IMPORTANT: Medicare will NOT help pay for a Lift Chair if ...

   • The patient is in hospital, skilled nursing facility, rehab or hospice.
   • Medicare has paid for a manual wheelchair, power wheelchair or scooter.
   • The patient can NOT ambulate after getting up from the chair.
   • Medicare has paid for a lift chair in the past 5 years.
   • The CMN is not completed correctly prior to the lift chair being delivered.

Note: Medicare pays approx. $290 for Lift Chairs, and secondary insurance if you have it, pays approx. $70.

Can we bill Medicare for a lift chair and what will they pay?

If your are not in an HMO or PPO then yes, we can bill Medicare for you. However, Medicare pays for the lift mechanism portion of the chair only. Medicare sets the bill amount at approximately $350 and covers 80 percent (approx. $290). If you have secondary insurance they can reimburse approximately $70. The customer will have to pay the full amount up front, then you should be reimbursed within 2-4 weeks after we bill Medicare.

HMO's and PPO's: If your in an HMO or PPO you will have to call your insurance company to find a provider in network and then compare our price for the same or similar lift chair. We can work with Humana, Blue Cross Blue Shield in some cases.

What qualifies me for a Medicare lift chair recliner?

Medicare has certain qualifications that must be met. A reclining lift chair is usually covered when all of the following criteria are met:

1. The patient must have severe arthritis of the hip or knee, or have a neuromuscular condition.

2. The seat lift mechanism must be part of the physicians course of treatment and be prescribed to effect improvement, or arrest or retard deterioration in the patients condition.

3. The patient must be completely incapable of standing up from a regular armchair or any chair in their home.

4. Once standing, the patient must have the ability to ambulate either independently or with the aid of a walker or cane. Transferring directly into a wheelchair will prevent Medicare from paying for the device.

Coverage Verification and Certificate of Medical Necessity: We must verify your coverage for reimbursement. In order to file a claim with Medicare for a lift chair, a Certificate of Medical Necessity (CMN) is required to be completed by your doctor prior to receiving the lift chair. The CMN is used by Medicare to determine if the Lift Chair is a medical necessity.

Do you bill secondary insurance companies for the 20 percent Medicare does not cover?

Yes. In most cases your secondary insurance company is automatically sent a bill for the 20 percent Medicare does not cover.

Do you work with patients who have no secondary insurance to cover the 20 percent Medicare does not cover?

Yes, we can work out payment plans to meet your needs. These are done on a case by case basis and one of our billing specialists can assist you.

Insurance / Medicare Covered Lift Chairs: We can work with some people who are in a PPO as their primary coverage but you must your insurance company first. I some cases we can also work with HMO's (like Secure Horizons HMO or Humana HMO). You would need to check with your provider who could be Unitedhealth, Wellpoint, AARP, Kaiser, Aetna, HCSC, Coventry, Highmark, Blue Cross, Blue Shield, Tricare, Cigna to qualify. Why us? - Lower co-pay to you and lower price to the insurance company.

What Products Are Medicare Covered That We Bill For? Medicare Covered Recliner Lift Chairs.

IMPORTANT: WE NO LONGER BILL MEDICARE FOR MOBILITY SCOOTERS.

