Client Spotlight: Securing a Power Wheelchair Allows Consumer to Remain at Home
When you are living with a disability, durable medical equipment makes daily activities—like getting in and out of bed—much easier. But acquiring such equipment from a health insurer is challenging. PHLP intervenes when a person’s health and safety is significantly compromised by the insurer's denial. “Agnes,” a PHLP client with multiple sclerosis, needed a new power wheelchair to navigate her home. Without one, she risked serious injury every time she used the bathroom or got out of bed because Agnes’ arm strength was not great enough to support her weight when performing those tasks.
Agnes’s doctors requested a power wheelchair with a seat elevator, which would allow Agnes to move vertically as well as horizontally so she could do these activities. However, Agnes’s health insurer denied the request.
PHLP successfully represented Agnes in her appeal. She prevailed because at the grievance hearing, PHLP presented detailed testimony that a power wheelchair with a seat elevator was medically necessary and explained it would help her significantly. Agnes continues to live independently, completing daily activities more easily and without putting her personal safety at risk.
To help clients like Agnes, consider donating to PHLP today.