. 

Obtaining Medicare coverage for a walker can be challenging, so it’s critical to comprehend the steps involved and any related expenses.

In this post, we will explore the various aspects of Medicare coverage for walkers, helping you understand what to expect when seeking financial assistance for this essential mobility aid.

• Medicare Part B may cover walkers if they are prescribed by a doctor as medically necessary.
• Coverage typically includes 80% of the cost, with the patient responsible for the remaining 20% after meeting the Part B deductible.
• Walkers must be obtained from Medicare-enrolled suppliers who accept assignments.

Medicare Coverage for Walkers

Medicare can be a major help in acquiring medical devices, like walkers.

However, understanding the types of walkers covered by Medicare and determining your eligibility for coverage is crucial before making any purchases.

Types of Walkers Covered by Medicare

Medicare Part B covers durable medical equipment (DME) , which includes different types of walkers depending on an individual’s needs. Some common walker categories include:

• Standard Walker: A basic four-legged frame without wheels that provides stability and support while walking.
• Rollator Walker: Also known as a rolling walker or wheeled walker, these come with three or four wheels and often feature hand brakes and a seat for resting.
• Hemi-Walker: Designed specifically for individuals who have limited use of one side of their body due to stroke or other conditions.
• Knee Walker: Ideal for those recovering from foot surgery or lower limb injuries who need non-weight bearing support during mobility.

Will Medicare Pay For a Walker?

Yes, Medicare Part B covers the purchase of a walker if it is deemed medically necessary by your healthcare provider.

There are specific requirements that must be met to qualify for coverage. For example, the walker must be:

• Prescribed by a doctor or healthcare provider
• Used in your home
• Reused after each use
• Not primarily for use outside the home

How to Apply for Medicare Coverage of a Walker

If you meet the requirements for Medicare coverage of a walker, you can follow these steps to apply:

Obtain a Prescription from Your Doctor

To begin the process of receiving Medicare coverage for your walker, obtain a prescription from your doctor or healthcare provider.

They must determine that using a walker is medically necessary due to limited mobility or other health conditions.

Ensure that your doctor includes specific information about why you need the device and any features required, such as wheels or hand brakes.

Choose an Approved Supplier

Next, find an approved supplier who accepts Medicare assignment .

By choosing one of these suppliers, you can ensure they have agreed to accept the Medicare-approved amount as full payment for covered items like walkers.

• Note: If you choose not to use an approved supplier accepting an assignment, there may be additional out-of-pocket costs involved with purchasing your walker.

Submit Required Documentation

To apply for Medicare coverage of your walker, submit all required documentation along with your application form (CMS-855S). The documents include:

• Your physician’s prescription detailing medical necessity;
• A completed CMS-855S enrollment form;
• Evidence supporting ownership if submitting claims on behalf of someone else; and,
• Any additional documentation requested by Medicare during their review process.

Keep in mind: It’s crucial to provide accurate and complete information on your application. Neglecting to supply exact and comprehensive data on your application may lead to rejection or postponement of coverage.

Wait for Approval

After sending the required records, Medicare will inspect your request and decide if they are going to finance the cost of your walker.

The approval process can take several weeks, so it’s essential to be patient during this time.

If approved, Medicare Part B (Medical Insurance) generally covers 80% of the Medicare-approved amount after you’ve met your yearly deductible.

You’ll be responsible for covering the remaining 20% out-of-pocket unless you have supplemental insurance that covers these costs.

Supplemental Insurance

If you’ve purchased a supplemental plan to help with out-of-pocket expenses that Medicare doesn’t cover, you should check to see what benefits your plan offers.

Medicare Advantage Coverage for Walkers

Medicare Advantage (Part C) plans also cover walkers, but the coverage may vary depending on the plan.

Some Medicare Advantage plans may offer additional benefits, such as coverage for transportation or home modifications, that can help make using a walker more manageable.

Medigap Coverage for Walkers

Medigap plans, also known as Medicare Supplement plans, can help cover the out-of-pocket costs associated with Medicare coverage for walkers.

