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The rules say that plans must pay for a medical service or item if regular Medicare would pay for it in this case.
You can find this rule at 42 Code of Federal Regulations (CFR) Section 422.101.

The rules state that s power seat elevation feature (E2300) and power standing feature (E2301) are non-covered
because they are not primarily medical in nature. If a wheelchair has an electrical connection device described
by code E2310 or E2311 and if the sole function of the connection is for a power seat elevation or power
standing feature, it will be denied as non-covered. For power wheelchairs which are capable of being upgraded
to an expandable controller (K0835, K0836, K0837, K0838, K0839, K0840, K0841, K0842, K0843, K0848,
K0849, K0850, K0851, K0852, K0853, K0854, K0855, K0856 K0857, K0858, K0859, K0860, K0861 K0862,
K0863, K0864, K0868, K0869, K0870, K0871, K0877, K0878, K0879, K0880, K0884, K0885, K0886,
K0890, K0891), E2377 is used if an expandable controller is provided at the time of initial issue. Code E2376
is used with complete replacement of an expandable controller. A harness (E2313) describes all of the wires,
fuse boxes, fuses, circuits, switches, etc. that are required for the operation of an expandable controller. It also
includes all the necessary fasteners, connectors, and mounting hardware. Code E2313 is separately billable in
addition to an expandable controller both at initial issue and with complete replacement of the expandable
controller. Code K0108 must not be used for any component or feature of an expandable controller at the time
of initial issue. The reimbursement for any type of complete expandable controller is included in the allowance
for codes E2377/E2376 plus E2313.

However, if individual components of the harness are replaced, code K0108 should be used. Codes E2310 and
E2311 describe the electronic components that allow the beneficiary to control two or more of the following
motors from a single interface (e.g., proportional joystick, touchpad, or non-proportional interface): power
wheelchair drive, power tilt, power recline, power shear reduction, power leg elevation, power seat elevation,
power standing. It includes a function selection switch which allows the beneficiary to select the motor that is
being controlled and an indicator feature to visually show which function has been selected. When the
wheelchair drive function has been selected, the indicator feature may also show the direction that has been
selected (forward, reverse, left, right). This indicator feature may be in a separate display box or may be
integrated into the wheelchair interface. Payment for the code includes an allowance for fixed mounting
hardware for the control box and for the display box (if present). An expandable controller is capable of
accommodating one or more of the following additional functions: Other types of proportional input devices
(e.g., mini-proportional or compact joysticks, touchpads, chin control, head control, etc.) Non-proportional
input devices (e.g., sip and puff, head array, etc.) Operate 3 or more powered seating actuators through the
drive control. (Note: Control of the power seating actuators though the Control Input Device would require the
use of an additional component, E2310 or E2311.) An expandable controller may also be able to operate one or
more of the following: A separate display (i.e., for alternate control devices) Other electronic devices (e.g.,
control of an augmentative speech device or computer through the chair's drive control) An attendant control
You can find this information in the Local Coverage Article Wheelchair Options/Accessories - Policy Article
A52504.

If you want to read these Medicare rules, you can go to this website www.medicareappeal.com.

The Plan contract says that the Plan covers items and services in accordance with Medicare rules.