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TOP CHAIRS THAT TURN INTO BED FOR THE AGED AND ELDERLY

It has been established and agreed that the population of the      United Kingdom is aging. This is actually good news and a sign of improvement in healthcare quality and delivery.

Although a lot of people are advancing in age, it makes sense to live an enjoyable life as we grow older. No elderly person wants to be heavily dependent on his or her loved ones for mobility and movement. We all want to be independent and live in our houses. Everybody wants to be comfortable.

To achieve this, a lot of effort must be applied. Some of these efforts include making deliberate attempts to sleep and sit well and in a comfortable position which is something that can be achieved by using a chair bed.

What is a chair bed?

A lot of recliner chairs may be transformed into beds for elderly people and those that struggle with mobility. This makes sense for aged persons that find it difficult to get in and out of their bed. A chair bed makes it easier for a user to switch from an upright armchair to a convenient single bed. It doesn’t make sense that mobility issues will hinder quality sleep. Thankfully, chair beds for the aged and elderly have a lot of impressive features for comfortable sleep and extra convenience.

A good chair bed should be very versatile so that it can match sleeping and sitting needs and requirements. Operation of a manual chair bed is done through a lever while electronic chair beds are controlled or operated through the press of a button.

Why should i opt for a chair bed?

There are so many reasons for choosing a chair bed. However, the reasons listed below are the top three according to researchers:

i.          Health: A chair bed makes it possible to sleep well if it is proving difficult to get into an actual bed for a period of time.

ii.          Sleep: Insomnia is really a thing. However, having a chair bed can lessen this burden.

iii.         Indulgence: Everybody wants a daytime nap on a comfortable and convenient chair bed produced from soft materials guaranteeing comfort in both reclined and sitting positions.

Chair bed types

Chair beds are produced from a wide range of materials and they are available in different sizes. Nonetheless, even compact chair beds provide enough room for quality sleep when they are extended.

i.          Futons: They are produced with a wooden or metallic frame which is foldable so that it looks like a chair and unfolded so that it serves as a bed or sleeping space. The bifold futon is probably the most common of all. Futons require manual adjustment but they are a reliable and easy-to-use solution.

ii.          Drawer sofa bed: This is another manually adjusted sofa bed. With this, you do not have to deal with the stress of removing cushions when you alternate between bed and sofa. All you need do is pull the draw out from under the couch. This will pull up the bed so that the legs rest on the drawer. The cushions remain as they are while this is happening.

iii.         Electronic chair beds: The operations of an electronic chair bed are controlled by the push of a button. It automatically transitions between chair and bed. Therefore, there is absolutely no need for lifting or bending which makes it ideal for aged and elderly persons. A button exists for sliding out the front cushion of the chair and there is another button for sliding up the extra cushions so that the bed is both comfortable and sizeable. The clever design of an electronic chair bed means that the user has little or nothing to do when using it.

iv.         Pull-out chair beds: As the name suggests, the spring-loaded metal frame underneath the top cushions of this type of chair bed can be pulled out. This makes it possible for the bed to flip forward with 3 folding sections. The bed frame sections have to be clicked into place. Relatively, pull-out chairs are labour intensive when compared with electric chair beds and futon chair beds.

v.         Sleeper sofas: This one is quite similar to a futon. However, it is without the hinge mechanism but with a removable back support and pillows. The difference between this and the traditional futon is that the mattress is built into the frame. The mattress in futons can be removed and replaced.

What to consider when selecting a chair bed

It is irrelevant whether a sleeping chair is automatic or manual. What is more important are the features offered to improve mobility and health issues. If you want a customized chair bed, one that has all the features you desire and one that fits your needs perfectly, we suggest you work with a specialist furniture company.

If you want a chair bed that you can control without much manual effort, we suggest you go for an electrical chair bed because of its ability to automatically transition between sleeping and standing positions on push of a button.

Top recliner chairs that turn into bed

As far as specification of a sofa chair that can be transformed into a bed is concerned, there is no one-size-fits-all solution. This is not unconnected with the fact that the needs and requirements of various users are different.

Knee problems and hip problems increase the difficulty people encounter in getting out of traditional beds and static chairs. An automatic approach for transitioning between chair and bed is a sensible solution to this. The Berkshire Collection consists of a rise and recline chair that is elegant, luxurious, and eye-catching. Its arms are curved and rounded guaranteeing the comfort of a user when in the chair.

