File Medicare Claim

Medicare Claims

For Medicare coverage of any product visit a local supplier.

Medicare Competitive Bidding Program

Medicare's Competitive Bidding process is changing the way claims are filed. Please check with Medicare to keep current with what is required of the patient for successfully filing a Medicare Claim. Medicare has changed this process in many area's of the U.S. and may require you to purchase from a particular supplier in your area. To see if you are in such an area or find out more about DMEPOS Competitive Bidding see

What products can you file Medicare non-assigned claims for when purchased?

  • Lift Chairs
  • Wheelchair cushions
What about Manual Wheelchairs, Power Wheelchairs, Hospital Beds and Patient Lifts?

  • Manual wheelchairs, power chairs, hospital beds and patient (Hoyer) lifts are Capped Rentals through Medicare. You must find a local dealer/provider that rents equipment. You will be limited to that suppliers product inventory.
What about Bath products?

  • Bath products are not covered by Medicare. Coverage is limited to a Bedside Commode for patients that cannot make it to the bathroom by themselves. Shower chairs, stools, and transfer benches are not covered. Tub Lifts and Handicapped Showers are not covered.
Non-Assignment - How you file Medicare claims:

  • Non-Assignment means that you pay for the product up-front.

  • When filing on non-assignment, Medicare reimburses the beneficiary directly. You pay the full amount up-front. If you have secondary insurance you may contact them for filing procedures. In most cases Medicare automatically submits the claim to the secondary carrier.

  • You must have a Doctor's prescription for the product. The Rx must be dated before the product is delivered.
Can you get pre-qualification with Medicare so you know if you will qualify for reimbursement?

  • No, Medicare does not give prior approval except for high-end powered wheelchairs. If someone has told you otherwise, make the call to Medicare yourself, 1-800-MEDICARE
  • Your physician does not approve you for a product. A physician's written prescription is just one step in the process.
How long does it take Medicare to reimburse?

  • about 4-6 weeks.
  • Some Power products such as Electric Wheelchairs and Scooters may take longer.

Still have questions?