Insurance
What insurance usually needs
A short summary. Your plan and your records decide; we check yours before anything is ordered.
Florida Medicaid
- A manual or power wheelchair is usually covered when your child can't walk or has severely limited mobility, and the doctor prescribes it as medically necessary.
- A chair built for your child (custom seating, tilt) usually needs a custom wheelchair evaluation by a licensed therapist or physiatrist, and approval in advance. Wheelchair evaluations are valid for up to six months.
- Usually one wheelchair per child in each replacement period. For children under 21, Florida Medicaid can approve equipment beyond the usual limits when it's medically necessary (the EPSDT benefit). We send that request.
Check Florida Medicaid coverageMedicaid health plans
- Most children with Medicaid get it through a health plan, such as Sunshine Health, Simply or Molina.
- Plans usually follow Florida Medicaid's rules and add their own approval steps and forms.
- Your plan's rules decide. We check them for you and handle the approval request.
Check a Medicaid health planPrivate and employer plans
- Each plan has its own medical policy, deductible and approval rules.
- We check your plan's rules for you and tell you in writing what you may owe before anything is ordered, based on what your insurance tells us.
Check a private planMedicare rarely applies to children: it is mainly for people 65 and older and some adults with disabilities. If your child does have Medicare (for example for kidney failure), we check its rules too.
Source: Florida Medicaid rule 59G-4.075 (Wheelchairs, Hospital Beds and Ambulatory Aids, Dec 2023), sections 4.2.7 (wheelchairs), 6.2 and 9.1 (custom wheelchair evaluation) and Early and Periodic Screening, Diagnosis, and Treatment. Summary reviewed Oct 2026. Coverage depends on your plan and medical records; we verify every case. A summary, not the full rule.