Sleeping in a bed becomes more difficult with conditions like arthritis and osteoporosis. So, a chair bed can be used as a temporary solution. The Cheshire Collection is made up of chair beds with wooden knuckes that provide adequate support in both the standing and sitting position.

Because some people are conditioned to spend a lot of time in bed, it is important that every condition for a quality chair bed is met. This includes handy USB ports for charging of cell phones and tablets. Another popular choice is the rise and recline chairs within the Hampshire collection. They are additionally padded on the arm for additional comfort. It is available in various upholstery options such as leather, velvet, chenille, waterproof, anti-bacterial, and anti-fungal.

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Lift chair for SCIATICA PAIN?

Sciatica is a painful sensation that takes place along the large sciatic nerves which is the largest nerve in the body. It can be found in the lumbar region and it extends through the length of each leg. It occurs predominantly amongst people that sit for an extended length of time or those that live a sedentary lifestyle. Sciatica has other risk factors such as obesity, aging, and diabetes.

Sciatica is commonly caused by herniated disk which is an unfortunate occurrence that takes place when a spinal disk slips out of place and exerts pressure on the sciatic nerve. Other common causes of sciatica are inflammation of the nerves and irritation. Factors like bone overgrowth, infection, tumour, injury, and muscle irritation are common causes of nerve sensitivity. It could also take place during pregnancy.

Normally, sciatica goes on its own. Proper self-care can help remedy the condition.

Sciatica symptoms

Symptoms of sciatica may be experienced in the lower back, hips, legs, or buttocks. Pain may take place in all these listed areas or a few. The magnitude of sciatica pain also varies. The pain could range from mild aches to debilitating jolts. It is not uncommon for just one side of the body to be affected by sciatica.

Sciatica symptoms include:

  • Pain in the leg
  • Burning or tingling in the leg
  • Discomfort along the nerve’s path

Sciatica side effects include:

  • Weakness in the leg
  • Loss of feeling
  • Incontinence/loss of bowel control

Self-care solutions for sciatica

If sciatica is mild, it should go on its own. There are stats to back up the claim that up to 90% of people with sciatica recover without surgery. Useful self-care solutions for sciatica include:

Cold therapy: Cold packs are capable of alleviating some of the symptoms of sciatica in the first two days. Application of a towel-wrapped cold pack to the source of pain for one-third of an hour several times a day should help.

Hot therapy: Hot therapy may be introduced after a few days of trying the cold therapy for alleviation of the symptoms of sciatica. You may also want to alternate hot therapy with cold therapy. You can use a heat pad, heat lamp, or a hot pack.

Short-term rest: You can releive the symptoms of sciatica when they first show up by giving yourself a good day of rest. However, you should try not to rest for more than twenty-four hours so that the problem isn’t worsened. Rest should only serve as a temporary self-care measure.

Yoga and stretching: Sciatica pain can be alleviated by long stretches through nerve decompression. Beginner yoga poses and gentle easing into stretches for at least 30 seconds will help. Practicing in the morning when the body is in its tight state will go a long way to prevent pain throughout the day.

Posture and core strengthening: This is a vital preventative measure against sciatica. It improves the strength in muscles and also enhances posture and flexibility. You can start a core strengthening routine as soon as sciatica symptoms are alleviated.

Helpful products from Relaxing the back against sciatica

Relax the back products are known for their reliability and ergonomic value. Top products include:

Recliners: An excellent recliner serves as a reliable support system for the back which can alleviate the symptoms of sciatica. Recliners are better than regular chairs for this purpose and they provide support and comfort for preventing sciatica.

Wedges and back supports: Back support and wedges for your home chairs and your car will go a long way in preventing sciatica because it helps to position the back properly. The pressure on the sciatic nerve will be lowered through provision of adequate support for the lower back.

Footrests: A good footrest is needed for proper body positioning. It will go a long way to prevent common back problems and sciatica.

Lumbar support: Sciatica builds up in the lumbar region. This region becomes weaker or tighter as a result of sedentary lifestyle. Lumbar support can help with posture correction and correct positioning of the back.

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WHAT SIZE OF LIFT CHAIR WORKS BEST FOR YOU?

