How to Get a Medicare-Covered Mobility Scooter: Eligibility, Coverage & Steps
If mobility is becoming a challenge, a scooter can help you regain independence. For qualifying individuals, Medicare may cover most or even all of the cost of a mobility scooter, making it a practical and affordable option for seniors and people with disabilities.
Here’s a step-by-step guide to determine eligibility, understand coverage rules, and secure a scooter through Medicare or Medicaid.
Step 1: Determine If You’re Eligible Through Medicare
To qualify for a Medicare-covered mobility scooter, you must meet the following criteria:
- You have a medical need for a mobility aid due to a health condition
- You have limited mobility that interferes with basic daily activities such as bathing, dressing, or moving around your home
- You are unable to use a cane, walker, or manual wheelchair safely
- You can operate the scooter independently or have someone available to assist
- A Medicare-approved doctor must evaluate your condition and write a prescription
This evaluation must occur during an in-person visit and include documentation supporting your need.
Step 2: Understand Medicare Coverage Guidelines
Medicare Part B covers 80% of the approved cost for durable medical equipment (DME), including mobility scooters, after you meet your Part B deductible.
Key guidelines include:
- The supplier must be Medicare-enrolled and accept assignment
- The scooter must be medically necessary for use inside your home
- You’re responsible for 20% of the cost unless you have supplemental coverage
Costs may vary depending on your location and whether you choose to rent or purchase the scooter.
Step 3: Explore Medicare Advantage Plan Benefits
Medicare Advantage (Part C) plans often provide additional benefits beyond traditional Medicare, including:
- $0 out-of-pocket costs for mobility scooters (in some plans)
- Broader selection of approved suppliers and scooter models
- Streamlined approval and faster delivery
- Potential for home assessments or virtual evaluations
Contact your Medicare Advantage plan directly to ask about scooter benefits and coverage limits.
Step 4: Check Medicaid Eligibility for Mobility Scooters
If you qualify for both Medicare and Medicaid (dual-eligible), you may receive even more comprehensive coverage, including:
- 100% coverage of scooter costs with no out-of-pocket expenses
- State-specific programs that allow for broader scooter approval
- Expanded provider networks for faster access and delivery
Coverage rules vary by state, so it’s important to check with your local Medicaid office or managed care plan.
Additional Tips to Secure a Medicare-Covered Scooter
- Get documentation from your doctor outlining your diagnosis, mobility limitations, and the medical necessity of a scooter
- Ask your provider if they work with specific DME suppliers who bill Medicare directly
- Look for suppliers that offer help with paperwork and Medicare coordination
- Schedule a home safety assessment if your plan or doctor recommends it
- Consider extra coverage (like Medigap) to pay for the 20% Medicare doesn’t cover
Conclusion
Getting a Medicare-covered mobility scooter doesn’t have to be complicated. With the right paperwork, a medical evaluation, and an approved supplier, you may qualify for a scooter that’s mostly or even fully covered—especially if you have a Medicare Advantage or Medicaid plan. Regain your mobility and independence by taking the first step toward coverage today.
Sources
Medicare.gov – https://www.medicare.gov
CMS.gov – https://www.cms.gov
Social Security Administration – https://www.ssa.gov
National Council on Aging – https://www.ncoa.org
Medicaid.gov – https://www.medicaid.gov