Wheelchairs and Power Operated Vehicles (Scooters)

Aetna covers rental or purchase of one manual wheelchair, one power mobility device (power wheelchair/POV/scooter) when the member has a mobility limitation that significantly impairs MRADLs in the home, cannot be sufficiently helped by a cane or walker, the home provides adequate access, and device-specific criteria are met (manual: criteria a–e plus f or g, regular home use and adequate upper‑extremity function or caregiver assistance; power devices: inability to self‑propel a manual chair; POV: safe transfer/operation, postural/cognitive/vision adequacy, and appropriate weight‑capacity). Devices are excluded when these criteria are not met, when needed only for use outside the home, and Group 2 POVs (K0806–K0808) are specifically considered not medically necessary.

"ICD-10 codes covered if selection criteria are met (not all inclusive):"

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