Cities and areas we have Medicare coverage for lift chairs, recliner lift chairs, lifting recliners, lift assist chairs, chairs that raise you up in or near: AL: Birmingham, Montgomery, Mobile, Huntsville. AZ: Phoenix, Tucson, Mesa, Glendale, Chandler, Scottsdale, Gilbert town, Tempe, Peoria. AR: Little Rock. CA: Los Angeles, San Diego, San Jose, San Francisco, Fresno, Long Beach, Sacramento , Oakland, Santa Ana, Anaheim, Bakersfield, Riverside, Stockton, Chula Vista, Modesto, Fremont, Irvine, San Bernardino, Glendale, Huntington Beach, Moreno Valley, Oxnard, Fontana, Ontario, Rancho Cucamonga, Santa Clarita, Oceanside, Garden Grove, Santa Rosa, Pomona, Corona, Lancaster, Salinas, Pasadena, Torrance, Hayward, Palmdale, Escondido, Orange, Fullerton, Elk Grove, Sunnyvale, Thousand Oaks, El Monte, Concord, Simi Valley, Visalia, Vallejo, Inglewood, Santa Clara , Costa Mesa, Roseville, Downey, Victorville, West Covina, Fairfield, Norwalk, Burbank, San Buenaventura (Ventura), Richmond , Berkeley, Daly. CO: Denver, CO Springs, Aurora, Lakewood, Fort Collins, Thornton, Arvada, Westminster, Pueblo. CT: Bridgeport, Hartford, New Haven, Stamford, Waterbury. DC: District of Columbia. FL: Jacksonville, Miami, Tampa, St. Petersburg, Orlando, Hialeah, Fort Lauderdale, Tallahassee, Cape Coral, Port St. Lucie, Pembroke Pines, Hollywood, Coral Springs, Gainesville, Miramar, Clearwater, Pompano Beach, Palm Bay. GA: Atlanta Georgia, Augusta, Richmond, Columbus, Savannah, Athens, Clarke. ID: Boise. IL: Chicago, Aurora, Rockford, Joliet, Naperville, Springfield, Peoria, Elgin. IN: Indianapolis, Fort Wayne, Evansville, South Bend. IA: Des Moines, Cedar Rapids. KS: Wichita, Overland Park, Kansas, Topeka, Olathe. KY: Louisville, Jefferson, Lexington, Fayette. LA: New Orleans, Baton Rouge, Shreveport, Lafayette. MD: Baltimore. MA: Boston, Worcester, Springfield, Lowell, Cambridge. MI: Detroit, Grand Rapids, Warren, Sterling Heights, Ann Arbor, Lansing, Flint. MN: Minneapolis, St. Paul. MS: Jackson. MO: Kansas, St. Louis, Springfield, Independence. MT: Billings. NE: Omaha, Lincoln. NV: Las Vegas, Henderson, Reno, North Las Vegas. NH: Manchester. NJ: Newark, Jersey, Paterson, Elizabeth. NM: Albuquerque. NY: New York, Buffalo, Rochester, Yonkers, Syracuse. NC: Charlotte, Raleigh, Greensboro, Durham, Winston-Salem, Fayetteville, Cary town, High Point. OH: Columbus, Cleveland, Cincinnati, Toledo, Akron, Dayton. OK: Oklahoma, Tulsa, Norman. OR: Portland, Salem, Eugene. PA: Philadelphia, Pittsburgh, Allentown, Erie. RI: Providence. SC: Columbia, Charleston. SD: Sioux Falls. TN: Memphis, Nashville, Davidson, Knoxville, Chattanooga, Clarksville. TX: Houston, San Antonio, Dallas, Austin, Fort Worth, El Paso, Arlington, Corpus Christi, Plano, Garland, Laredo, Lubbock, Irving, Amarillo, Brownsville, Grand Prairie, Pasadena, Mesquite , McAllen, Carrollton, Waco, Abilene, McKinney, Denton, Killeen, Beaumont , Midland, Wichita Falls. UT: Salt Lake, West Valley, Provo, West Jordan. VA: Virginia Beach, Norfolk, Chesapeake, Arlington, Richmond, Newport News, Hampton, Alexandria, Portsmouth. WA: Seattle, Spokane, Tacoma, Vancouver, Bellevue. WI: Milwaukee, Madison, Green Bay.

Providers in Colorado for Medicare lift chairs, lift chair recliners in or near: Wheat Ridge, Commerce City, Lakewood, Englewood, Sherrelwood, Welby, Arvada, Westminster, Federal Heights, Aurora, Greenwood Village, Littleton, Thornton, Applewood, Northglenn, Fort Collins, Boulder, Broomfield, Golden, Louisville, Thornton, Longmont.