Insurance Requirements

Insurance Qualifications for Durable Medical Equipment (DME)
You may meet insurance requirements if your medical condition/diagnosis impairs your ability to get from the bedroom, bathroom, kitchen and/or living room to complete your mobility daily activities of daily living (MRADLs). These activities include bathing, grooming, toileting, dressing, feeding, etc.

Depending on the degree of mobility impairment inside the home, this is the order of equipment that insurance may pay for:

  • Cane
  • Walker
  • Manual wheelchair (MWC)
  • Power operated vehicle (POV) / mobility scooter
  • Power wheelchair (PWC)
  • Rehab power wheelchair*
  • Rehab manual wheelchair*

*These types of equipment requires involvement of a licensed/certified medical professional (LCMP) such as a PT or OT and a RESNA certified assistive technology professional (ATP). Our ATPs on staff can help assist through the process of determining which mobility device is best for you and what is covered by your insurance.

Let’s walk through the process of getting a mobility device:

  • A face to face appointment with your primary care physician (DO, MD, PA or NP) for a mobility evaluation is required. At this evaluation, mobility inside the home must be discussed. Your physician must first consider the use of a cane or walker before considering a manual wheelchair, mobility scooter or power wheelchair. If your physician feels that your mobility needs must be resolved with a manual wheelchair, mobility scooter or power wheelchair, this must be supported in the office notes/medical records from the mobility evaluation visit appointment.
  • Objective measurements of physical limitations must be documented to support the need for equipment. Objective measurements include upper and lower extremity strength scales, pain scales, history of falls, gait and balance and coordination.

 

We do not have any forms that the physician would complete. All of the requirements must be documented in the office notes from the mobility evaluation visit.

  • Have your physician fax the office notes and a prescription (standard written order- see below), from the mobility evaluation appointment to Amigo Mobility Center.” We will review the documentation and use it to help determine the appropriate manual wheelchair, mobility scooter or power wheelchair to meet your mobility needs inside the home.

          Bridgeport FAX (989) 921-5082 | Grand Rapids FAX (616) 361-7561

 

Learn more about insurance requirements: 

Need a Standard Written Order / Prescription?

Standard Written Order PDF

  • A consultant will come to the home and complete an in-home assessment/evaluation. The consultant will measure the doorways to make sure the manual wheelchair, mobility scooter or power wheelchair will fit inside the home and be appropriate to meet your mobility needs inside the home.
  • Amigo Mobility Center will gather all of the necessary paperwork to submit for a prior authorization to the insurance. Once approved, the appropriate equipment will be ordered and delivered to the home.

Not sure if you qualify through your insurance or would like further explanation on the insurance process, click here.

Accepted Insurances

This list is non-inclusive so if you have an insurance that is not on the list, it does not mean that we cannot accept it. We will check for coverage to confirm benefits/eligibility. If you do not see your insurance listed, please contact us.

  • Aetna (out of network benefits apply)
  • Auto: AAA Michigan, Allstate, Auto Owners, Citizens, Farm Bureau, Farmers, Hartford
  • Auto: Hanover, Liberty Mutual, Nationwide, Pioneer, State Mutual, Progressive, State Farm
  • ASR/Physician Care Plan
  • AARP
  • Area Agency on Aging
  • Bankers Life
  • Blue Cross Blue Shield MI (not including Blue Care Network)
  • Blue Cross Blue Shield Medicare Advantage (out of network benefits apply)
  • Champ VA
  • Covenant Advantage / PHP
  • GEHA
  • HAP (Health Alliance Plan)
  • Humana
  • Medicare
  • MI Medicaid
  • Meridian Health Plan
  • McLaren Health Plan
  • MESSA
  • Mutual of Omaha
  • NALC (National Association of Letter Carriers)
  • PEAK/PACE
  • Priority Health
  • Titan Insurance
  • TriCare
  • United Healthcare (not including United Healthcare Medicaid)
  • Wellcare

Note: Our Las Vegas, Nevada, location does not provide assistance with providing equipment through insurance. This location does not accept insurance at this time.

Financial assistance through CareCredit