What Power Chairs Will Insurance Pay For? (Examples of Covered Models)
If you or a loved one needs a power wheelchair, a key question is often, “Will my health insurance cover this?” The good news is, yes, many power wheelchairs are covered by most health insurance plans, including Medicare, Medicaid, and various private policies.
At Universal Med Supply, we want to show you which types of power chairs are typically covered. While the final decision on which specific model your insurance will pay for depends on your individual medical needs and your doctor’s recommendation, in this guide, we’ll highlight specific models that are frequently covered. Let’s explore some power chairs designed to help you regain independence, with the peace of mind that your insurance can help cover the cost.
1) Lightweight Portable Power Wheelchair: Go Chair MED From PRIDE
If portability and easy transport are paramount, the Go Chair MED is an excellent choice. This lightweight option is designed for maneuverability in tighter spaces and can be easily disassembled for transport in a vehicle. It’s often a great fit for those who need assistance for limited distances or want a convenient travel companion.
Key Features:
- 18″x17″ or 20″x18″ 5-point swivel seat with latch release and 60″ lap belt.
- Compact turning radius.
- Large perforated footplate.
- One-hand feather-touch disassembly for easy transport.
- Heaviest piece is only 36 lbs.
- GC3 controller with quick disconnect.
Specifications:
- Weight Capacity: 300 lbs.
- Maximum Speed: Up to 3.7 mph.
- Range Per Charge: Up to 9.41 miles.
- Heaviest Piece When Disassembled: 36 lbs (rear section).
Add-Ons Covered By Insurance:
Oxygen holder.
Out Of Pocket Only Add-Ons:
Cup holder, USB charger, Saddle bag, Weather cover.
2) Standard Power Wheelchair: Jazzy Elite ES from PRIDE
The Jazzy Elite ES provides a robust and reliable solution for everyday mobility, offering a balance of comfort and performance. This model is a popular choice for individuals requiring consistent indoor and outdoor mobility support.
Key Features:
- Depth-adjustable, limited-recline, fold-flat, high-back seat.
- Universal, fixed, in-line joystick mount.
- Flip-up foot platform.
- Black, flat-free, non-marking tires.
- Easy-access free-wheel lever.
- Specialty seating/cushion options available for those who qualify.
- Comfortable high back seat with headrest.
Specifications:
- Weight Capacity: 300 lbs.
- Maximum Speed: Up to 4 mph.
- Range Per Charge: Up to 15 miles.
- High-back Seat Sizes: 16″W, 18″W, 20″W.
Add-Ons Covered By Insurance:
Oxygen holder, Manual elevating leg rest, Limb support.
Out Of Pocket Only Add-Ons:
Cup holder, USB charger, Saddle bag, Weather cover, Rear basket.
3) Heavy Duty Power Wheelchair: Jazzy Elite HD from PRIDE
For users requiring greater weight capacities and enhanced ability to navigate minor obstacles, the Jazzy Elite HD delivers robust performance. This model is designed to provide stable and reliable mobility for heavier individuals
Key Features:
- Depth-adjustable, limited-recline, fold-flat, high-back seat.
- Universal, fixed, in-line joystick mount.
- Flip-up foot platform.
- Large front wheels absorb and climb, easily tackling life’s everyday obstacles.
- Easy-access free-wheel lever.
- Intuitive, easy to operate controller.
Specifications:
- Weight Capacity: 450 lbs.
- Maximum Speed: Up to 4 mph.
- Range Per Charge: Up to 14.4 miles.
- High-back Seat Sizes: 20″W, 22″W.
Add-Ons Covered By Insurance:
Oxygen holder, Manual elevating leg rest, limb support.
Out Of Pocket Only Add-Ons:
Cup holder, USB charger, Saddle bag, Weather cover, Rear basket, Cell phone holder.
4) Very Heavy Duty Power Wheelchair: Atlantis P710 From Merits
The Atlantis P710 stands out for its exceptional power and durability, specifically catering to bariatric users and those who need to navigate challenging terrains like uphill ramps. It offers impressive range and stability.
Key Features:
- Super high power in-line motors help navigate 10° uphill ramps with ease.
- Four seat posts provide a stable & durable structure for the frame.
- Extra-wide seat and extra-high back provide great comfort for bariatric users.
- Impressive 32-mile drive range per charge.
- Durable & Stable four-post seat base.
Specifications:
- Weight Capacity: 600 lbs.
- Maximum Speed: Up to 5 mph.
- Range Per Charge: Up to 32 miles.
- High-back Seat Sizes: 24″W.
Add-Ons Covered By Insurance:
Oxygen holder, Manual elevating leg rest, Limb support.
