Lifts, Elevators, and Standing Frames/Systems

This policy covers manually operated, non‑electrical/non‑battery mobile mechanical‑hydraulic or pneumatic lift systems, lifters, slings, and hoists (rolling base with swivel hanging bar) when all specified criteria are met. Coverage is limited to patients with severe functional impairment (e.g., Karnofsky ≤40% or equivalent, near/total bed confinement, inability to transfer/perform most ADLs) or specific diagnoses such as ALS, severe stroke, MS, severe COPD, bilateral amputation, etc., requires a treating physician prescription, and excludes electrically/battery‑powered lifts, ceiling‑track systems, elevators/platform lifts, motorized standing systems, furniture components or re‑upholstery; the member’s benefit plan and state rules (including an Illinois statutory exception for certain pediatric cases effective 2025‑01‑01) govern coverage.

"Manually operated, non-electrical/non-battery lift systems, lifters, slings, or hoists (mobile mechanical-hydraulic/pneumatic cylinder types with rolling base legs and a swivel hanging bar) when us..."