Lift chairs are available in various sizes and collections. In a lot of cases, the same lift chair model will have a lot of sizes. If you are not sure of the size of lift chair that fits your need or matches your requirement, talk to a product specialist who would gladly guide you through the selection process.

A hack for determining the size of lift chair that you require is to look through the furniture in your home. If you are a current owner of a standard recliner which provides adequate comfort for you, all you need do is measure the distance from the floor to the seat, the seat width and depth, as well as the gap between the back of the seat down to the back rest. With these measurements, it becomes easier to match you to a chair with similar dimensions.

If you do not have a comfortable recliner, it is still possible to obtain the necessary measurements to be sure that your lift chair fits perfectly. Having someone offering or rendering assistance with these measurements may be necessary depending on your mobility.

  • Take measurement from the bottom of your foot to the back of your knee. This will provide insight on the required height of the chair from floor to seat.
  • As you remain seated, run a tape measure beneath your bottom from side to side. This should give an insight on the required width of the seat of your lift chair.
  • Still in a sitting position, take measurement from your bottom back to the midpoint between the back of your knees. This should give a clear indication of what the required depth of the seat of your lift chair is.
  • Again, as you remain seated, take measurement from the bottom of your back to the top of your head. This should give you an idea of the required height for the back rest of your lift chair.
  • The last step, is to take measurement of your weight before placing your order. There is a specific weight capacity for all chairs. It is advisable to add 10% to 15% of your total weight to the measured value to create a buffer or tolerance for probable weight gain in the future.

The outcome of these measurements should give you an idea of the size of lift chair you need.

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ADVANTAGES AND DISADVANTAGES OF A LIFT CHAIR FOR ARTHRITIS

A lift chair shares some similarities with a recliner. It is possible to use both types of chairs to recline your position or extend your feet with a footrest. However, there are some differences between a regular recliner and lift chair. For instance, operation if most recliners is manual but a lift chair is controlled by the push of a button. There is a mechanism in a lift chair that lifts up from the seated position to a vertical position so that it is easier to get out of your chair.

Pros and Cons

To start with, a lift chair is very helpful for people who have difficulties getting out from a chair. The mechanism of the lift chair takes a lot of stress away from you because it does the work so that you do not have to break a sweat when you want to transition from sitting to standing. There is however a debate over how good this is for everybody. Doctors and physical therapists have alluded to the fact the use of a lift chair varies on a patient-by-patient basis.

Ensuring a lift chair is right for you

If you think you need a lift chair, talk to your doctor or physician about it. If your doctor gives the nod for you to get a lift chair, check with your insurance to confirm that it is covered or not. Typically, Medicare covers the lift mechanism but you still have to confirm because things can change and it is not safe to assume.

Think about the benefits a lift chair will give you before you spend on one. Will it make you comfortable and provide relief from pain? Will it make it less difficult to rise from a seated position? How important is it to put your feet up or recline?

You should also chatting with a physical therapist about the possibility of coming up with an exercise routine since the lift chair will be reducing the stress your leg muscle will be subjected to. The exercise routine may include strength training and a range of motion exercises.

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SIZING GUIDELINES FOR LIFT CHAIRS

Lift chairs are not only available in various styles and colours; they are also available in several sizes. A perfectly sizes lift chair is important for daily comfort and convenience just like a comfortable pair of shoes will fit well and provide adequate support for your leg. In this article, we will be analyzing some simple measuring guidelines.

It is possible that you already have a recliner or lift chair that fits perfectly in your house. If that is the case, let us look at how measurement can be done. With a tape measure or yardstick, take the measurement of the width of the seat between the arms and note it somewhere as your seat width. After this, proceed to measuring from the front edge of the seat cushion backwards to where it converges with the back cushion and note it down as your seat depth. The back height is gotten by measuring from the back of the seat cushion to the top of the backrest. The next step is to take measurement of the front of the chair from the floor to the top of the cushion. Don’t forget to also note this down as your seat to floor height. The values of these measurements should give you an idea of the lift chair that will come closest to the measurement of a chair you are probably very comfortable with.

