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The Power Wheelchair Insurance Coverage Process

  1. Your primary care physician or specialist must see you in person and make clinical notes of your need for a power or manual chair. This is called a "Face to Face".       (Physicians can use this Face-to-Face Evaluation form)                                                                                                                      

  2. Once Mission Medical Supply receives the face-to-face evaluation report, you will need to schedule an evaluation by a Physical Therapist for seating evaluation as well. This is often done in the comfort of your home.    (PT can use the seating mobility eval. below).                                                                                                                                                                                 

  3. Once that Evaluation has been done, it is submitted to the Physician who performed the Face to Face                                                                                                                                                                        

  4. Once that Physician has signed off on the evaluation, Mission Medical Supply will submit a specific document called a Seven Element Order. Per insurance guidelines, the Seven Element Order and Evaluation must be sent separately, signed, and dated.                                                                                                     

  5. Once the Seven Element Order is signed Detailed Product Description (DPD) must be signed. Again, according to insurance, this sequence must be followed.                                                      

  6. Once the Detailed Product Description (DPD) is signed, Mission Medical Supply will submit the claim to Medicare / Insurance to authorize or deny the wheelchair.                                                  

  7. Normally Medicare or Insurance will take up to 3 weeks to determine medical necessity and ensure everything is in order.                                                                                                                                                     

  8. Once Mission Medical Supply has approval, we will order the Power Wheel Cha which takes 1-2 weeks to get delivered.

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