Medicaid and Medicare are regulated by state laws which decide whether a new product on the market will be insured by them.
Because no-obligation tubs are relatively new products, it will take a while before they are completely regulated by Medicaid and Medicare.
Although mobility scooters are used by bariatric users who definitely need them, there is currently a “plague” of mobility scooters whose owners really don’t need them, and also the vehicles being stigmatized are insured by Medicare Plan B.
By following the steps below, you could have the opportunity to obtain insurance from medical insurance firms, however there are no guarantees.
Enroll in Medicare Advantage Plan
So far, the best opportunity for an elderly person to get help from insurers is the Medicare Advantage Plan. There are a total of 10 Medicare plans: A, B, C, D, F, G, K, L, M and N; What interests us is Plan C. This plan is also known as the Medicare Advantage Plan. It entails that Medicare-approved private insurance companies can offer to cover the cost of an unscheduled bathtub. Even if your request for financial assistance is approved, the assistance will likely be in the form of a refund. The chances of your unit being prepaid are highly unlikely.
You can ask Medicare to get a “early insurance decision”. Medicare will say what will and will not be covered.
You will need to apply for and search for health insurance that is willing to cover a unit, as there are no clear rules for the whole country, as regulations differ from state to state.
Check with Medicaid
Like the Medicare Advantage Plan, Medicaid is regulated at the state level by state, so how successful your attempt to cover the cost of a bathtub or “low threshold shower” as they relate to it, it depends on the laws of your state.
Medicaid’s language about what is considered to be long lasting medical equipment can sometimes be vague, which is understandable, as ambiguity allows for the incorporation of current and future developments. But in a nutshell, any “environmental accessibility modification” applied to the home after the patient’s certified physician has demonstrated the signature and diagnosis will be considered by Medicaid, but will not necessarily be followed by an approval.
The Medicaid Community Transitions program is dedicated to helping older people move from nursing homes to private homes. Usually, this involves giving older people the mobility assistance kit that makes a retirement home unsuitable for a particular applicant. The program is in operation in 27 states, including Arizona, Montana, California, and many west coast states.