If you're in need of a patient lift, you might be frustrated by how expensive they can be...
But there's good news! There might be some situations where your insurance provider will pay for your patient lift.
In this article, we provides answers to the question "Does Medicare cover patient lifts?", including what you need to do to get your patient lifts covered by your insurance provider. Take a look at the important ones below - and remember to talk to your doctor about your treatment plan!
Does Medicare Cover Patient Lifts?
Yes, Medicare does cover patient lifts; however, you will probably need to get a prescription from your doctor. If you have original Medicare, which is also known as Medicare Part B, you have coverage for durable medical equipment, usually shortened to DME. If your doctor prescribes it, it should be covered by Medicare.
What does Medicare Consider to be a Patient Lift?
The exact definition can vary slightly, but a patient lift is usually described as a pole system that stretches from the floor to the ceiling. It is not permanently attached to the floor or the ceiling, and it is used in a room other than the bathroom. If you have questions about whether you are looking at a patient lift, you should reach out to Medicare for more.
Medicare Requirements for Patient Lift
Medicare has several requirements for a patient left. These include:
If the patient meets these criteria, the lift should be covered.
Does Medicare Require Face to Face with a Doctor for Patient Lifts?
No, Medicare does not necessarily require a face-to-face visit, but the doctor has to collect enough information to justify the lift. Therefore, you will probably still need to meet with the doctor face to face.
Do Medicare Patients Qualify for a Hoyer Lift?
Yes, Medicare patients can qualify for a Hoyer lift under code E0630.
Types of Patient Lifts Covered by Medicare
There are several types of patient lift that Medicare may cover. Medicare usually covers hydraulic lifts, manual lift, and stand assist lift. As long as they have been prescribed by a physician who accepts Medicare, the lift should be covered; however, Medicare usually does not cover an electric lift, as it is considered a convenience device.
Are Patient Lift Slings Covered by Medicare?
Yes, Medicare should cover patient lift slings as long as they have been ordered by the doctor with appropriate justification in the medical record.
Medicare Patient Lifts - Where to Purchase
There are several places you can purchase a patient lift; however, one of the best places to find them is online. If you have questions about where to get a good deal on your patient lift, you should talk to your medical provider to see if they have any referrals or discount codes you can use.
How do I Upgrade a Patient Lift with Medicare?
If you feel you need to upgrade your patient lift, you should talk with your doctor. Discuss the upgrades you're looking for. Then, see if your doctor feels like these are appropriate. If your doctor believes upgrading your lift can make a significant difference in your quality of life, he or she may be able to order a lift upgrade for you. If the doctor can prove to Medicare that this upgrade is required, Medicare should pay for it. Keep in mind that Medicare usually will not pay for devices of convenience, such as electric lifts.
Will Medicaid Pay for a Patient Lift?
Medicaid should pay for a patient lift. It usually falls under the category of durable medical equipment, or DME. Remember that Medicaid is usually rolled out from state to state. Therefore, the exact requirements, coverage, and reimbursement rates for patient lifts can vary depending on the state in which you live. If you have questions about whether your state's Medicaid will cover the cost of a patient lift, you should take a look at the details of your state’s plan. In general, as long as your doctor provides a detailed written order and backs up that order with evidence from the medical record, your lift should be covered. You may want to stay away from electrical lifts, as these can sometimes be considered items of convenience.
Free Patient Lifts for Veterans - How to get one
If you are a veteran and are looking for a patient lift, there are several options available for funding. You may want to take a look at TRICARE, which provides funding for the 20 percent of the bill not covered by Medicare Part B. You may also want to take a look at CHAMPVA for Life, or CFL, which also provides funding for the 20 percent not covered by Medicare Part B. Finally, take a look at Veterans Directed Home and Community Based Services. Qualified veterans could be given a certain amount of money to spend on durable medical equipment,or DME, which includes patient lifts. You may be able to use this money to pay for a patient lift.
Does Insurance Cover Patient Lifts? What You Need to Know
Yes, your health insurance plan should cover your patient lift as long as it is medically necessary. To prove that your patient lift is medically necessary, you will need to talk to your doctor and get an order from him or her. Then, your doctor will need to detail your condition in the medical record, demonstrating that the lift is medically required. If you would otherwise be confined to your bed without the lift, your health insurance provider should cover the cost.
Most health insurance providers will not pay for an electric lift as these are considered luxury items or items of convenience. Furthermore, there might be a deductible you need to meet before your health insurance provider will cover the rest of the expense. Finally, take a look at coinsurance to see if you need to pay for a percentage of the patient lift. That way, you don't get surprised by a bill later on.
Other Ways to Get a Free Patient Lift
If your health insurance provider will not pay for your patient lift, you may want to reach out to a local hospital to see if they have any connections with medical supply stores. Sometimes, they have excess supplies they're looking to get rid of, and they may be willing to give you a patient lift. Or, you may want to look at charity care programs in the local area to see if they have grants they can give to cover your lift.
Get Your Lift Covered by Insurance
Even though it can be a challenge to get your lift covered by insurance, there are ways for you to do exactly that. As long as your doctor says it is medically necessary, and as long as there is enough evidence in the medical record, your lift should be covered. Most health insurance providers will not cover an electric left, but a manual or hydraulic lift should be covered.