At Mark Drug we can provide assist you and getting a walker/rollator through Medicare. We do it on a non assigned basis. Non assigned means that you first pay for the item upfront then Medicare and any supplemental insurance will reimburse you at their allowed amount if the approve the claim. The allowed amount is around $60. 

Its very important to have good documentation if you want to get your walker approved. According to Medicare guidelines, the following must be clearly documented in your chart notes/medical recorder. We will require a copy of this prior to submitting the claim and this is separate but not in place of a prescription.  

A standard walker (E0130, E0135, E0141, E0143) and related accessories are covered if all of the following criteria (1-3) are met:

1. The beneficiary has a mobility limitation that significantly impairs his/her ability to participate in one or more mobility-related activities of daily living (MRADL) in the home. 

A mobility limitation is one that:

a. Prevents the beneficiary from accomplishing the MRADL entirely, or

b. Places the beneficiary at reasonably determined heightened risk of morbidity or mortality secondary to the attempts to perform the MRADL, or

c. Prevents the beneficiary from completing the MRADL within a reasonable time frame; and

2. The beneficiary is able to safely use the walker; and A cane or a cructh would not be suffcient. 

3. The functional mobility deficit can be sufficiently resolved with use of a walker.

If all of the criteria are not met, the walker will be denied as not reasonable and necessary.

We Also need a prescription that says 4 wheel walker with seat and breaks.  

ALL THIS DOCUMENTATION MUST BE ONFILE PRIOR TO THE PATIENT RECEIVING THE WALKER

After we get the documentation we will assist you on selecting the right walker for you.  You will then pay the full retail price which ranges from $99-to over $300 depending on which you pick out.  

Then we will submit the claim to Medicare, and they will process the claim.  If the approve the claim they will send a check to the beneficiary for 80% of the allowed (assuming the deductible has been satisfied).  If you have a supplemental insurance they will typically cover the remaining 20% of the allowed amount.  Again the allowed amount is only about $60, so you will not get full reimbursement for the price you paid.