what to expect
Understanding the Insurance Process for Mobility Equipment
Because most of our mobility equipment can be covered by insurance, our process is centered around working closely with your insurance provider every step of the way. From your initial evaluation to the final delivery, our dedicated medical documentation team ensures everything is in place to help you get the equipment you need.
Once we receive a referral, our insurance process follows three key steps:
1. Verification
We begin by verifying your insurance coverage. This includes checking:
- Your insurance benefits and eligibility
- Whether the requested equipment qualifies under your plan
2. Prior Authorization
Next, we submit the necessary documentation to your insurance provider for approval. This includes:
- Gathering and reviewing medical records
- Submitting the request for authorization
- Developing your mobility equipment prescription
The approval timeline can range from 15 to 60 days, depending on your insurance provider. Having complete documentation upfront can help avoid delays.
3. Follow Up
We regularly check the status of your submission and process approvals as they come in:
If a request is denied, we’ll begin the appeal process and work with your provider to seek approval.
Insurance Tips to Keep Things Moving Smoothly
- Provide both primary and secondary insurance information when you start the process to avoid unnecessary delays.
- Medicare only covers one wheelchair every 5 years, unless your medical condition changes.
- If you have standard Medicare, we will need your Medicare Beneficiary Identifier (MBI) to verify your coverage.
- Always reach out to your sales representative with any questions about the insurance process.
- If you’re using insurance for rental equipment, notify us right away of any changes to your coverage during the rental period to prevent interruptions.