It is also very possible you don’t have a favourite chair for reference. In that case, the four basic measurements taken above will be decided by measuring you. Let us start with the seat width by making use of the yardstick or tape measure. Sit down on a chair with a back. We suggest dining room chairs for this purpose. Take measurement across your lap in a straight line. The aim is not to wrap the tape measure around your hips, we are simply measuring across. Note this down. You may want to add an extra inch or two for additional comfort. The yardstick should be placed along the side of your hip and make sure the end of the yardstick is against the backrest behind your bottom. This step is to measure the depth of the seat. After this, measure forward until it gets to the point behind your knee where it bends. The back height is determined by measuring from the same point at the back of the seat behind your bottom to the top of your head.

There is another important consideration when choosing a lift chair and that is your weight. Your weight must not exceed the weight capacity of the chair you are choosing since the motors are pushing you to a standing position. For comfort and long term reliability, the weight should be ready within the recommended weight limit.

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A LIFT CHAIR AS A BED, HOW GOOD IS IT?

If you want to use a lift chair as a bed, this article is for you. In this article, we will be discussing how to choose the best lift chair sleeper to sleep in. We will talk about the comfort offered by lift chair recliners when they serve as a bed.

Selecting a sleeper lift chair recliner for use as a bed

There are four types of lift chairs – two-position lift chairs, three-position lift chairs, zero gravity lift chairs, and infinite position lift chairs. Let us define each of them:

  • Two-position: Two-position lift chairs can move into the upright position and also recline by 15 degrees. It is not possible to move the footrest independently from the back. It has only one motor.
  • Three-position: It can move into the upright position, 15 degrees recline, and 45 degrees recline. It has only one motor and it is not possible to move the footrest independently from the back.
  • Infinite position: This lift chair is capable of moving to any position including th aforementioned ones. It can also move into recline and Trendenlenburg position where the feet is above the heart. There are two motors and the footrest can move independently from the back. One motor is for the ottoman while the other is for the back.
  • Zero gravity: It is another type of infinite position lift chair that has the ability to move into the “zero gravity position”. This position was founded by NASA and it lowers the stress on the body.

The aforementioned reasons would make one want to purchase an infinite position lift chair or a zero gravity lift chair to sleep in. It is not comfortable to sleep in 15 degree or 45 degree recline.

Infinite position and zero gravity lift chairs can be configured in various ways and can be adjusted until the desired level of comfort is attained for sleeping.

After choosing the appropriate lift chair, you must also ensure it fits your size. The width of the seat must fit you comfortably. When sitting, your knee should be in a 90 degree position even as your feet touches the floor. Your back should be on the back. If it isn’t, it means the front to back distance of the lift chair is too much for you. If your knee is not inclined at a 90 degree angle, you should look for a shorter or longer lift chair.

Lift chairs ara available in various models – large, medium, and petite. It is up to you to choose what fits you perfectly. Your weight must also be within the maximum weight limit for the chair otherwise you’d have to purchase one that has a weight limit that is high enough for you.

Quality of sleep in an electric lift chair sleeper

Every quality lift chair is built to be used extensively. They are designed and produced with the belief that users will spend long hours in them watching TV, reading, eating, and writing. This explains why quality lift chairs are made from sturdy materials, comfortable seats, wood frame, and thick cushions. Anything beyond this is the preference of the user. If you want to have quality and sound sleep in your lift chair, avoid cheap and low quality sleep chairs.

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STEP BY STEP CONSUMER GUIDE TO MEDICARE COVERAGE FOR LIFT CHAIRS

Medicare usually covers the cost of the motorized portion of the lift chair. A person qualified for this should expect Medicare to cover up to 80% of the approved amount for the motor. The user will have to pay for any deductible amounts or co-pay or the upholstery or furniture portion of the chair. Follow the steps outlined below to confirm your eligibility or qualification for this discount.

Step 1: Get a prescription for the lift chair from your doctor or physician. This often requires an in-person or face-to-face visit.

Step 2: Your physician has to fill the special form provided by your provider. If your provider hasn’t sent this form to your physician, you’d have to take it with you. This form contains questions about your health or medical condition which will help determine the medical coverage you qualify for.

You must keep some things in mind if you must qualify for the seat lift mechanism. They include:

i.          The person must be suffering from severe arthritis of the knee or hip. The beneficiary may also be suffering from a severe neuromuscular disease. This will usually be determined by your doctor.

ii.          The seat lift mechanism must be included in the treatment plan by the doctor as a means of improving the beneficiary’s health condition or lowering the progression of the ailment.

iii.         The beneficiary must be incapable of standing up from a regular armchair or any chair in the home.

iv.         When the user stands, he or she must be able to walk even if it requires using a walker or cane.

