WEB DIRECTORY at the bottom of page
Mon-Fri 10am-6pm EST
families have obtained funding to purchase the Buddy Bike as
for children with physical and/or cognitive
disabilities such as autism, Down Syndrome, sight impairment, cerebral palsy,
Below you will find a list of
ideas for seeking medical funds to purchase the Buddy Bike
as therapeutic equipment. If you do not qualify for state or county
funds, we offer alternative funding suggestions based on the
successful fundraising efforts of other families. According
to Laura in Lakewood, CO, she was initially denied and filed
several appeals but she eventually obtained the support she
needed through a local organization.
Bike does not offer funding programs and we are not a
Medicare provider, we are happy to work with your funding
sources to help make your dream of having a Buddy Bike
become a reality!
Please note that Buddy Bike nor any of the
organizations listed below can guarantee that you will
qualify for funding.
The Buddy Bike may qualify as
DME Miscellaneous HCPCS Code E1399.
"In cases where a more
specific HCPCS code is not available, a product may be
billed using E1399, durable medical equipment,
miscellaneous. In order for durable medical equipment to be
covered or reimbursed in the home, many third-party payers
require the equipment to be: (1) prescribed by a physician
(2) durable (3) medically reasonable and necessary."
Many times, an adaptive
bicycle can be purchased through waiver programs. Each state
is different in their coverage and the process for accessing
waiver funds. Some states require a denial from the primary
insurer first prior to covering with waiver funds, others
require a physician’s prescription with a therapist’s letter
of medical necessity and evaluation for the equipment.
Caseworker: You should begin by speaking with your
caseworker or family support
counselor for specifics in your state on coverage and to
assistance is available through
county or state funding and grants.
Another good starting place
would be to contact your Community Center
Medical Professional: Request a prescription or
"Letter of Medical Necessity" of your doctor or therapist.
Some states may have laws requiring funding to be
provided if a doctor writes a note requiring the equipment for
DME Provider: The Buddy
Bike is classified as Durable Medical Equipment (DME). You
may contact the organization in
your state that provides DME. See
SAMPLE FUNDING REQUEST
These sample letters may be helpful in submitting your
USEFUL WEB PAGES
You may find these web pages to be useful in your search for
To our knowledge, the Buddy
Bike has been partially covered by 1 insurance policy through BCBS.
Here are some notes from the customer to help you navigate
your own insurance claim.
Customer covers cost
then seeks reimbursement.
Insurance doesn't pay
for anything prior to service or delivery.
Approximately 80% was
covered according to the customer's plan (Federal Employee
BCBS plan). This reimbursement rate may vary from plan to
SUBMIT A CLAIM,
Letter of Medical
Necessity filled out by Doctor and PT and OT, coded as
Durable Medical Equipment (DME). See
Get a price quote for
the bike, but do not purchase yet. Contact
Submit Letters of
necessity and quote for Insurance company eligibility
After approval is
received then you can order and pay for the bike.
After receiving the bike
then submit bill along with approval letter for
A bike shop will not be on
their approved providers list and it is unreasonable to ask
the bike shop to navigate the medical billing and coding
system to seek payment from insurance.
Search for local agencies that provide assistance for
special needs children. Most of the agencies that have
provided funding operate by county so start looking locally.
Seek local or state chapters of national groups such as
Variety Club, Easter Seals, and Make-a-Wish
GRANTS FOR ADAPTIVE BIKES
There are a number of grants available from organizations
that focus on helping children with disabilities. These
organizations may provide grants for adaptive bikes.
These organizations may also offer funding assistance. Use the links
to search for chapters in your area.
Holding a benefit or
fundraiser for a child is a great way to get the community
to help out. Set a goal of raising the funds necessary for
the bike, shipping, assembly and maybe even a helmet. Reach
out to your community through letters, the news and local
television or radio, and fundraising events.
WARNING! It is
imperative that a family contact a special needs attorney
prior to holding the fundraiser to establish a proper trust
for the funds earned. If it is not set up properly, the
money can be viewed as income for the child potentially
making them ineligible for state health plans and waiver
FUNDRAISING IN YOUR COMMUNITY
Schools and universities:
Many sororities, fraternities,
Girl/Boy Scout groups or other school groups will take the
community project of raising funds to purchase equipment
such as the Buddy Bike for a special needs child.
Family: Hold a birthday party
but tell your guests that instead of gifts, you would
prefer donations toward the purchase of a Buddy Bike.
One of the most
efficient ways to fund raise for a Buddy Bike is through
online fundraising. You can set up a fundraising page using
one of the services below (fees may apply) then promote your
page through e-mail, social media and word-of-mouth!
CREATE A WEB PAGE
web page to raise
awareness of your child's disability and to raise funds.
There are many sources in the web for creating free web
pages. Add a section talking about the Buddy Bike and how it
would benefit your child. Then add a PayPal button to
request donations online. Here are some sites created by
some of our customers:
Vendors & Providers of The Buddy Bike
Funding may be available through
various associations to purchase the Buddy Bike as
therapeutic equipment. The following list
includes organizations and Buddy Bike authorized dealers who have funded
Buddy Bikes or who may be able to assist you in utilizing medical waivers
and funds to purchase the Buddy Bikes as therapeutic equipment. If you do
not see a program below that applies to you,
you should check with your family support counselor, case worker,
therapist or other medical professional to find out if funding is
available through county or state funding and grants.