Out Of Pocket Only Add-Ons:
Cup holder, USB charger, Side bag, Rear basket, Cell Phone holder, Weather cover.
5) Power Wheelchair With Tilt: XLR 14 From SHOPRIDER
For users who benefit from independent pressure relief and enhanced stability, the XLR 14 offers a power tilt system. This feature is often medically necessary for individuals at risk of pressure injuries or those who require frequent repositioning.
Key Features:
- Power tilt system enabling independent pressure relief.
- Added stability thanks to 6 points of contact with ground.
- Self-Adjusting 14″ Mid-Wheel Drive w/Suspension System.
- Manual Semi Reclining Back.
- Power Tilt Seating System.
- 14′ Mid-Wheel Drive w/Suspension.
Specifications:
- Weight Capacity: 300 lbs.
- Maximum Speed: 4 mph.
- Tilt Degrees: 50° of tilt.
- Range Per Charge: 16 miles.
Add-Ons Covered By Insurance:
Swing-away joystick, Oxygen holder, Manual ELR, Arm trough, Stump support.
Out Of Pocket Only Add-Ons:
Lighting kit, Transit tie-downs.
6) Heavy Duty Power Wheelchair With Tilt: Vision Ultra HD From Merits
Combining heavy-duty capacity with the benefits of power tilt, the Vision Ultra HD offers excellent maneuverability for bariatric users who require pressure relief and comfortable positioning.
Key Features:
- Mid-wheel drive design provides outstanding maneuverability.
- Full suspension design offers a comfortable ride.
- Manual recline: 90°, 95°, 100°, 105°, and 110°.
- Dual in-line motors for enhanced performance.
- Power tilt operated in 0°~55°.
Specifications:
- Weight Capacity: 450 lbs.
- Maximum Speed: 5 mph.
- Range Per Charge: 20 miles.
- Turning Radius: 21″.
Add-Ons Covered By Insurance:
Manual ELR, Oxygen holder, Swing-away joystick, Stump support, Arm trough.
Out Of Pocket Only Add-Ons:
USB charger.
7) Power Wheelchair With Tilt & Recline: TDX SP2 From Invacare
The TDX SP2 offers advanced tilt and recline features, crucial for optimal pressure relief, positioning, and overall comfort. This chair is often prescribed for individuals with more complex neuromuscular disorders such as ALS, Parkinsons or Multiple Sclerosis.
Key Features:
- Mid-wheel drive provides a tight turning radius for optimal mobility.
- 50° of tilt for efficient pressure relief.
- 168° of recline with Extended Shear Reduction (ESR) for aid in preventing pressure injuries.
- Power Center Mount Elevating Foot Platform for smooth leg elevation.
- SureStep suspension and stability lock for smoother transition over obstacles.
Specifications:
- Weight Capacity: 300 lbs.
- Maximum Speed: Up to 5.8 mph.
- Range Per Charge: Up to 20 miles.
- Seat Dimensions: 16″-22″W x 17″-23″D.
Add-Ons Covered By Insurance:
Oxygen Holder, Individual power ELR, Power seat elevation, & more based on diagnosis.
Out Of Pocket Only Add-Ons:
Cup holder, Lighting kit, Touchscreen joystick, Attendant controller, Transfer handles, Lap tray.
8) Heavy Duty Power Wheelchair Rehab With Tilt & Recline: TDX SP2 HD From Invacare
Building on the features of the TDX SP2, the HD version provides heavy-duty support with the same comprehensive tilt and recline capabilities for larger users.
Key Features:
- Mid-wheel drive provides a tight turning radius for optimal mobility.
- 50° of tilt for efficient pressure relief.
- 168° of recline with Extended Shear Reduction (ESR) for aid in preventing pressure injuries.
- Power Center Mount Elevating Foot Platform for smooth leg elevation.
- SureStep suspension and stability lock for smoother transition over obstacles.
Specifications:
- Weight Capacity: 400 lbs.
- Maximum Speed: Up to 5.8 mph.
- Range Per Charge: Up to 14 Miles.
- Seat Dimensions: 20″-26″W x 17″-23″D.
Add-Ons Covered By Insurance:
Oxygen Holder, Individual power ELR, Power seat elevation, & more based on diagnosis.
Out Of Pocket Only Add-Ons:
Cup holder, Lighting kit, Touchscreen joystick, Attendant controller, Transfer handles, Lap tray.
9) Very Heavy Duty Power Wheelchair Rehab With Tilt & Recline: AllTrack HD 3 From AmyLior
The AllTrack HD 3 is engineered for very heavy users requiring robust support and sophisticated positioning features, making it a top-tier choice for complex mobility needs.