It is important to state that Medicare will not cover the cost of the lift chair if the beneficiary resides in a hospice or skilled nursing facility. Also, if Medicare foots the bill of a manual wheelchair, power wheelchair, or scooter, it will make the user ineligible for Medicare coverage for a lift chair.

Step 3: As soon as your physician sends the appropriate medical information to your provider, the next step is to select a lift chair. As soon as you take possession of the lift chair, the claim will be submitted to Medicare by your provider on your behalf.

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GENERAL INFORMATION ABOUT LIFT CHAIRS

A lift chair is configured to elevate people from a seated position. All that is required is the push of a button and the user will be lifted to a standing position or recline to a position of rest.

Types of lift chair

Categorization of lift chairs is done based on the degree of recline they are capable of reaching. They are also differentiated based on the position of the footrest and recline mechanism. Based on this lift chairs can be categorized into three which are two-position, three-position, and infinite-position.

A two-position lift chair has a reclining range of 45 degrees which is a convenient position for a lot of people to watch the TV or read. On the other hand, a three-position lift chair can recline to an almost flat position. It is also capable of stopping at any recline angle in between. This means you can comfortable take a nap in this chair and also watch TV or read a novel.

Infinite lift chairs are also referred to as zero gravity or full recline chairs are capable of reclining into a flat position which is tantamount to resting your back against the floor. There are a few models of infinite lift chairs capable of lifting the feet of an individual above the head into the Trendelenburg position or lift the feet of the person above their heart in the zero gravity position.

Cost of a lift chair

Two-position lift chairs are relatively less expensive than others and prices start from $600. Three-position lift chairs cost from $650. Infinite lift chairs are the most expensive of the three and this is not unexpected. It costs from $1,100. The price is often influenced by the choice of upholstery

Maintaining a lift chair

It is important to maintain a lift chair for safety, durability, and longevity. Check and carry out frequent inspection of wiring harnesses for damage, signs of corrosion, or frays. To service the chair, unplug it and reach out to the local authorized dealer from your manufacturer. You should also check the fabrics from time to time for pulls, rips, or tears. The owner’s manual should provide more insight into cleaning and maintenance of your lift chair.

To clean a lift chair, you may want to use a mild fabric cleaner. You should make sure liquid does not come in contact with any electrical part or component. Do not attempt to clean the chair while it is plugged. Go through the owner’s manual to be sure that the cleaning material will not have a negative effect on the fabric or upholstery.

Features of a lift chair

i.          Backrests: There are several backrest options. They include pillow back, split back, and button back. The obvious difference between the backrest styles is physical appearance and looks. It is all about what blends with the decor of the home very well. Button back is usually firmer and they are common in couches and chairs. The button back design involves sewing buttons into the backrest at intervals.

ii.          Controls: You will most likely find a hand control on the right of a lift chair very close to the armrest. These hand controls are made up of up and down buttons and there is need for constant pressure. Pressing the “up” button down makes the chair move from a recline to a seated position before it eventually reaches a lift position where the feet of the user will be on the ground so that he/she can stand up from the chair. The hand control also orchestrates heat and massage. 

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WHY SHOULD I OPT FOR A POWER LIFT CHAIR THAT ROCKS?

Getting out of a couch or recliner is usually uneasy for people living with mobility issues. Typically, they are soft and cushy items that provide comfort as you catch a glimpse of your favorite TV show, engage in a conversation, or read an interesting novel. However, there will be an issue getting up if you have a bad back, problems with your leg, or a painful knee. A lot of people opt for a power lift chair that rocks. Pride Power Lift Recliners are useful and meaningful options and solutions. Every lift recliner from Pride lift upwards so that it becomes less difficult to get out of chair. In this article, we will be learning about Pride’s top-selling VivaLift line and one every one of them has to offer.

Atlas Collection

The Atlas collection makes it easier to get out of your chair safely. It is available in different colour variants and Badlands fabric. Common colour options include Walnut, Steel, or Mushroom colours. It has a lot of impressive features that set it apart. It features a power headrest, USB remote, power lumbar, footrest extension, lithium battery backup, as well as a power backrest. Another impressive feature of the Atlas collection is convenient cup holders.

