As seniors age, mobility can become more complex. Many older adults use assistive devices like canes, walkers, or wheelchairs to help them get around safely. For seniors enrolled in Medicare, a common question is whether Medicare will cover the costs of these devices.
Medicare Coverage for Walkers
Traditional Medicare Part B provides limited coverage for durable medical equipment (DME) like walkers. Here are some key points about Medicare coverage for walkers:
- Medicare Part B covers walkers as DME if they are medically necessary and prescribed by a doctor. The doctor must document the medical need in your medical records.
- Only confident walkers are covered, including folding-wheeled and rolling walkers with seats. Decorative or lightweight walkers used primarily for stability may not be covered.
- Medicare will only cover one walker at a time. Medicare may cover a replacement if your walker is damaged or worn out.
- After you’ve met your annual Part B deductible, you will owe 20% of the Medicare-approved cost for the walker.
- Medicare will only cover walkers from specific approved suppliers. These are typically medical equipment suppliers that are enrolled with Medicare.
- Walker rental fees may be covered if you only need it temporarily. Long-term rentals are not covered.
- Medicare Advantage plans may offer more coverage for walkers than original Medicare, but this can vary by plan.
Other Walker Costs to Consider
Even with Medicare, there are often out-of-pocket costs for walkers beyond what your Part B coverage provides:
- You will owe 100% of costs if your supplier is not enrolled with Medicare. Always verify they accept Medicare assignment.
- Medicare will not cover accessories like baskets, trays, or upgraded handgrips for your walker. These are additional out-of-pocket costs.
- Medicare does not cover repairs and maintenance for your walker. This includes new wheels, brakes, or replacing worn handgrips.
- Delivery fees, taxes, and fitting costs are not covered and will be your responsibility.
Tips for Getting a Walker Through Medicare
If your doctor prescribes a walker, here are some tips to make the most of your Medicare benefits:
- Shop approved Medicare suppliers to get the best price. Compare selection and costs.
- Consider purchasing instead of renting if you will need the walker long-term. Purchasing may cost less over time.
- Ask your supplier to bill Medicare directly so you only pay your cost share amount.
- Look into some suppliers’ financial assistance programs if you cannot afford cost-sharing.
- Keep all documentation related to your walker if Medicare is billed. You may need this later.
Traditional Medicare provides some coverage for walkers, but there are limits. Knowing what expenses Medicare will and won’t cover can help you plan for any out-of-pocket costs so you can get the walker you need.