Mobility Express of Georgia
Georgia’s leading supplier of scooters, power chairs, walkers, chair lifts, and manual wheelchairs for people with limited mobility.
Store Managers: Sue & Jerry Sharp
 
 
 
770-998-9984
 
Hours of Operation
M-F 9am-5pm. Sat. 10am-2pm
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Medicare

Mobility Express of GA and Medicare

Thanks for shopping at Mobility Express of GA a full service medical equipment supplier. Mobility Express of GA is an authorized Medicare provider, and we are happy to assist you in obtaining reimbursement from Medicare for any eligible item(s).
Medicare normally pays 80% of an allowable amount, which varies by product category. Mobility Express of GA is only able to process claims for customers that have non-HMO Medicare as their primary coverage. An HMO (i.e. Kaiser Senior Advantage) is a secondary company whose services have been enlisted to manage your Medicare coverage and benefits. Mobility Express of GA will verify your coverage and eligibility before processing your order.

Medicare Courtesy Billing for Scooters, Lift Chairs, Walkers, and Cushions
For most items, including most scooters, cushions, lift chairs, and walkers, Mobility Express of GA provides what is known as "courtesy billing," also called "non-assigned" billing. Courtesy billing means you purchase the equipment from Mobility Express of GA and Mobility Express of GA handles all of the paperwork to submit a claim to Medicare on your behalf. This includes any paperwork needed from your physician. If Medicare approves your claim, Medicare will reimburse you directly.

Product Medical Necessity

Listed below are the most commonly used Durable Medical Equipment products along with brief descriptions, Medicare Coverage Criteria.

Electric Scooters or POV's

ScooterCategory of Service: Capped Rental
Available in 3 wheel, 4 wheel or travel models. Mobility Express of GA represents leading manufacturers, including Pride Mobility and Golden.

Medicare Coverage Criteria (all must be met):

1. The patient's condition is such that without the use of a wheelchair the patient would not be able to move around in his/her residence.
2. The patient is unable to operate a manual wheelchair.
3. The patient is capable of safely operating the controls for the scooter.
4. The patient can transfer safely in and out of the scooter, and have adequate trunk stability for safety.
5. The physician who orders the scooter, must be one of the following specialists: Rheumatology, Physical Medicine, Orthopedic Specialist, or Neurology.

Note: Medicare will deny a scooter as not being medically necessary when it is needed for use outside the home only. A scooter that will be used for recreation and leisure will be denied as not medically necessary.

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Power Wheelchairs

Power WheelchairCategory of Service: Purchase
Available in a variety of styles beginning with the Standard Style, available in rear wheel, mid wheel, and front wheel drive. However, when needing to transport this model you will need a wheelchair lift or ramp. If you do a lot of traveling then maybe you need a Folding or Transportable Style, which easily folds or disassembles, and can easily be transferred in the trunk of a car. You can also purchase a Heavy Duty Power Wheelchair that can accommodate weights up to 600 lbs. When needing something special or for rehab, you can get a Custom Power Wheelchair that is built specifically for the patient. Mobility Express of GA features major manufacturers, including Pride Mobility, Invacare and Drive.

Medicare Coverage Criteria (all must be met):

1. The patient's condition is such that without the use of a wheelchair the patient would be bed or chair confined.
2. The patient's condition is such that a power wheelchair will be needed long term (6 months plus).
3. The patient requires the use of a wheelchair in their residence to move around.
4. The patient is capable of safely operating the controls of a power wheelchair.
5. The patient has severe weakness of the upper extremities due to a neurological, muscular or cardiopulmonary condition.
6. The patient is unable to operate a manual wheelchair.

Note: If Medicare has previously covered the rental of a manual wheelchair, the manual wheelchair must be returned to the company that supplied it before Medicare will cover the cost of an electric wheelchair.

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Lift Chairs

Lift ChairCategory of Service: Purchase
Lift Chairs are available in a wide range of styles, fabrics and colors. You can choose from 2 position, 3 position or infinite position chairs. Mobility Express offers lift chairs made by Pride Mobility and by Golden.

Medicare Coverage Criteria (all must be met):
Medicare will only cover the seat lift mechanism; they will not cover the chair itself. Reimbursement for the seat lift mechanism is about $300.00, depending on the state in which the patient lives.

1. The patient must have severe arthritis of the hip or knee, or have a severe neuromuscular disease.
2. The seat lift mechanism must be a part of the physician's course of treatment and be prescribed to effect improvement, or arrest or retard deterioration in the patient's condition.
3. The patient must be completely incapable of standing up from a regular armchair or any chair in their home.
4. Once standing, the patient must have the ability to walk.
5. By Medicare standards, the fact that a patient has difficulty or is even incapable of getting up from a chair, particularly a low chair, is not sufficient justification for a seat lift mechanism. Almost all patients who are capable of ambulating can get out of an ordinary chair, if the seat height is appropriate and the chair has arms.

Note: Medicare requires that the physician ordering the seat lift mechanism must be the attending physician or a consulting physician for the disease or condition resulting in the need for a seat lift.

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Manual Wheelchair

WheelchairCategory of Service: Capped Rental
Wheelchairs are available in a wide variety of sizes and styles. Never purchase a wheelchair without being properly fitted, not only for the width, but the footrest height as well.

Wheelchair Types

Standard Wheelchairs - K0001
Basic wheelchair is available with full length fixed armrests or detachable desk length arms. Desk length arms are designed to fit underneath a table or desk, it allows the patient to maintain a close distance to the table.

Hemi Wheelchair - K0002
The hemi wheelchair is medically necessary for patients who need to have their seat lower to the ground due to their short stature, or to enable the patient to place their feet on the ground to propel themselves. Note: Most wheelchairs today have both a standard and hemi axle to accommodate most patient heights. The hemi wheelchair is also available with either fixed full length or detachable desk length arms.

