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Medicare & Private Insurance
All Rainbow Medical Supply online purchases are not eligible for Medicare or Insurance Coverage. However, you may contact our office to inquire about Medicare and insurance coverage eligibility, our customer service department may assist you and see if you qualify to receive up to 80% reimbursement on certain products CALL 718-375-5875.
Medicare eligibility requirements vary from product to product. Therefore, please read the guidelines below to determine whether your specific product qualifies for Medicare reimbursement. For other insurance providers, please contact the company directly to ascertain their policy for each item.
Please note that these guidelines apply generally but do not constitute a guarantee of reimbursement approval. For eligibility information please contact 1.800.Medicare or your insurance provider directly.
In cases of eligibility, to secure reimbursement you will need to:
+ submit a doctor’s prescription for the item ordered
+ proof of delivery, such as a packing slip or shipping receipt
+ and, in some cases (for Medicare reimbursements), Form 1490
Eligible products for reimbursement
Patient must suffer from major arthritis of the hip or knee, or from a severe neuromuscular disease.
Patient incapable of reaching a standing position
Patient must be incapable of reaching a standing position on his/her own from a standard armchair in his/her home. (Please note: Medicare does not qualify a patient who has difficulty rising from an arm-less chair, particularly a low one, but could rise on his/her own from a raised chair or one with arms. The chair lift reimbursement covers only those who cannot rise at all from an arm chair.) Once standing, the patient must have the ability to walk.
Medicare covers only
Note that, even in qualifying cases, Medicare covers only the seat-lift mechanism itself (typically up to $300, depending on the state). In addition, the patient’s attending physician for the condition under treatment must also be the prescribing physician for the chair lift.
Power Wheelchairs and Mobility Scooters
The patient must suffer from mobility-related limitations on daily living activities, such as eating, bathing, dressing, etc
The condition being addressed by the mobility device
The condition being addressed by the mobility device must be the exclusive cause of the above limitations, (for example, not by vision or cognition impairments), unless these can be addressed through caregiver support. (Please note: To qualify for a power wheelchair, it must be demonstrated that the added features of this device would be critical in helping the patient perform one or more of the above mobility-related daily living activities.)
Simple devices such as a cane, walker or manual wheelchair would not sufficiently address the mobility limitation.
Ability to operate the device safely
The patient demonstrates an ability to operate the device safely. (For a scooter, this includes possessing the necessary strength and postural stability.)
The patient’s environment
The patient’s environment must allow for the use of a power wheelchair or scooter in all places where the mobility-related activities of daily living normally occur (i.e., kitchen, bedroom, bathroom).
Bathroom Safety Aids
Medicare will not reimburse
Unfortunately, Medicare will not reimburse for most bathroom safety aids. Patient must be incapable of reaching a standing position on his/her own from a standard armchair in his/her home. (Please note: Medicare does not qualify a patient who has difficulty rising from an arm-less chair, particularly a low one, but could rise on his/her own from a raised chair or one with arms. The chair lift reimbursement covers only those who cannot rise at all from an arm chair.)
However, patients that are unable to access their bathroom may qualify for bedside commode
Patients may be eligible
Patients with a qualifying diagnosis may be eligible for a rehab shower commode chair.