Insurance Form For Wheelchair

Liability insurance for wheelchairs.

Insurance form for wheelchair. Follow the instructions on the second page to submit the form to your carrier. You don t have to use the form. You can also get this form in spanish. All information content and materials available on this site are for general informational purposes only.

Auto insurance for wheelchair accessible vehicles expert advice auto insurance for wheelchair accessible vehicles can t be more expensive legally and auto insurance companies can t charge you more for your car insurance for disabled adapted vehicles because of the americans with disability discrimination act of 1990. This form will help you supply the right information with your precertification request. It has to be an absolute necessity not a luxury item primarily used for convenience. Your doctor must write an order indicating that you have a medical need for a wheelchair to get around in your home medicare will not cover a wheelchair if you only need it to get around outside your home or for leisure and recreational activities.

While most insurance companies don t offer policies specific to wheelchair accessible vehicles the cost and terms of your policy will reflect the specialized equipment contained inside your vehicle and any modifications made to your vehicle. This form replaces all other wheelchairs and power operated vehicles scooters precertification information request documents and forms. Medicare part b medical insurance covers power operated vehicles scooters and manual wheelchairs as durable medical equipment dme that your doctor prescribes for use in your home. Manual wheelchairs are less expensive than electric but they can still be quite costly.

Like all insurance providers bcbs doesn t want to cover anyone who wants a power wheelchair as a convenience item or to supplement the use of a manual wheelchair when your arms are sore from traveling long distances. If you don t know the address for your carrier you can look at your medicare summary notice msn. Small adjustments such as the addition of an exterior lift won t impact your insurance as much as larger modifications. Fill out the patient request for medical payment form cms 1490s you ll find the address for form submission in the instructions.

You must have a face to face examination and a written prescription from a doctor or other treating provider before medicare helps pay for a power wheelchair. Medicare part b medical insurance covers power operated vehicles scooters walkers and wheelchairs as durable medical equipment dme. If you have a prescription some insurance companies will cover the cost of a wheelchair.