Are upright walkers covered by Medicare?

If you're wondering whether Medicare covers upright walkers, you're in luck. The good news is that Medicare does cover upright walkers under certain conditions. Let's break it down and make it easy to understand.

What is Upright Walker?

Upright walkers, also known as stand-up walkers, are designed to help you maintain a more upright position while walking. They're a bit different from regular walkers because they have adjustable handlebars that put less stress on your wrists and hands, and more on your forearms. This can be really helpful if you have issues with your back, neck, or wrists.

ELENKER Upright Walker Stand Up Rollator Walker

Does Medicare Cover Upright Walkers?

Yes, Medicare does cover upright walkers, but there are a few things you need to keep in mind.

Medical Necessity

Medicare only covers walkers that are deemed medically necessary. This means your doctor has to prescribe the walker to help treat or manage a medical condition. So, you'll need a doctor's order stating that you need an upright walker for your health.

Supplier Enrollment

The company you buy the walker from must be enrolled in Medicare. This is important because if the supplier isn't enrolled, Medicare won't pay for it. You can check Medicare.gov's supplier directory to find a suitable supplier.

Coverage Limits

Medicare Part B generally covers 80% of the Medicare-approved amount for the walker. You'll typically be responsible for the remaining 20% through copayments or a supplemental insurance plan. There's also a deductible you need to meet before Medicare starts covering the costs. 

What If the Supplier Isn't Enrolled in Medicare?

If the supplier isn't enrolled in Medicare, you might have to pay out of pocket. For example, the UPWalker, made by LifeWalker Mobility Products, isn't covered by Medicare because the supplier doesn't accept Medicare reimbursement. However, there are other brands that do accept Medicare, so you'll want to check that your specific walker meets the criteria for coverage.

Additional Benefits

If your walker is stolen, lost, or damaged due to an accident or natural disaster, Medicare will pay for the replacement. And if the walker wears out and you've been the sole owner, Medicare will also cover repairs or replacement.

How to Get an Upright Walker Covered by Medicare

Here's a simple step-by-step guide:

Talk to Your Doctor. Explain your mobility issues and ask if an upright walker would be beneficial. If your doctor agrees, they'll write a prescription.

Find a Medicare-Enrolled Supplier. Use Medicare.gov's supplier directory to find a supplier that accepts Medicare assignments.

Submit the Prescription. Give the prescription to the supplier, and they'll handle the rest.

Pay Your Share. After you meet your deductible, you'll pay 20% of the Medicare-approved amount.

Upright walkers can be a game-changer for your mobility and independence. Medicare recognizes this and provides coverage for medically necessary walkers through Medicare Part B. Whether you need a standard walker, a two-wheel walker, a three-wheel walker, a rollator walker, or an upright walker, Medicare may cover the costs if you meet the specific conditions. Just remember to get a prescription from your doctor and ensure your supplier is enrolled in Medicare. This way, you can get the support you need without breaking the bank.

I hope this helps you understand how Medicare covers upright walkers. If you have any more questions, feel free to ask!