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A general use seat cushion and a general use wheelchair back cushion are covered for a patient who has a manual wheelchair or a power wheelchair with a sling/solid seat/back which meets Medicare coverage criteria. If the patient does not have a covered wheelchair, then the cushion will be denied as not medically necessary. If the patient has a scooter or a power wheelchair with a captain's chair seat, it too will be denied as not medically necessary.
The Right Chair: We fit your power wheelchair to your body measurements for complete comfort. We guarantee your new power wheelchair will fit your body proportions and will work in your home.
Delivery and Training: We deliver our power wheelchairs and mobility scooters right to your home with no delivery fees. At delivery, we teach you how to operate your new power wheelchair throughout your home. Based on Medicare guidelines, we are responsible for delivery, setup, and training of equipment.
Service: We have in home as well as in store service for your convenience. Most service issues can even be solved over the phone or in your home. If your wheelchair requires more extensive repairs, a temporary loaner can be provided until your wheelchair is repaired.
Durable medical equipment such as Manual Wheelchairs are covered only when meeting the correct criteria, prescribed by a doctor and when provided by a supplier approved by your insurance. You can find out what equipment is covered, and whether a supplier is approved, by calling your carrier.
Your physician must write a prescription. The physician must then complete and sign a Certificate of Medical Necessity (CMN), or a form that describes the nature of your condition, this is called a Written Confirmation of Verbal Order. We forward the Certificate of Medical Necessity (CMN) or Written Confirmation of Verbal Order to the physician. The physician completes these forms and returns them to us for submission.
For a power wheelchair or mobility scooter to be covered, the treating physician must conduct a face-to-face examination of the patient before writing the order and submit to Butte Therapy Sytems within 45 days of the face-to-face examination and prior to delivery of the device. If this requirement is not met, the claim will be denied as non-covered.
Medicare pays for standard/lightweight manual wheelchairs and transport wheelchairs on a capped rental basis. This means that the equipment is rental 13 months and is the property of Butte