Depending on the plan, Medigap may cover some or all of the 20% coinsurance that Medicare does not cover.

Get Help to Cover the Cost of Your Walker

You don’t need to wonder, “Will Medicare pay for a walker?” You can apply for Medicare coverage and ensure that you receive the necessary assistance to maintain your mobility and independence. 

If you or someone you know wants to learn more about mobility options for seniors, be sure to visit SeniorSupported.com .

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Does Medicare Cover the UPWalker?

Mar 15, 2023

Medicare's DME coverage relies on several factors – including whether the DME supplier accepts Medicare.

Medicare Part B covers many types of durable medical equipment (DME), including canes, wheelchairs, and other mobility devices. To determine coverage, Medicare considers medical necessity, whether the FDA has approved the treatment, and whether the provider accepts Medicare.

Keep reading to learn more about Medicare's DME coverage, especially as it pertains to the UPWalker.

What is the UPWalker?

Made by LifeWalker Mobility Products, the UPWalker is a mobility device that helps the user stand more upright than many other walkers. It includes a backrest, built-in seat, is foldable, and comes in multiple different sizes.

According to the manufacturer, standard walkers force you to slouch, which can cause back and neck pain. The "upright walker" helps you achieve a more normal gait for greater stability, increased endurance, and less pain.

As a walker, it qualifies as DME. But does it meet the rest of Medicare's DME coverage requirements?

How does Medicare durable medical equipment coverage work?

The Medicare definition of durable medical equipment is "Certain medical equipment, like a walker, wheelchair, or hospital bed, that's ordered by your doctor for use in your home." To be considered DME, the equipment must be:

• Durable (holds up to repeated use)
• Have a projected lifespan of at least three years
• Medical (used for a medical necessity)
• Not generally useful to someone who is not injured or sick
• Used mostly in the home

In addition to this, there are four other requirements medical equipment needs to meet to be covered by Medicare:

• The doctor prescribing the equipment and the supplier of it must be enrolled in Medicare
• The item must be cost effective
• The item must be prescribed by a doctor
• The item must be medically necessary

The UPWalker qualifies for Medicare coverage on all counts then.

Unfortunately, Medicare isn't the only entity who has to "opt in" as far as DME coverage goes. The medical equipment supplier also has a role to play. And in this case, the supplier, LifeWalker Mobility Products, does not want to play that role.

Why doesn't Medicare cover the UPWalker?

For DME to be covered by Medicare, it must both meet Medicare's definition of durable medical equipment AND the supplier needs to accept Medicare reimbursement. While the UPWalker does meet the Medicare definition of DME, LifeWalker Mobility Products does not accept Medicare reimbursement, so it is not covered.

When it comes to Medicare participation, there are three types of providers:

• Participating providers accept Medicare, but do not accept Medicare reimbursement as full payment. Participating providers can charge up to 15% above the Medicare-approved cost, which is called an "excess charge."
• Providers who accept assignment accept Medicare reimbursement as the full payment for care or equipment.
• Providers who opt out of Medicare do not accept Medicare as an insurance.

The UPWalker falls under the final category. Its provider does not accept Medicare.

Does Medicare Advantage cover the UPWalker?

Medicare Advantage plans ( Part C ) are legally required to offer the same level of coverage as Original Medicare (Parts A and B). However, Advantage plans are sold through private insurers and often include a host of additional benefits that Original Medicare does not. Unfortunately, this does not apply to the UPWalker. If a provider does not accept Medicare, it is not allowed to accept Medicare Advantage . And since the producer of the UPWalker has opted out of Medicare, a Part C plan will also not be accepted.

What about Medicare Supplement Insurance?

Medicare Supplement Insurance, more commonly known as Medigap , helps pay some of your out-of-pocket costs when you have Original Medicare. However, it only covers costs for services that are covered by Original Medicare. And, since the UPWalker is not, Medigap cannot help.

How can I pay for an UPWalker?

