Will Medicare Pay for a Lift Chair?
A lift chair can make life easier for those with mobility challenges, such as arthritis or recovering from surgery, by helping them transition between sitting and standing. However, these chairs can be expensive, leaving many wondering, “Will Medicare cover the cost of a lift chair?” The answer is: Medicare Part B or Medicare Advantage (Part C) may cover the seat-lift mechanism if it’s deemed medically necessary. Let’s explore how Medicare covers lift chairs, what to expect, and how you can qualify.
What is a Lift Chair?
A lift chair looks like a standard recliner, but it includes a seat-lift mechanism that tilts the seat forward to assist users in standing up or lowering them gently back into a seated position. It is not the same as:
Stair lifts, which carry individuals up and down stairs.
Patient lifts, which help move someone between locations, such as from a bed to a wheelchair.
Lift chairs are typically upholstered in fabric or leather and are comfortable enough to blend seamlessly into your living room furniture.
Will Medicare Pay for a Lift Chair?
Medicare does not cover the full cost of a lift chair but may cover the seat-lift mechanism under durable medical equipment (DME) benefits, provided certain conditions are met. Here’s what you need to know:
Medicare Part B or Medicare Advantage (Part C) must provide your coverage.
A Certificate of Medical Necessity (Medicare form CMS-849) must be completed by your physician, confirming that the lift chair is medically necessary.
The lift chair must be part of your treatment plan to improve or slow the progression of your condition.
How Do You Qualify for Medicare Coverage of a Lift Chair?
Medicare covers the seat-lift mechanism of a lift chair if:
You have severe arthritis in the hip or knee or a neuromuscular disease.
You are unable to stand from a standard chair on your own.
Once standing, you can walk independently or with the help of a walker or cane (Medicare may not cover the mechanism if you use a wheelchair).
The lift chair is part of your doctor’s treatment plan to improve or manage your condition.
Additionally, the lift chair must be purchased from a Medicare-participating supplier who accepts assignment, meaning they accept Medicare’s approved amount as full payment for covered services.
How Much Will Medicare Pay for a Lift Chair?
If you qualify, Medicare Part B typically covers only the seat-lift mechanism—not the entire chair. The reimbursement amount for the seat-lift mechanism is usually around $300, but you are responsible for:
20% of the Medicare-approved amount after meeting your Part B deductible.
Any remaining cost of the chair beyond the seat-lift mechanism.
Where Can You Buy a Lift Chair?
To ensure Medicare covers the lift chair’s seat-lift mechanism:
Visit Medicare.gov to search for suppliers who accept Medicare assignment.
Look for suppliers marked with an “M” symbol, indicating they accept the Medicare-approved amount as full payment.
If you have Medicare Advantage (Part C), follow your plan’s specific guidelines for approval and purchase. Contact your plan’s customer service to confirm your steps for coverage.
Need Help Navigating Your Medicare Options?
A lift chair can make daily life easier for those with mobility issues, but it’s important to understand Medicare’s coverage rules. If your doctor determines it’s medically necessary, Medicare will help cover the cost of the seat-lift mechanism, making this essential device more affordable. Don’t hesitate—call us today at 281-466-9985 to explore your Medicare options and ensure you receive the care and equipment you need!
