A new year brings new opportunities for independence, mobility, and improved quality of life. If 2026 is the year you’re considering a power wheelchair, understanding the medical aid claim process early can save you time, stress, and unnecessary delays.
Power wheelchair are not convenience items — they are essential mobility tools for people with permanent or severe functional impairments. At Medop CC, we work closely with clinicians, patients, and families to ensure claims are clinically sound and correctly positioned from the start.
This guide explains how medical aids assess power wheelchair funding, what documentation is required, and how Medop CC supports you throughout the journey.
Medical aids assess power wheelchair requests under either Prescribed Minimum Benefits (PMB) or non-PMB benefits.
PMB conditions are legally required to be funded from a medical aid’s risk benefit, not savings. A power chair may qualify when a patient has a severe, permanent mobility impairment that affects basic activities of daily living.
Common PMB-related conditions include:
For PMB claims, the motivation must clearly show that:
When PMB applies, medical aids cannot decline based on internal benefit rules and must fund a device that meets the clinical need.
If a condition does not fall under PMB, the claim becomes non-PMB and funding depends on the member’s plan rules.
Non-PMB claims may involve:
In these cases, motivations focus on quality of life, safety, caregiver burden, and preventing secondary complications. Approval may be partial, capped, or declined depending on available benefits.
Successful claims are built on strong documentation.
Typical requirements include:
PMB claims additionally require a clear statement confirming PMB eligibility and why manual mobility is not suitable.
Each step must be completed accurately to avoid delays.
Power wheelchair pricing varies based on clinical requirements and functional goals.
Costs typically include:
Budget impacts performance, durability, and long-term reliability, which is why correct specification is critical.
Medop CC is more than a supplier. We support your mobility journey by:
Our goal is to ensure you receive the right mobility solution, not just an approved one.
Claiming a power wheelchair through medical aid can feel overwhelming, but with the right guidance, it becomes manageable and structured.
If improved mobility is part of your 2026 goals, Medop CC is here to help you take the next step with confidence.
Contact the Medop team to start your power mobility journey the right way.