Though Medicare does not cover the UPWalker, other insurance plans might. If you have a private insurance plan, check with your provider to see what your coverage is on different mobility aids. Again, the primary reason Medicare does not cover it is because the supplier does not accept Medicare, but that does not necessarily mean the manufacturer won't accept any insurance.

You can also pay for the UPWalker out of pocket without insurance. It costs, on average, between $600 and $700.

How does Medicare cover other mobility devices?

As stated above, there are specific criteria equipment must meet to be considered DME by Medicare. If it meets those requirements, then it should be covered under Medicare Part B. Examples of equipment include canes, hospital beds, walkers, and wheelchairs. It is important to make sure the supplier of the equipment you need is enrolled in Medicare, so be sure to check with both the company and your doctor.

After you have met your Part B deductible, you pay 20% of the Medicare-approved amount for any DME. Note that Medicare pays for equipment in different ways:

• You might have to purchase the equipment
• You might have to rent the equipment
• You might get to choose between purchasing or renting the equipment

We discuss Medicare's DME coverage in detail here .

And to learn more about Medicare plans in your area, check out our Find a Plan tool. Just enter your zip code to compare costs and benefits of Medicare plans in your area.

Additional resources

• ClearMatch Medicare: Find a Medicare Plan
• Medicare.gov: Glossary

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Does Medicare Cover Walkers? 

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Joining Medicare is a great way to get health care coverage as you age. However, the federal health care program won’t cover all your medical costs.

We often get asked at PolicyScout if Medicare will cover mobility devices like walkers. The short answer is yes, but there may be complications depending on the reason you’re getting it.

Read on to learn how Medicare coverage works and determine if you can get your walker covered.

What Is Medicare?

The federal Medicare program is medical insurance for seniors over 65, disabled individuals, and people who suffer from ESRD (End-Stage Renal Disease) and ALS (Lou Gehrig’s).

You can get two main types of Medicare cover: Original Medicare and Medicare Advantage.

Original Medicare is the government-run health program that covers Medicare Part A and Medicare Part B costs.

Medicare Advantage is the new name for Medicare Part C. These are health plans that fall under the Medicare program that private health insurance companies offer to eligible people.

There are also Medicare Supplement Insurance Plans and Prescription Drug Plans, which you can enroll in if you have Original Medicare.

Overview of the Medicare Parts

Medicare is split into different parts to help enrollees manage and pay for health care expenses.

Medicare Part A is coverage for in-hospital care, treatment, and services.

Medicare Part B relates to outpatient or general medical care that enrollees receive.

Medicare Part C is the old name for Medicare Advantage, which are private health plans that offer the same level of care as Original Medicare.

Medicare Part D relates to prescription drug coverage.

Does Medicare Pay For Walkers?

Depending on the type of Medicare coverage you have, you may be able to get your walker covered as durable medical equipment (DME).

DME is defined by the Centers for Medicare and Medicaid Services (CMS) as equipment that:

Has a covered medical purpose.

Can be used repeatedly.

Reduces the symptoms or causes of a covered condition.

Another consideration is the term ‘medically necessary’. Medicare will look at why you want to get a walker before covering the cost. If it’s for a medically approved purpose or reason, then your durable medical equipment will be covered by Medicare.

Getting a walker or any piece of durable medical equipment approved by Medicare will typically go like this:

You’ll consult with your primary care physician, who’ll refer you to a specialist.

The specialist will then examine you and recommend that you need a walker.

They will submit their recommendation to the CMS and they will decide whether or not to cover you.

If you’re approved, you’ll be able to get a walker, and the durable medical equipment manufacturer or Medicare approved supplier will send the bill to Medicare for reimbursement. 

Will Medicare Pay the Whole Cost of Getting a Walker?

If you apply for a walker through Medicare, Part B will cover the costs. With Part B expenses, Medicare will cover 80% of the approved amount of your device, and you’ll need to cover the remaining 20% as a coinsurance amount. 

