Your Medicare Coverage

Information provided is for the state of South Carolina

The Medicare coverage information matching your selection criteria is shown below.

Power Operated Vehicles (POVs)
Coverage under Medicare	Medicare covers a Power Operated Vehicle (POV) when the patient requires a wheelchair, but cannot maneuver a regular wheelchair. The patient must be able to safely work the controls of a POV, safely get in and out of a POV and safely sit in a POV without additional support. A POV must be used inside the home, and not for leisure activities. An order (prescription) must be on file with the supplier. It must be signed and dated by the treating doctor. Also, supporting documentation for the medical need of this item must be on file. Please contact your treating doctor and your Medicare supplier for additional information regarding the coverage and documentation requirements for your Power Mobility Device (PMD). WHEN A CERTIFICATE OF MEDICAL NECESSITY (CMN) IS REQUIRED Claims for Power Mobility Devices (PMDs) with dates of service prior to May 5, 2005: Suppliers must submit claims for PMDs with fully completed and signed Certificates of Medical Necessity. Prior to April 2006, claims for Power Mobility Devices (PMDs) with dates of service on or after May 5, 2005: Suppliers must submit claims for PMDs with partially completed and unsigned Certificates of Medical Necessity. After April 2006, claims for Power Mobility Devices (PMDs) with dates of service after May 5, 2005: Suppliers should not submit Certificates of Medical Necessity with claims for PMDs. Make sure your supplier is enrolled in Medicare and has a Medicare supplier number. Suppliers have to meet strict standards to qualify for a Medicare supplier number. Medicare won’t pay your claim if your supplier doesn’t have a number, even if your supplier is a large chain or department store that sells more than just durable medical equipment (DME).
The amount you need to pay	You pay 20% of Medicare-approved amounts. You may rent or purchase POVs. For more information, you may call 1-800-MEDICARE (1-800-633-4227). If a supplier of DME doesn’t accept assignment, there is no limit to what you can be charged. You also may have to pay the entire bill (your share and Medicare’s share) at the time you get the DME. Note: Ask if the supplier is a participating supplier in the Medicare program before you get durable medical equipment. If the supplier is a participating supplier, they must accept assignment. If the supplier is enrolled in Medicare but isn’t “participating,” they have the option to accept assignment. If the supplier isn’t enrolled in Medicare, Medicare won't pay your claim. Medicare will not cover a POV if it is needed only for use outside the home (e.g., leisure activities).
The part of Medicare that pays for this service or supply	Part B Benefit
Medicare Contact for additional information	State of South Carolina DME MAC -- Durable Medical Equipment Medicare Administrative Contractor: 1-866-270-4909 CSR toll free
Important notes	You must pay an annual $135 (in 2009) deductible for Part B services and supplies before Medicare begins to pay its share. Actual amounts you must pay may be higher if a doctor, health care provider, or supplier does not accept assignment.

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Page Last Updated: May 8, 2009


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