Wheelchairs and Accessories

Covers wheelchairs (manual, pediatric, and power/motorized), related accessories, repairs, temporary rentals, and replacements when documentation shows medical necessity and required pre-delivery conditions (e.g., home inspection) are met. Applies to patients with significant mobility limitations—including children with low‑tone neuromuscular, neurological, or cognitive impairments under an Illinois statutory exception for certain fully insured plans—but coverage is subject to the member’s benefit plan/contract, caregiver availability, device‑specific criteria, limits on multiple devices, and applicable state rules.

"(Illinois only) Coverage for therapy, diagnostic testing, and equipment necessary to increase quality of life for children clinically or genetically diagnosed with conditions that include low tone ..."

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