Before this happens, you’ll also need to pay your annual Part B deductible (In 2022, this was $233). A deductible is a set amount that enrollees must pay before their Medicare cover starts for the year. If you haven’t paid your deductible, Medicare won’t cover you for any costs.

What Is an Approved Amount? 

All covered expenses under Medicare are paid at the CMS's rate. This is known as the approved amount or assignment and is applied to all services, tests, and items that you claim.

If you use a doctor's services or buy DME above Medicare-approved rates, the CMS will only cover their approved amount, and you’ll need to cover the difference.

For example, if the Medicare-approved rate for a walker is $500, and you buy a device that costs $550, they will only pay 80% of their approved amount ($400).

You will need to pay the remaining 20% ($100) and cover the difference between the agreed amount and what you were charged ($50).

Remember that if your doctor or DME manufacturer accepts Medicare assignment, they can charge a maximum of 15% more than the Medicare-approved amount.

If you’re worried about covering your coinsurance amount, you can look at Medicare Supplement Insurance Plans. These are private health plans that people with Original Medicare can join, which help pay for out-of-pocket costs.

Either way, be aware that there will be costs if Medicare covers your DME. Make sure that you’ve kept your premiums up to date and paid your deductible so that you don’t run into any surprises when you apply for your walker. 

If you’re interested in learning more about Medicare Supplement Plans and how they can help you save on out-of-pocket costs, reach out to a licensed insurance agent today on 1-888-912-2132.

What about Medicare Advantage?

If you’re a Medicare Advantage member, you’ll get the same coverage level as someone with Original Medicare. This is known as equivalent cover, and all private health plans that offer Medicare Advantage are required by law to provide their members the same coverage.

Medicare Advantage Plans usually offer their members additional benefits on top of the minimum coverage requirements. This is part of the reason that millions of Americans have joined Medicare Advantage.

Depending on your plan, you may be able to get a walker covered by your Medicare Advantage without having to go to a specialist. Your plan might also cover different types of walkers and give you more choice in choosing the style and design of your walker.

What Types of Walkers are There?

Different walkers can improve your overall quality of life depending on your mobility issues.

Here’s an overview of the different types of walkers:

The standard walker

A standard walker has four rubber-tipped legs that provide stability to the person using it. With this type of walker, a person must pick up the device with each step.

Two-wheel walkers 

Two-wheel walkers are similar to standard walkers, except that they have two wheels at the front of the device. With this type of walker, a person can slide the walker without having to lift it, and it is a good choice for someone who needs a bit of weight-bearing help.

Three-wheel walkers and four-wheel walkers

As the name suggest, four-wheel walkers allow a person to slide the device and don’t require that a person lifts their walker at all to move forward. Three-wheel walkers also enable the user to roll their walker but they are more maneuverable than four-wheel walkers. 

These walkers are ideal for people who require balance support but don’t need to lean on their devices when moving.

Depending on your symptoms and mobility needs, Medicare will cover all types of walkers. It’s best to speak to your physician or a mobility specialist beforehand to ensure you’re getting the right kind of walker for your situation. 

Other Considerations When Getting a Walker

Besides the sort of walker you get, there are other considerations you should keep in mind. Apart from making sure that your walker is adjusted to fit your height and proportions, here are some added features you can look into:

Selecting a grip

Changing the grip on your walker can improve comfort and your ability to use the device. Most walkers will come with a standard plastic grip. Other options include memory foam grips and cushioned grips, but they may cost more money to install.

Walker accessories

Depending on your needs, you may need to buy additional accessories for your walker to improve your overall mobility and quality of life.

For example, a tray accessory can help if you want to use your walker to eat or drink while you’re out and about.

Ask your doctor for their recommendations on what accessories you’ll need to get the most out of your walker. In some cases, Medicare may cover these additional features, but you should contact the CMS to make sure beforehand.

Where Can I Learn More about Medicare?

If you’re considering getting your walker covered through Medicare, be sure to speak to your doctor to understand what will be covered and what you’ll need to pay.

