The rule of CMS have changed 3 times in the last 6 years.  Living is a
constant learning experience.
Best Wishes


In a message dated 7/19/2009 3:42:55 P.M. Central Daylight Time,
[email protected] writes:


Thanks  Dan
My  Dr. already said that after the evaluation he will write a covering
letter for  all the things that I will need.  Glad to hear you did not have to
have a  rehab Dr. Joan


From: Dan  [mailto:[email protected]]
Sent: Sunday, July 19, 2009 1:26  PM
To: [email protected]
Subject: Re: [QUAD-L] New  wheelchair

I got a new chair about 6 years ago and Medicare is my  primary. I had to
do all the following steps except #3. The only doctor  involved was my family
doctor.

Dan

At 06:54 PM 7/18/2009,  [email protected] said something that elicited my
response:


You deserve the very best, but government insurance is  a slow process and
for them to pay you have to follow their guidelines.   That would included:
A Doctor's Order
An evaluation by certified  Occupational Therapist
A Rehab Doctor's Order for the chair's specific and  the "codes"
An estimate for the chair with all the necessary accessories by  code are
submitted and approved.

Gov Insurance pays for chairs  within those codes.  Those chairs outside
the approved codes will not be  consider without special consideration and
letter of need by your rehab  doctor.

Best Wishes

In a message dated 7/18/2009  5:47:09 P.M. Central Daylight Time,
[email protected]  writes:
OK you guys I need some help.  I hoped that I would never  have to look for
another wheelchair, because I just love my omega trac.   But since Medicare
will not pay for repairs for it because I bought it  privately and came
into the Medicare System with a wheelchair, I have to start  looking for a new
chair.
I want front wheel drive, enough power to get around  outside-read that not
on cement-with enough clearance to get over small rocks,  2s4s, low center
of gravity because I am on a hillside.
I have to have tilt and recline, I’ve always had elevating  leg rests,
but I hardly ever use them so they are not  necessary.
My omega trac has true tracking, when I go across the slope it  does not
try to move downhill, an air compressor on board which is extremely  handy
when I get stuck in the horse pasture, because I can raise the chair 4  inches
to get over obstacles, tilt and recline, and will easily go up a  45°slope
without trying to tip over.  It weighs 450 pounds and is not  the fastest
maneuvering wheelchair out there.  JBut is the first  wheelchair I have felt
comfortable and safe in.  My first two chairs were  quickie and Invacare
storm, both of them broke down innumerable times, and I  often ripped wires
loose out in the brush, even though we tried to zip tie  everything very tight.
We are very limited as to DME’s, Med Tech really dominates  the area and
offers very poor service.  So I am trying Accelance and  hoping they have
some expertise with high quads.
Any suggestions before I meet with a sales Rep?  Any of  you familiar with
center drive on rough terrain?  It appears to me that I  would get hung up a
lot of times.  I really like front wheel drive as I  do not feel that I
will tip over going uphill, as I did in both a quickie and  Invacare.
Any suggestions would be helpful.  Thanks.  Joan in  hot Reno-100° today.


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