The most common and important piece of equipment to a person with an amputation is their prosthetic device. An artificial limb should be comfortable, functional, and allow the individual to be more mobile and independent. A physical therapist is needed to train the patient for use of the prosthetic device, making sure they get the most out of it. The type of prosthetic assigned to an amputee will largely depend on your functional and lifestyle needs.

Following amputation, many patients will have a continuing need for some form of medical equipment, such as:

• Prosthetic devices
• Stump socks and sleeves
• Skin care products for caring for the stump (i.e. lotions, antiperspirants, and powders)
• Canes
• Crutches
• Walkers
• Wheelchairs
• Bathroom fixtures (i.e. safety bars, shower chairs)
• Cushions for wheelchairs

Insurance coverage may vary in the amount that they will cover for medical supplies. There may be a co-payment that the patient will be responsible for.

Medicare

Medicare (Part B) covers those 65 years of age and older, or those under age 65 and considered permanently disabled and entitled to SSA benefits. If you are an amputee and are unsure whether you qualify for Medicare, you can consult Medicare, your physician, or your legal advisor.

Assistive devices are defined as medical equipment used in the home, such as canes, walkers and wheelchairs. The term “durable” refers to the ability to use these devices repeatedly. They must be prescribed to the patient by a physician and must be deemed medically necessary to treat illness or injury, or to prevent further deterioration of the patient.

Wheelchairs are covered if the patient’s condition is such that without the use of a wheelchair, the patient would be unable to leave their bed or chair. They can be replaced every 5 years.

Medicare will also cover a walker if the patient requires greater stability than can be provided by a cane or crutches. This coverage requires that the patient have a condition that impairs their ambulation and there is a reasonable potential for ambulation.

Medicare will pay for two legs in the first year, with the caveat that the first leg is a prep-leg for training purposes. The second leg will be the patient’s permanent prosthesis.

Driving

Many patients will wonder about driving after an amputation. Vehicles can be modified to allow amputees to drive. Modifications may include the use of hand controls or modification of the accelerator and brake system.

Patients may turn to support groups for qualified advice on the use of equipment and equipment required after an amputation, or they may ask their physician or rehabilitation therapist.