Medicare coverage can be challenging to navigate, so we’ve created articles to help you know what you can claim as a Medicare beneficiary. Here are some of our top picks:

Does Medicare Cover CPAP Machines

Does Medicare Pay for Lift Chairs

Does Medicare Cover Acupuncture

Does Medicare Cover Wheelchairs

Does Medicare Cover Preexisting Conditions

If you’d like to speak to an agent about Medicare coverage and how Medicare Advantage can help, reach out today on 1-888-912-2132 or send an email to [email protected] . 

Will Medicare Cover Walkers? Medicare Walker Coverage Explained

By: Chelsy Tomashoff

Last Updated: June 4, 2024

Need a walker to help with a medical condition? Does Medicare pay for walkers for seniors? Get answers to these questions and more in this article.

Are you asking yourself, does Medicare pay for walkers? How do I get durable medical equipment and walkers covered by Medicare? What are the best walkers?

Walkers can cost a lot . If they’re essential to your health, getting part of the cost covered by Medicare can go a long way!

We have a quick guide to your questions and more, whether it’s about Medicare or the best walkers for seniors .

Does Medicare Cover Walkers?

There are two factors that decide the answer to the question: “Does Medicare cover getting a walk er?”

If your doctor wrote a prescription for it and if Medicare deems the walker medically necessary , then it’s within coverage.

Generally, walkers are covered by Medicare as they’re considered Durable Medical Equipment (DME) under Part B .

How Do I Get My Durable Medical Equipment (DME) and Walkers Covered By Medicare?

Getting Medicare to pay for a walker has a few requirements you must follow. If you don’t, you may not get Medicare-approved.

Here are the requirements:

#1 Deemed Medically Necessary by Medicare-Approved Physician

The first requirement is to go to a Medicare-approved physician . They will perform a check-up and determine if a walker is considered medically necessary.

Being medically necessary means you need it to DIAGNOSE or TREAT an illness, injury, condition, disease, or its symptoms.

REMEMBER: You should get a physician or doctor that will accept Medicare. If you go to one that doesn’t, your Medicare might not cover walkers!

#2 Prescribed by Medicare-Enrolled Doctor

The doctor will then give a prescription based on their findings and check-up. If they determine that the walker is MEDICALLY NECESSARY, they will give you a prescription.

In some cases, your doctor will also have to provide the prescription or written proof to Medicare that using the walker will improve your health.

The doctor must show that you need more support than a cane or crutches. If these requirements are met, it should be covered under Medicare Part B.

#3 Both the Doctor and Medicare-Approved Supplier Accept Assignment

An important fact to remember is that Medicare can only cover Durable Medical Equipment like walkers with a Medicare-approved supplier with a Medicare supplier number.

Your doctor or healthcare provider can help you find a local elderly walker supplier near you that is Medicare-approved, or you can contact Medicare directly for assistance.

If both the Medicare-approved doctor and supplier accept the assignment, they both accept the Medicare-approved amount as FULL PAYMENT for a covered service .

Medicare will pay for the replacement of your walking aid if it gets lost or stolen . It will also pay for a replacement if the old walker gets worn out through regular use.

How Can Medicare Pay for a Walker?

There are two ways Medicare can pay for walkers — through Medicare Part B or Medicare Advantage Plan (Part C).

Using Medicare Part B (Original Medicare)

In most cases, you must first pay your yearly deductible , around $226, in 2023. Then, you’ll only have to pay 20% as an out-of-pocket expense from the Medicare-approved price.

This is because Medicare will pay for the remaining 80% of the cost.

The cost CAN CHANGE depending on certain circumstances, like whether you rent or buy the walker or the cost determined by the doctor and supplier.

Using a Medicare Advantage Plan (Part C)

Coverage for the Medicare Advantage Plan varies depending on the specifics of the plan . These plans are required to cover the same things that the original Medicare plan does.

Therefore, the Medicare Advantage Plan coverage should include walkers, canes, a wheelchair , or other DME (Durable Medical Equipment).

