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MedicallyModern

Mobility

Wheelchairs & Mobility Equipment, Covered by Insurance

Manual and power wheelchairs, transport chairs, folding power chairs, scooters that meet applicable coverage criteria, rollators, walkers, and canes, fitted to your body and your doorways, with the prior authorization handled for you anywhere in New York.

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Older adult using a Medicare-covered rollator walker at home with a folding transport wheelchair behind them

Key takeaways

  • After the Part B deductible, patients generally owe 20% of the Medicare-approved amount unless secondary coverage pays it. We verify your current benefits and provide an estimate of your expected out-of-pocket cost before shipment. Benefit information is not a guarantee of payment; final coverage and patient responsibility are determined when your plan processes the claim.
  • 3 mobility bundles available, billed to Medicare, New York Medicaid, and major commercial plans.
  • Same-day benefit verification, with your expected out-of-pocket sent to you in writing before anything ships.
  • Delivery across the five boroughs, Long Island, Westchester, Putnam County, Dutchess County including Poughkeepsie, and all of New York. Eligible supplies can be shipped statewide. Items requiring measurement, customization, fitting, or adjustment are handled through an in-person delivery or fitting process.

What we offer

Wheelchairs, power chairs and mobility scooters covered by Medicare

  • Wheelchairs & Accessories (Manual & Power)

    Transport chairs pushed by a caregiver on smaller wheels, standard manual chairs, ultralight rigid chairs for full-time active users, and folding power chairs for transport, plus cushions, elevating legrests, and anti-tippers sized to you rather than pulled off a shelf. The covered type follows your documented mobility limitation, not preference alone.

  • Mobility Scooters & Accessories

    Three- and four-wheel scooters for patients who can walk short distances but can't manage community distances, with baskets, chargers, and replacement batteries.

  • Walking Aids (Walkers, Rollators, Canes & Crutches)

    Rollators with seats and brakes, standard and wheeled walkers, quad canes, and crutches, height-adjusted at delivery so you're not compensating for the wrong fit.

Coverage explained

How to get a wheelchair or scooter covered by insurance

Medicare's standard for wheelchairs and scooters is whether you need the equipment to complete mobility-related activities of daily living inside your home. Once that standard is met, the equipment can also be used outside the home; a need that exists only outside the home does not qualify. Power equipment requires more documentation than manual.

  1. 1

    Face-to-face mobility evaluation

    The treating practitioner documents your mobility limitation, why a cane or walker is not enough, and that you can operate the equipment safely. A physical or occupational therapy evaluation may be used to support that record.

  2. 2

    Home assessment for power equipment

    Power chairs and scooters require confirmation the device can be used in your home. We measure doorway widths, most interior doors run 24 to 36 inches, along with turning space and threshold heights, then confirm the chair's overall width and turning radius fit before delivery.

  3. 3

    Prior authorization when required

    Whether prior authorization applies depends on the specific billing code and your plan. When it does, we assemble and submit the packet and track it to a decision.

  4. 4

    Rental or purchase, then delivery and follow-up

    Many manual wheelchairs bill as a 13-month capped rental under Medicare, and after 13 rental months ownership transfers to you; power wheelchairs may be purchased or rented depending on the code and plan. Delivery and in-home setup are included for wheelchairs and power mobility across our New York service area, walking aids are height-adjusted at delivery, and we confirm a delivery date once prior authorization or documentation clears. We follow up to correct fit issues before they become falls.

What patients typically pay

After the Part B deductible, patients generally owe 20% of the Medicare-approved amount unless secondary coverage pays it. We verify your current benefits and provide an estimate of your expected out-of-pocket cost before shipment. Benefit information is not a guarantee of payment; final coverage and patient responsibility are determined when your plan processes the claim.

Want the specifics for your plan? Read how our insurance process works or check your coverage.

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Why Medically Modern

Why patients choose Medically Modern for mobility

A wheelchair that doesn't fit your home is worse than no wheelchair. We size equipment to the person and the doorway, and we deliver, set up, and adjust it in person where available.

  • In-network with all major insurances

    Medicare, Medicaid, and the major commercial carriers. We verify your current benefits and provide an estimate of your expected out-of-pocket cost before shipment. Benefit information is not a guarantee of payment; final coverage and patient responsibility are determined when your plan processes the claim.

  • White-glove, high-touch service

    A named care coordinator who contacts your doctor's office and handles prior authorization. We support or submit an appeal where permitted and authorized. You never sit on hold chasing paperwork.

  • Home evaluation, delivery, adjustment, and repairs

    We measure doorway widths, turning space, and threshold heights before ordering, adjust the equipment in person at delivery across our New York service area, and give you one number for adjustments, parts, and warranty or covered repair requests.

Mobility covered by the plans we bill every day

  • Medicare A&B
  • NY Medicaid
  • Aetna
  • Humana
  • Fidelis
  • NYSHIP Empire
  • Anthem BCBS
  • MagnaCare
  • UnitedHealthcare

Participation varies by plan and product, we verify your specific plan before anything ships.

Plus most regional Medicaid, Medicare Advantage, and commercial plans. Not sure? We'll check for you.

Mobility FAQ

Wheelchair and mobility scooter coverage questions

Official coverage sources

Read the payer rules directly, then let us verify what your own plan allows.

It takes a face-to-face evaluation in which the treating practitioner documents that you cannot complete mobility-related activities of daily living inside your home without a chair, an order for the right type of chair, and prior authorization where the specific code and plan require it. We collect all of it and follow the file to a decision.

Often, when documentation shows a cane, walker, or manual chair will not meet your in-home mobility needs and you can safely operate a power chair. Whether prior authorization applies depends on the specific code and your plan. Many preventable delays involve missing documentation, prior authorization, quantity limits, or supplier participation; some denials reflect true exclusions or unmet criteria.

Medicare covers power operated vehicles when the record shows you need the scooter to complete mobility-related activities of daily living inside your home and can operate it safely. Once that criterion is met the scooter can also be used outside; a need limited to outside the home does not qualify. We supply scooters that meet applicable coverage criteria.

If the medical necessity criteria are met, including the in-home mobility standard, Part B pays its share of the allowable after the deductible and a secondary plan may pay the coinsurance. A scooter needed only for trips outside the home does not meet the standard.

Yes. Walkers, rollators, canes, crutches, and transport chairs are covered with a prescription documenting a mobility limitation, and they are usually the fastest items to approve.

We arrange short-term wheelchair and transport chair rentals for recovery and travel across the five boroughs, Long Island, Westchester, Putnam County, Poughkeepsie, and all of New York, and we tell you upfront when renting is cheaper than a covered purchase.

Walking aids often ship within days. Power mobility with prior authorization typically takes two to four weeks depending on how quickly the physician's documentation arrives.

See what your plan covers for mobility

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Other ways we help

Explore all nine categories

One supplier, nine insurance-covered product lines.