A standard wheelchair is covered if the patient would otherwise be confined to a bed or incapable of functional mobility.
A standard hemi-wheelchair is covered when the patient requires a lower seat height (17" to 18") because of short stature or to enable the patient to place his/her feet on the ground for propulsion.
A lightweight wheelchair is covered when:
A high strength lightweight wheelchair is covered when:
A heavy duty wheelchair is covered if the patient weights more than 250 pounds or the patient has severe spasticity.
An extra heavy duty wheelchair is covered if the patient weights more than 300 pounds.
A custom wheelchair base is covered only if the feature is not available as an option to an already manufactured base.