However, the requirements may vary. You can ask about these requirements and other information from a Medicare Advantage health insurance representative.

Medicare Supplement Plans

A Medicare Supplement Plan can help pay for the remaining 20% you’d normally have to pay. However, you may have to pay a deductible amount first.

Types of Walkers Covered By Medicare

Now, we’ll talk about the different types of walkers that your Medicare medical insurance offers.

Each one has specific features catered towards different people, so read carefully . You should pick one based on what your prescription says!

Traditional or Standard Walker

Standard walkers have four legs and need to be picked up and moved every time you take a few steps. A traditional walker is best used when walking SHORTER DISTANCES.

If you fall forward often, this type of walker will suit you . They’re usually lightweight, have an adjustable frame, and can be collapsed for easy transport.

The handlebars or hand grips can be made of rubber, plastic, foam, or gel. The rubber feet at the bottom of the legs help with reducing the chances of it slipping.

Upright Walker

An upright walker differs from other types of walkers because of the different positioning of the adjustable handlebars. They allow for different height and arm requirements.

Doing this puts less stress on the wrists and hands and more on the forearms , allowing for a more straight and upright walking position, hence the name.

This type of walker also reduces the pain in the lower back, neck, arms, and wrists that’s usually associated with standard walkers.

However, because of the higher center of gravity, this DME has a higher chance of tipping out of balance if the weight capacity is exceeded.

WARNING : Check the requirements for this Durable Medical Equipment, or ask your doctor if they’ve prescribed it to you.

Wheeled Walker

There are two types of wheeled walkers. One is the two-wheeled, and the other is the four-wheeled or rollator walker. Two-wheeled walkers also have four legs, similar to the standard walker.

However, the front has two wheels so that you can put your weight on them while moving. The back two legs remain the same to prevent the walker from rolling away when stationary.

On the other hand, the rollator walker has four wheels to help with FULL SUPPORT when walking.

For both types of wheel-based Durable Medical Equipment, you can choose smaller or larger wheels depending on the surface you’ll be using it on.

Frequently Asked Questions:

After learning about the answer to whether Medicare pays for a walker, you might still have other questions about Medicare or walkers.

We’ve answered the most commonly asked questions below:

How Many Walkers Will Medicare Pay For?

Medicare coverage will allow them to purchase a new walker every five years .

If your walker needs repair during that period, they’ll cover the costs. However, only a Medicare-approved supplier can repair the Durable Medical Equipment.

If the walker was lost, stolen, or damaged beyond repair, then Medicare will cover the cost and replace it for FREE!

What Kinds of Mobility Aids Will Medicare Cover?

Medicare Part B’s coverage includes power-operated vehicles like scooters and Durable Medical Equipment like wheelchairs.

It will only be covered if it’s deemed a MEDICAL NECESSITY by the appropriate medical specialist.

Does Every Walker Seller Accept Medicare?

No, not every seller you can purchase a walker from will allow or accept Medicare. They need to be an official Medicare-approved supplier or seller .

This is because, according to Medicare Part B, the coverage will only partially pay for the Durable Medical Equipment if both the doctor and the supplier are Medicare approved.

Does Medicare Coverage Include Canes and Wheelchairs?

According to Part B, Medicare will pay for 80% of the cost of a cane or wheelchair as long as you’re eligible. This means it needs to be deemed medically necessary by a physician.

The same deductible applies for canes and wheelchairs as it does for walkers because their coverage still falls under Part B.

Can You Buy a Walker and Canes or Wheelchairs at the Same Time?

You can buy these medical devices at the same time, but they might not all be covered by Medicare. It depends on the diagnosis or prescription of your specialist or doctor.

We hope we’ve answered the question “Does Medicare pay for a walker?” and your other questions about coverage, deductible, and different types of walkers! The important thing to remember is that, to get FULL COVERAGE, you should get a Medicare-approved doctor and supplier in your next purchase.

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asked on November 18, 2013

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