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Peter Abilla is a licensed Medicare insurance agent quoted by national outlets on Medicare policy, enrollment, and beneficiary advocacy.
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Does Insurance Cover Walk-In Tubs?
Some Medicare Advantage, Medicaid and VA benefits may help cover the cost
According to Peter Abilla, a licensed Medicare agent at Resting Sycamore Advisors, getting coverage through original Medicare is essentially unheard of. He said none of his clients have ever received approval, even when backed by a doctor's prescription.
However, beneficiaries do have an alternative in Medicare Advantage (Part C), which provides Medicare-approved coverage through private insurers. Since guidelines expanded in 2019, some Medicare Advantage plans offer supplemental home safety benefits. Abilla pointed out that these plans “sometimes carry a home safety benefit — grab bars, a shower seat or occasionally a small annual allowance.”
While an annual allowance can help offset installation costs, full coverage for a walk-in tub remains rare even under Part C. Abilla advised reviewing your Evidence of Coverage document or contacting your plan provider directly to confirm your specific benefits.
Abilla explained that “the whole point of those programs is keeping people out of facilities.” However, caps, eligibility and waitlists vary by state. Individuals who are dual-eligible for both Medicare and Medicaid should start by researching these state waivers.
Could health plans be the next crucial benefit for independent agents?
“Accessible health insurance coverage may help an agent stay focused on building, recruiting, and serving clients instead of constantly worrying about high medical bills.”
Peter Abilla, quoted by InsuranceNewsNet
Peter was one of the article’s expert sources on health coverage for independent insurance agents.