Legacy collection

This is not a power lift chair that rocks, it is more than that. You only need to touch a button for it to lift you from a sitting position to a standing position. The legacy lift chair is covered in a warm and rich fabric that helps to ensure the chair is warm and cozy. Another feature of the legacy collection is tufts in the lumbar section that ends to the attractiveness of the chair. It exists in various colour variants such as wine, grey, and brown. The legacy collection comes in Saville fabric. Just like the Atlas collection, it has a lot of adorable and impressive features such as power headrest, power lumbar, footrest extension, lithium battery backup, USB remote, and power backrest.

Sierra collection

If you are keen on acquiring a power lift chair that rocks, consider getting one from Pride. With just the touch of a button, you can be lifted easily and quickly. The Sierra collection is available with Stonewash fabrics and various colour options such as mossy, amber, and dune. It features a power headrest, power lumbar, and power backrest that guarantee support and comfort. With the USB remote, you can charge your cell phone or tablet. If you need to relax or stretch out completely, you can make use of the footrest extension. The lithium battery backup also guarantees peace of mind and longevity in use.

Tranquil collection

With the Tranquil collection, all that is needed is a touch of a button. It is characterized by an upscale look with Astro fabric. You can also choose from different colours depending on what matches your family room or living room. Available colour options include grey, mushroom, and brown. You can also charge your cell phone or tablet as you read or watch your favourite television show. Other features are lithium battery backup, power lumbar, and power headrest.

So, you can see that the Viva collection has a lot of impressive offerings. It guarantees comfort and safety and there are various recliners to choose from such as Sierra, Legacy, Atlas, and Tranquil collections.

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WILL MEDICARE FOOT THE BILL OF A LIFT CHAIR?

Medicare will likely foot the bill of a lift chair if it is deemed medically necessary or part of the prescription from a physician. However, you should know that Medicare does not cover the entire chair; it only covers the lifting mechanism. A lift chair makes it easier for a patient to manoeuvre all over the place from a sitting or standing position. To comfortably move from place to place, an individual only needs to control this device. In this article, we will be looking at what Medicare will cover and what it won’t cover as far as lift chairs are concerned.

Medicare coverage for a lift chair

The seat-lift mechanism will be covered by Part B. A lift chair will only be regarded as medically necessary if a doctor or physician indicates it as a way or means of improving the health condition of a patient. Medicare will cover 80% of the lifting mechanism as soon as it is approved. The remaining 20% will have to be paid by the beneficiary. The beneficiary will also have to foot the bill for the cost of the seat portion of the lift chair.

To determine if a medical lift chair is necessary or not, the following conditions must be met:

  • The patient cannot stand on their own with a regular chair
  • The patient can operate the chair on their own
  • Can walk with a walker or independently
  • Suffering from severe arthritis
  • The patient will be confined to a bed without the chair

The lifting mechanism will be deemed medically unnecessary if the beneficiary can transfer to a wheelchair to the lift chair directly. Also, the lift chair mechanism will be tagged medically unnecessary if the beneficiary is a resident of a hospice, skilled nursing facility, or nursing home facility.

Common lift chair types

Lift chairs have three different seat types.

Two-position lift chair: This is the simplest of all. It can recline in two positions. A 90-degree upright position and a 45-degree position with the legs of an individual at an elevated position and the back at a recline position. The reclining motor and leg elevator are in the same engine and this makes it possible to simultaneously elevate the legs and recline the chair.

Three-position lift chair: This chair features a 45 degree recline angle and an upright angle similar to its two-position counterpart. It’s angle of recline is almost at an entirely flat position. It guarantees posture that lowers the pressure acting on the back. Like the two-position chair, all components of the three-position chair are a single driving motor.

Infinite position lift chair: This is the most adjustable of all lift chair types. The infinite position lift chair makes it possible to sit upright, stay flat, resting your back at an angle, and putting your legs in an elevated position. This type of lift chair operates by two motors and it is the most expensive of all available options. It is also the most flexible of the three.

How much will I pay after Medicare pays its portion of the lift chair?

Typically, you would have to pay up to $350 or thereabout for the lifting mechanism of the lift chair after Medicare pays its part.

Certificate of medical necessity for seat lifting mechanisms – CMS-849

A prescription for the lift chair must be issued by your doctor or physician. You must also complete and submit form CMS-849.