Does Medicare or Private Insurance Cover Raised Toilet Seats?

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Medicare and private insurance can be a bit tricky when it comes to covering raised toilet seats. Medicare Part B may cover raised toilet seats if they're prescribed by a doctor to help with mobility or balance issues.

Medicare's coverage for raised toilet seats is generally limited to specific medical conditions, such as arthritis, multiple sclerosis, or spinal cord injuries.

Medicare Insurance Coverage

Medicare Advantage Plans may cover bathroom equipment or modifications if deemed medically necessary. This coverage varies depending on the specific plan and its terms.

Original Medicare typically doesn't cover bathroom equipment or modifications.

Some Medicare Advantage Plans may provide expanded benefits that include certain home modifications or safety equipment.

It's essential to contact your plan provider directly to verify what is and isn't covered under your specific plan.

Insurance Coverage for Raised Toilet Seat

Insurance coverage for raised toilet seats can be a bit of a challenge. Not all insurances cover them, even if you need them due to mobility-related conditions. You'll have to ask your provider for the exact information regarding their stance.

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Some insurances may cover other toileting equipment, such as seat lifts or commodes. Commodes are a special type of portable toilet without a flushing mechanism, as they aren't connected to any plumbing. They're usually taller than a toilet and created for moving around the house.

You can purchase raised toilet seats at various places, including online retailers, supercenters, medical supply stores and websites, drugstores, and home supply stores. It's a good idea to talk with your insurance first to check whether you need to buy them at a particular location.

To ensure a secure fit, you'll need to check how tight the elevated toilet seat is every week. Use detergent with warm water on a non-abrasive cloth to clean it, and inspect for cracks and secure foam hand grips while cleaning.

Frequently Asked Questions

Is a raised toilet seat considered durable medical equipment?

Yes, a raised toilet seat is considered durable medical equipment (DME) for individuals who need assistance rising from a toilet seat. This classification applies to Aetna's traditional plans for members with specific mobility needs.

What is the justification for a raised toilet seat?

A raised toilet seat improves accessibility for individuals with limited mobility or joint issues by reducing the need for excessive bending when sitting and standing. This simple modification makes daily bathroom routines easier and more comfortable.

Archie Strosin

Senior Writer

Archie Strosin is a seasoned writer with a keen eye for detail and a deep interest in financial institutions. His work often delves into the history and operations of Missouri-based banks, providing readers with a comprehensive understanding of their roles in the local economy. A particular focus of his research is on Dickinson Financial Corporation and Armed Forces Bank, tracing their origins and evolution over the decades.

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