Properly apply for an electric wheelchair at the health insurance company

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Mobility is important to be able to cope with everyday life. If you are no longer able to do this due to illness or other restrictions, there are tools available. The health insurance company provides you with all the things that will keep you independent. An electric wheelchair is one of them and can be taken over by the cash register upon request.

Mobility is a piece of personal independence.
Mobility is a piece of personal independence.

Reasons and scope of benefits from the health insurance company

  • You will only receive an electric wheelchair if it is a basic need, because otherwise you will no longer be able to participate in general life. It does not serve to make it easier for you to participate in your usual leisure activities.
  • With this special and very expensive aid, a limitation or handicap must be compensated for. You can assume that your Health insurance will always take over what is economically necessary. This does not mean the best tool there is for you.
  • You must be able to move the wheelchair safely. If instruction or training is necessary for this, this does not change anything. The situation is different, however, if you could endanger yourself or others due to your limitation. Moments when you might be in control of your illness because of your illness body or lose consciousness, you may lose your fitness to drive a powered wheelchair.
  • Power wheelchairs that you can get at the cash register are on loan. Every cash register has a certain inventory of used power wheelchairs, which are checked to see whether they are not suitable for you. So don't expect to get a brand new wheelchair. You will only receive a new copy if none of the stock has been adapted to your needs.

The procedure for applying for a power wheelchair

  1. Without a prescription from your doctor, the health insurance fund will not cover any costs. So first clarify with your treating doctor whether you need this aid. He is responsible for drawing up a prescription that is as well-founded as possible showing the need for a wheelchair with an electric drive.
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  3. If you have the prescription, ask your health insurance company whether they work with special medical supply stores. If this is confirmed, contact them to organize the order of the wheelchair.
  4. Extras such as a speed higher than 6 km / h are not part of the usual scope of services. Although you have the right to have the aid suit your handicap, you are responsible for any special requests that are not medically necessary. Keep this in mind when you make the order.
  5. Once the medical supply store has submitted your prescription and the cost estimate, the cash register may send the Assumption of costs refuses. File an objection and have the process checked with the medical service. You should also expect an additional check by the health insurance company during the application process. This serves to confirm the medical assessment.
  6. It is possible that there are alternatives to your requested aid. If the reason for your application is that your assistant is no longer physically able to push you in the wheelchair, there are electric pushing aids or stair climbing aids. Be open to suggestions that may even be better suited to your personal situation than the power wheelchair.

In most cases, you will need a little patience before the procedure can be completed to your satisfaction.

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