Medicare Blog

how can we get medicare to pay for a stair chair in a home

by Guy Hermann Published 2 years ago Updated 1 year ago
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Medicare’s Part B includes coverage for durable medical equipment (DME), such as wheelchairs, and walkers, but stair lifts are usually not included in these benefits. In some cases, individuals eligible for Medicaid may get assistance paying for a stair lift through Home and Community Based Services.

Full Answer

Does Medicare pay for stair chairs with a lift?

However, such a feature would only be available in a high-end stair chair, which would cost considerably more than the amount original Medicare would reimburse the purchaser. In other words, the amount of financial assistance would be less than the extra cost for a stair lift that has that feature.

Can I get financial aid to buy a stair lift?

There are several sources that you can look into that can provide you with financial aid to help with stair lift costs. The company you purchase your stair lift from may also be able to help you to find some payment options that you may qualify for Another simple solution may be to purchase or rent a used stair lift.

When does Medicare not pay for a wheelchair?

The patient has severe arthritis of the hip or knee, or a severe neuromuscular disease When standing, the patient can walk independently or with the aid of a walker or cane; transferring directly to a wheelchair can prevent Medicare from paying for the device

Are stair lifts tax deductible?

Should the cost of a stair lift come out of pocket, it is tax deductible as a Medical and Dental Expense. Did You Know? Seniors are eligible to receive free, non-binding quotes for bathroom safety modifications.

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Is a chairlift covered by Medicare?

Medicare considers a lift chair to be durable medical equipment (DME) and will pay for some of the costs for the chair. You must have a doctor's prescription for the chair and purchase it from a Medicare-approved supplier.

How do I get Medicare reimbursement for a lift chair?

Lift chairs are usually prescribed to assist patients with severe arthritis, muscular dystrophy or other neuromuscular diseases. Your doctor must fill out a certificate of medical necessity for a seat lift mechanism, CMS-849, for you to qualify for Medicare reimbursement.

How much does a chair that goes up the stairs cost?

We carry multiple options and at one of our stair lift showrooms you'll be able to see Stannah, Bruno and Acorn chair lifts on the stairs. Generally, straight stair lifts cost between $2,500 and $5,500. Several popular stairlift models with enhanced safety and reliability features cost between $3,000 to $4,500.

Does AARP Medicare Advantage cover stair lifts?

Unfortunately, the short answer is no. Stair lifts are not covered by Medicare because Medicare identifies a stair lift as a home modification rather than Durable Medical Equipment (DME).

What diagnosis will cover a lift chair?

Determining medical necessity: A lift chair's seat lift mechanism may be considered medically necessary if the following requirements are met: The patient has severe arthritis of the hip or knee, or a severe neuromuscular disease. The patient is completely incapable of standing up from a regular chair.

Will Medicare pay for a power lift recliner?

Yes, lift chairs are covered by Part B of your Medicare coverage. They are considered durable medical equipment (DME) used to treat certain conditions like arthritis or other balance or mobility issues. These standards should be included in any Medicare Advantage Plan, too.

How do you qualify for a stair lift?

You can apply if you're disabled and either own your own home or are a tenant. The council will assess whether installing a stairlift is “necessary and appropriate” for your needs. The work required needs to be considered “reasonable” and must be able to be carried out given the condition of the property.

Is there an alternative to a stair lift?

The number one alternative to a stairlift is the Stair Walker AssiStep. Unlike stairlifts, the AssiStep enables you to remain active, but at the same time get the needed extra support while climbing stairs. You get the extra support needed to continue climbing stairs using your own muscles.

What do you call the chair that goes up and down stairs?

The term “stair elevator” has been gaining in popularity lately, and we can see why. These devices are quite literally chairs that elevate the rider easily between floors.

Is a stair lift tax deductible?

Yes, maybe. Stairlifts are definitely tax deductible if it is “medically necessary.” This means a medical professional has prescribed you or your loved one a stairlift in order to preserve or increase their quality of life.

Are grab bars covered by Medicare?

Grab bars are considered durable medical equipment (DME) by Medicare, falling into the same category as walkers, canes, and stair lifts. To qualify for this classification, the product must be something used in your home for a medical reason.

How do you measure stairs for a stairlift?

0:0614:21Harmar Stair Lift Measuring Guide for All Stair Lifts - YouTubeYouTubeStart of suggested clipEnd of suggested clipMake sure the tip of the tape measure reaches to the bottom landing floor. Now measure the rise andMoreMake sure the tip of the tape measure reaches to the bottom landing floor. Now measure the rise and the run of the steps. Use something flat like a book so you get a square measure of the rise.

How much does a stair lift cost?

If you have to pay the full price for a stairlift, the cost could range anywhere from $2,000 up to $5,000 or more (including the cost of installation) depending on the make and model of the lift.

What is a patient lift?

A patient lift is a device that helps a person move from a chair to a bed or something similar.

Does Medicare cover stair lifts?

The answer is…. No, Medicare does not cover stair lifts or the installation of stair lifts in your home. However, there maybe be other options for you to get a stair lift without paying the full price.

How much does a stair lift cost?

A variety of factors affect the difficulty, and thus, the cost of a stair lift install. Most professionally installed stair lifts cost between $500 and $1,500 for the labor. Some stair lift manufacturers or resellers include the cost of installation in the purchase price of the product.

How much does it cost to rent a stair lift?

The option to rent is only available for straight staircase stair lifts and averages between $200 and $500 / month.

How long is a stair lift?

Some staircases may be too narrow to accommodate any stair lift. Length of Stairway – most stair lifts provide enough track or rail for about 15 feet of run (distance from base to top, not vertical height).

How wide is a stair block?

