scooters made by Pride Health Care, Inc. are
recognized and qualify for potential reimbursement
under Medicare and other Health Care Insurance
Companies as a power operated vehicle or (P.O.V.).
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If you need a scooter for mobility and you meet
your insurance's coverage guidelines, they may
pay for all or part of the cost of the scooter.
Coverage criteria and payment amounts will vary
depending on the type of insurance you have.
Most heath care insurance companies, including
Medicare, have minimum requirements that need
to be met before they will purchase a scooter
Operated Vehicles (POVs)/Scooters
Medicare Coverage Criteria
A power operated vehicle (POV) is covered
when all of the following criteria are
1. The patient's condition is such that
a wheelchair is required for the patient to
get around in the home,
2. The patient is unable to operate a
3. The patient is capable of safely operating
the controls for the POV, and
4. The patient can transfer safely in
and out of the POV and has adequate trunk stability
to be able to safely ride in the POV.
Most POVs are ordered for patients who are capable
of ambulation within the home but require
a power vehicle for movement outside the home.
POVs will be denied as not medically necessary
in these circumstances.
A POV that is beneficial primarily in allowing
the patient to perform leisure or recreational
activities will be denied as not medically necessary.
If a POV is covered, a wheelchair provided at
the same time or subsequently will usually be
denied as not medically necessary.
A POV is usually covered only if it is ordered
by a physician who is one of the following specialties:
Physical Medicine, Orthopedic Surgery, Neurology,
or Rheumatology. When such a specialist is not
reasonably accessible, e.g. more than one day's
round trip from the beneficiary' s home, or
the patient' s condition precludes such travel,
a prescription from the beneficiary' s physician
may be acceptable.
If you feel you meet these requirements, you
may be eligible to receive the most stylish,
best performing and most reliable scooter available
on the market today. Please call us
at (845) 353-5451.