Key Features:
- Fully independent 6-wheel interactive suspension with vertical shock absorption tuned for heavier users.
- 45° of tilt for efficient pressure relief.
- 160° of recline for maintaining posture.
- Power center mount elevating foot platform for smooth leg elevation.
- Extremely compact turning radius of 20.5″.
Specifications:
- Weight Capacity: 550 lbs.
- Maximum Speed: Up to 5.4 mph.
- Range Per Charge: Up to 14 Miles.
- Seat Dimensions: 19″-28″W x 17″-23″D.
Add-Ons Covered By Insurance:
Oxygen Holder, Individual power ELR, & more based on diagnosis.
Out Of Pocket Only Add-Ons:
Cup holder, Lighting kit, Touchscreen joystick, Attendant controller, Transfer handles, Lap tray.
Understanding Your Options and Next Steps
Choosing the right power wheelchair is a big step towards greater independence. While many medically coded power chairs are covered by insurance, the final choice depends on your individual medical needs and your doctor’s recommendation.
Important Note on Insurance Coverage and Use: Please remember that insurance providers, including Medicare, primarily cover these devices for indoor use and daily living activities within your home. Damage or repairs incurred during outdoor use may not be covered by your health insurance policy. We highly recommend reviewing your specific policy or speaking with our team for full details on your coverage.
At Universal Med Supply, we specialize in helping patients navigate insurance to obtain the right power mobility device.
Learn more about qualifying through health insurance: 866.864.6332
We’re committed to helping you find the mobility solution that best fits your needs.
FAQs:
Q: Will my health insurance cover the cost of a power wheelchair?
A: Yes, many power wheelchairs are covered by most health insurance plans, including Medicare, Medicaid, and various private policies, provided they are deemed medically necessary by your doctor.
Q: What factors determine if my power chair will be covered by insurance?
A: The final decision on coverage depends on your individual medical needs and your doctor’s recommendation. Insurance providers, including Medicare, primarily cover devices for indoor use and daily living activities within your home
Q: What types of power wheelchairs are typically covered by insurance?
A: Generally, insurance covers various types based on medical necessity, including:
- Lightweight Portable Power Wheelchairs: Like the Go Chair MED, ideal for limited distances and easy transport.
- Standard Power Wheelchairs: Such as the Jazzy Elite ES, offering reliable everyday mobility.
- Heavy Duty Power Wheelchairs: Like the Jazzy Elite HD and Atlantis P710, designed for higher weight capacities and varied terrains.
- Power Wheelchairs with Tilt: Such as the XLR 14 and Vision Ultra HD, providing pressure relief and enhanced stability.
- Power Wheelchairs with Tilt & Recline: Including the TDX SP2 and AllTrack HD 3, often prescribed for complex neuromuscular disorders for optimal pressure relief and positioning.
Q: What are some examples of power chair models frequently covered by insurance?
A: Our guide highlights specific models that are frequently covered, including:
- Go Chair MED (Lightweight Portable)
- Jazzy Elite ES (Standard)
- Jazzy Elite HD (Heavy Duty)
- Atlantis P710 (Very Heavy Duty)
- XLR 14 (Power Wheelchair with Tilt)
- Vision Ultra HD (Heavy Duty Power Wheelchair with Tilt)
- TDX SP2 (Power Wheelchair with Tilt & Recline)
- TDX SP2 HD (Heavy Duty Power Wheelchair Rehab with Tilt & Recline)
- AllTrack HD 3 (Very Heavy Duty Power Wheelchair Rehab with Tilt & Recline)
Q: Are add-on features for power wheelchairs covered by insurance?
A: Some add-ons are typically covered by insurance if medically necessary, such as oxygen holders, manual elevating leg rests, and limb supports. Other convenience items like cup holders, USB chargers, saddle bags, and weather covers are usually out-of-pocket expenses.
Q: Does Medicare cover power wheelchairs for outdoor use?
A: Insurance providers, including Medicare, primarily cover these devices for indoor use and daily living activities within your home. Damage or repairs incurred during outdoor use may not be covered by your health insurance policy.
Q: How can Universal Med Supply help me navigate insurance for a power chair?
A: At Universal Med Supply, we specialize in helping patients understand their options and navigate the insurance process to obtain the right power mobility device. Speak to one of our power mobility qualification experts today at 972.228.1820.
Q: Where can I find more information about qualifying for a power chair through health insurance?
A: You can learn more by calling Universal Med Supply at 866.864.6332. We are committed to helping you find the mobility solution that best fits your needs.