These are blocks approximately one-foot-wide, the width of a stair and one-half the height of a stair. A block is placed on each step and when a user climbs, they alternate between the regular stair and the block. Stair blocks make climbing easier, but the individual still must climb and may still experience a fall.

What are other sources of financial assistance?

Other possible sources of assistance include low interests or conditional loans from state assistive technology programs. While all states have assistive technology programs (or projects), not every state has a loan program.

Does Medicare cover stairs?

But Medicare Advantage plans may cover the cost. There is one possible exception to this rule in regards to original Medicare. Original Medicare might pay for a small portion of the cost if the stair lift has an elevating seat, which helps the rider to sit down and get up from the chair safely.

Can I install a stair lift yourself?

Installing a stair lift can be a very straight-forward, do it yourself project or a very complicated, multi-day project requiring both a professional installer and an electrician. Installations tend to be a lot simpler for straight staircases with adequate clearance at the base and top of the stairway.

How much does Medicare reimburse for lift chair?

Depending on the state you live in, the reimbursement amount may be around $300, and you would have to pay the rest. Like all Part B items covered by Medicare, after paying the annual deductible, you will pay 20 percent of the Medicare-approved amounts for the lift chair if you buy from a supplier that accepts assignment.

What to do if you get Medicare Advantage?

If you get your Medicare benefits through a Medicare Advantage Plan, talk to your private insurance provider about coverage rules, costs, and suppliers to use when getting a lift chair.

What is a lift chair?

A lift chair looks like a large comfortable leather or fabric recliner that could sit in your living room. Yet what makes a lift chair different from a regular chair is its seat-lift mechanism that tilts the base and back of the chair forward to help raise you up into a standing position or lower you back into a seated position without other help.

Why do people need lift chairs?

People who need help getting in and out of their chair daily due to life changes such as aging, arthritis, or a recent mobility-limiting surgery, often consider buying a lift chair.

Is a lift chair covered by Medicare?

The seat lift mechanism for a lift chair may be covered by Medicare if the following criteria are met: Medicare coverage: You must have Medicare Part B (Medical Insurance) or a Medicare Advantage Plan (Part C).

Is a lift chair the same as a patient lift?

A lift chair is different from a stair lift; a chair used to carry people up and down a staircase. Nor is it the same as a patient lift; an assistive device that helps caregivers move their loved ones from one location to the next – such as from a bed to a wheelchair.

Does Medicare pay for lift chair?

While Medicare typically won’t pay for a lift chair in full, Medicare Part B (Medical Insurance) or Medicare Part C (Medicare Advantage) may cover the seat-lift mechanism as durable medical equipment (DME) if your doctor determines that it’s medically necessary and will help your condition.

How much does a chair lift cost?

On average, the purchase price of a chair lift can range anywhere from $3,000 to $5,000 for a straight staircase. If you have a curved staircase you can probably expect to pay $10,000 or more. The cost seems high, but considering the value that the stair lift gives seniors and disabled persons it makes the price tag much more reasonable.

Can you deduct home modifications for seniors?

This means that you must have a prescription or written recommendation from your doctor. Generally, most home modifications that are done for the purpose of making the home a safer environment for the senior who is aging in place can be tax deductible.

Does Medicaid pay for stair lifts?

Medicaid in your state may pay for a portion. The Veteran’s Administration (VA) may pay for a portion. Local and state programs. The company you purchase your stair lift from may also be able to help you to find some payment options that you may qualify for. Below are some details on each of these options.

What is a waiver for medicaid?

Essentially a waiver allows the recipient or their family to waive an aspect of their Medicaid care, in favor of receiving the benefit in a different way. Waiver programs give Medicaid recipients a choice as to how to receive their Medicaid coverage, without compromising future benefits.

What is level of care required?

Level of Care Required means that an individual must be eligible to receive a specific level of care through regular Medicaid to utilize a waiver program. For instance, someone who receives Medicaid but is capable of living with their family or on their own, often does not meet the required level of care.

Is a stair lift covered by medicaid?

Yes, stair lifts are covered by Medicaid for qualified individuals through Home & Community Based Services or HCBS Wa ivers. While coverage depends on your state and Medicaid eligibility, many state Medicaid programs will pay for part or all of the cost to install a stair lift in your home ...

What Is a Lift Chair?

Lift chairs, which look quite similar to traditional recliners, help users shift from a seated to a standing position at the press of a button. As the seat rises on an incline, its angle eases its occupant to a standing or seated position. Some lift chairs come with extra comforts such as heating and massage.

Who Would Benefit From a Lift Chair?

Ideal for older individuals who struggle with balance, mobility, or pain, lift chairs can help those with trouble sitting or standing up. They’re especially helpful for those with muscle or joint disorders and people recuperating from surgeries.

Does Medicare Cover Lift Chairs?

While Medicare provides coverage for lift chairs, it does not cover all costs related to the chair. Coverages vary based on the type of Medicare you’re enrolled in. Furthermore, Medicare solely contributes to paying for the costs of the chair’s lifting device, not its fabric, cushions, accessories, or extra upgrades.

Cost of Lift Chairs Through Medicare

Lift chairs can be expensive, typically ranging from $400 to $2,000 depending on the supplier and any additional features. Median lift chair costs are about $700.

Lift Chair and Medicare Eligibility for Coverage

Eligibility for Medicare Part B coverage of a lift chair involves several requirements:

How to Pay for a Lift Chair Through Medicare

Use the step-by-step process detailed below as a guide to ensure reimbursement for your lift chair through Medicare.

Getting Started

While Medicare won’t cover the entire cost of your lift chair, it can certainly be a helpful way to offset the high price tag. Be sure to obtain your prescription and save your receipts to ensure you’ll receive the reimbursement you deserve.

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