You may be eligible to receive a portion
of your money back from Medicare when
you rent an Uplift Commode Assist.
To qualify, you must have Medicare
Part B coverage, and meet certain
medical coverage criteria as determined
by your physician.
Here are some common questions regarding
Medicare reimbursement.
Will Medicare reimburse for an Uplift
Commode Assist?
If so, how much is covered? If you
qualify, Medicare will pay for 80%
of the monthly Medicare allowable
cost of renting your Uplift Commode
Assist. The monthly rental allowable
is $28.92 (except for Puerto Rico
which is $34.73). The rental period
can extend for up to 13 months. When
the rental payments are completed,
the "title" to the equipment will
transfer to the end-user or beneficiary.
Ask your Home Medical Equipment Provider
for more details on Medicare in your
state.
How do I know if I qualify?
Medicare has certain medical criteria
that needs to be met before Medicare
will pay for an Uplift Commode Assist.
Medicare requires that your physician
determine and document that the use
of an Uplift Commode Assist is a medical
necessity for you based on your medical
condition.
- A bedside commode is covered when
you are physically incapable of
utilizing regular toilet facilities.
This would occur in the following
situations:
- You are confined to a
single room, or
- You are confined to one
level of the home environment
and there is no toilet
on that level, or
- You are confined to the
home and there are no
toilet facilities in the
home.
- You must have severe arthritis
of the hip or knee, or have a
severe neuromuscular disease.
- The seat lift mechanism (i.e.,
Uplift Commode Assist) must be
a part of your physician's course
of treatment and be prescribed
to effect improvement, or arrest
or retard deterioration in your
condition.
- You must be completely incapable
of standing up from a regular
armchair or any chair in your
home.
- Once standing, you must have the
ability to walk.
To see if you qualify, have your physician
complete the Certificate of Medical
Necessity (CMN) and return it
to your Home Medical Equipment Provider
for review.
How do I submit a claim to Medicare?
What other information needs to be
sent?
Once you have a completed CMN from
your doctor, your Home Medical Equipment
Provider will supply you with an Uplift
Commode Assist and submit a claim
to Medicare on your behalf. Medicare
will process your claim and inform
you of their payment decision in about
30-45 days.