Lightweight Wheelchair - K0003
A lightweight wheelchair is medically necessary when a patient cannot propel themselves in a standard wheelchair, but is able in a lightweight wheelchair. Note: A lightweight wheelchair is not covered because a caregiver has difficulty lifting (due to weight) a standard wheelchair.

High Strength Lightweight Wheelchair - K0004
A high strength lightweight wheelchair is medically necessary when the patient self propels the wheelchair while engaging in frequent activities that can not be preformed in a standard or lightweight wheelchair and/or The patient requires a seat width, depth, or height that can not be accommodated in a standard, lightweight or hemi-wheelchair, and spends at least two hours per day in a wheelchair.

Heavy Duty Wheelchair - K0006
A heavy duty wheelchair is medically necessary if the patient weighs in excess of 250 lbs. or the patient has severe spasisticity.

Extra Heavy Duty Wheelchair - K0007
A extra heavy duty wheelchair is medically necessary if the patient weighs in excess of 300 lbs.

Medicare Coverage Criteria
Wheelchairs are covered and considered medically necessary if the patient would be chair or bed confined. Please review the criteria specific to each style of wheelchair above.

Note: Leg Riggings

Swingaway Footrest
Swing to the side of the chair to allow for easy access in and out of the chair, and are also height adjustable to fit the patients height.

Elevating Legrest
Allows for elevation of the lower extremities, and has a padded calf support, also height adjustable.

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Hospital Beds

Hospital BedCategory of Service - Capped Rental
Hospital beds, as they are so commonly referred as, are not only used in hospitals, but are used in ACLFs and the home care settings as well. There are three distinct types of hospital beds: manual, semi-electric and full electric. Some major manufacturers of hospital beds that Mobility Express of GA include are Sunrise Medical and Drive Medical.

Hospital Bed Types

Manual Beds (Fixed Height)
Manual beds enable you to raise and lower the head of the bed, along with your knees, through the use of a hand crank.

Manual Beds (Variable Height)
This is the same as the fixed height manual bed, only it has a hand crank to manually raise and lower the bed.

Semi-Electric Beds
This is the most common bed used in the home care setting. The head of the bed as well as the knees are raised and lowered with an electric hand-held control. The height of the bed is raised and lowered with the use of a manual hand crank.

Full-Electric Beds
This bed enables you to not only raise your head and knees with an electric hand-held control, but the height of the bed also.

Medicare Coverage Criteria

Manual Bed (Fixed Height) A fixed height bed is covered if one or more of the following indications are met:

  1. A patient who requires positioning of the body in ways not feasible with an ordinary bed in order to alleviate pain.
  2. A patient who requires the head of the bed to be elevated more than 30 degrees most of the time due to congestive heart failure, chronic pulmonary disease or problems with aspiration. Pillows or wedges must have been tried and failed to achieve the desired clinical outcome.
  3. A patient who requires traction equipment which can only be attached to a hospital bed.

Manual Bed (Variable Height)

  1. A patient qualifies for a variable height hospital bed when the criteria for a fixed hospital bed is met and
  2. The patient requires a bed height different than a fixed height hospital bed to permit transfers to chair, wheelchair or standing position.

Semi-Electric Hospital Bed A patient qualifies for a semi-electric hospital bed when the criteria for a fixed height hospital bed is met and

  1. the patient requires frequent changes in body position and/or has an immediate need for a change in body position.

Full Electric Hospital Bed
A full electric hospital bed is not covered by Medicare, it is viewed as a convenience feature.

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Bedside Commodes

CommodeCategory of Service - Purchase
A bedside commode is a transportable toilet that does not use or need running water. It looks like a frame with a toilet seat and has a removable pail underneath. The normally "slides out" for cleaning after use. There are various types of bedside commodes; there is a "drop arm commode" for easy patient transfer. A "heavy-duty commode" for those patients that need support up to 400 lbs, and a "3-in-1 commode," which can be used as a raised toilet seat, bedside commode or a toilet safety frame.

Medicare Coverage Criteria

A bedside commode is covered when the patient is bed or room confined and incapable of utilizing their regular toilet facilities.

Note: The term "room confined" means that the patient's condition is such that they are unable to leave the room.

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Walkers

WalkerCategory of Service - Purchase
Walkers are available in a variety styles and sizes to meet everybody's needs, from folding, hemi or wheeled walkers. Hemi style walkers are good when utilizing one hand, folding walkers are easy to transport. Most fold to a width of about four inches. Walkers with wheels are good for patients who are unable to lift the walker when ambulating.

Medicare Coverage Criteria

A walker is covered only when both of the criteria is met:

1. When prescribed by a physician for a patient with a medical condition impairing ambulation and there is a potential for ambulation and
2. When there is a need for greater stability and security than provided by a cane or crutches.

Note: Heavy duty, multiple braking system, variable wheel resistance walkers (rollator walker) is covered for patients who are unable to use a standard walker due to obesity, severe neurological disorders, or restricted use of one hand.

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Walking Canes

CanesCategory of Service - Purchase
Walking canes are available in a variety of styles and handle configurations to fit most any patient's hand comfortably. Canes are available in an adjustable height aluminum or non-adjustable wood. You would use a cane for added stability while walking. Quad canes are used when the patient needs more stability than a "normal stick type cane" would offer. Quad canes are available with either a small base or large base, the base is made up of four small legs.

Medicare Coverage Criteria

Canes are covered by Medicare when prescribed by a physician for a patient with a condition causing impaired ambulation; and there is a potential for ambulation.

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