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Your Medicare Coverage

Information provided is for the state of South Carolina

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

Wheelchair Seating
Coverage under Medicare General use wheelchair seat and back cushions are covered for patients who have wheelchairs that meet Medicare coverage criteria.

A skin protection seat cushion, positioning seat cushion, positioning back cushion and positioning accessory and custom seat and back cushions are also covered if criteria for those items are met.

Medicare will deny a seat or back cushion to be used with a transport chair as not medically necessary.

Medicare covers a headrest if the patient has a covered manual tilt-in-space, manual semi or fully reclining back or power tilt and/or recline power-seating system.

An order for each item billed must be signed and dated by the treating physician, kept on file by the supplier, and made available to the DMERC upon request.
The amount you need to pay You pay 20% of Medicare-approved amounts.

High frequency chest wall oscillation devices are in the General Prosthetics and Orthotics Devices category of DME; that means items in this policy are purchased. 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.
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
  1. You must pay an annual $135 (in 2009) deductible for Part B services and supplies before Medicare begins to pay its share.
  2. Actual amounts you must pay may be higher if a doctor, health care provider, or supplier does not accept assignment.

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For more detailed information on National or Local Coverage please visit the Medicare Coverage Database on www.cms.hhs.gov.

Medicare Claims, Appeals Information, and Medicare Summary Notices

Your Medicare Coverage Home New Search

Page Last Updated: May 8, 2009

 

 
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