This list is provided as a courtesy.
Buddy Bike nor any of the organizations listed below can guarantee that
you will qualify for funding. Contact the organization for their criteria
and program requirements. Some programs are state-specific.
Some families have used
FSA (Flexible Spending Accounts) to purchase Buddy Bikes.
Independent Medical, Mesa
Western Rehab Solutions,
Some Colorado families
have used Children's Extensive Support (CES) Medicaid Waivers. Contact
Division for Developmental Disability Services (state) and check with
your local Community Center Board (county).
The Resource Exchange
Colorado Springs, Bailey, Woodland Park
Must be involved in programs to receive
(Steamboat Adaptive Recreational Sports)
Two Angels Foundation, Arvada
The Ricky King Children's Fund
The Bike Rack (Project
Mobility) St. Charles
LISS Funding -
Low Intensity Support Service, is a
statewide program for individuals who meet the service requirements
set by the Developmental Disabilities Administration (DDA). Preventive
in nature, LISS assists individuals with developmental disabilities
improve their quality of life, remain in their own homes, increase or
maintain independence, and participate in the community by providing
resources and financial assistance. Learn more at
LISS Fact Sheet.
Doctors Equipment Service,
with a medical prescription the Buddy Bike may fall under
OT/Recreation/Leisure which should be covered by school and Board of
Developmental Disabilities. Check for funding information at your
county Board of Developmental Disabilities (click
for list), ARC, Family & Children First Council, FRS Family Resource Service
and MRDD. Waivers include: Level 1 (L1) and Individual Options (IO).
Ohio Medicaid Waiver Info
Buddy Bike is a
Registered Vendor in:
Cuyahoga County, OH
Breakaway Cycling, Delaware
Not a provider but they
have sold several bikes through funding sources.
Columbus Medical Equipment, Columbus
Delaware Creative Housing, Inc. -
Creative Living Systems, Delaware
All counties, Homecare or IO Waivers through OMRDD
systems. Administrative fee.
Family Directed Resources Liaison,
Got-Autism, LLC, Cincinnati
Medicaid Waiver Provider
Adaptive & Assistive Equipment
Renaissance House, Inc.
Tiffin 419.447.7901 | Sandusky 419.626.1110
Serves Erie, Hancock, Huron, Sandusky &
Seneca counties. Administrative fee.
Story - New Story Fund
(contact them through web)
PA only. This for-profit
business funds $25,000 in under-funded products & services twice a
year. You'll need to submit your story and let them know why you need
the Buddy Bike and how it will help your child.
Pennsylvania Assistive Technology Foundation
King of Prussia | 484.674.0506 |
PA only. Low-interest
loans, extended repayment terms and info about other funding sources.
"My Bike" Program by
Variety the Children's Charity of Pittsburgh
one Buddy Bike has been purchased using a CES Waiver.
Here is a
comment from one of our customers regarding funding a Buddy
Bike or other therapeutic equipment in Texas: "There is a
division of MHMR in every county. MHMRA is Mental Health
Mental Retardation of [COUNTY]. It's a good organization and
the go to for all answers about what's available in the
state or community for this population. But you can see why
the company just uses initials for the name."
Buddy Bike, LLC
is on the Children's Long Term Support (CLTS)
Medicaid Waiver list through
Wisconsin Dept of Health Services (DHS). All
counties can purchase the Buddy Bike through this system. Talk to your
case worker or support services counselor to see if you qualify to use
this program to purchase the Buddy Bike as therapeutic equipment.
Reliant Rehab, Appleton
Per a Buddy Bike customer in Australia, Australian families with a
child under the
age of seven, with a diagnosis of autism, automatically receive
funding for therapy and equipment each financial year. Equipment
constitutes around 35% of the available
funds and won't fully cover the cost of the Buddy Bike plus shipping.
You also should check with your customs office. In some countries
customers have imported the Buddy Bike duty free by declaring that
they were receiving an item for a “disabled child”. One family is
researching item 8713 and GST class B105 GST to import an item for a
disabled child as duty free.
Advanced Mobility Products Ltd.
Get Cycling CiC, York, UK
01904 636 812 |
Quest 88 (All Ability
Cycling), Shropshire, UK
845 604 7258 |
Wheels for Wellbeing
See their guide for funding a bicycle
for people with disabilities.
UK FUNDING YOUR CYCLE GUIDE
may be able to receive your Buddy Bike duty and VAT tax
CLICK HERE for a
step-by-step guide. This information is provided by a
customer. The customer nor Buddy Bike can guarantee that you
will qualify for receiving the tax exemption. This
information is provided for reference only.
Ireland: Per the
Irish Tax & Customs web site, "articles for people with
disabilities may be imported from non-European Union (EU)
countries free from payment of Customs Duty and VAT." Visit
the link below for more information about the goods
involved, the relief available and the procedures involved
Relief from Customs Duty and VAT on the importation of
articles for People with Disabilities - CDPN4
Advocates & Consultants
The following is a list
of advocates and consultants who may be able to help
connect you with funding sources. Administrative fees may apply.
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Buddy Bike, LLC
2775 Sunny Isles Boulevard, Suite 118
North Miami Beach, FL 33160
(Warehouse in Chino, CA)
Patent Number 5,503,419
Sign up for Buddy Bike news!
Director of Marketing & Business Development
Robert Gardner, Inventor
Barry A. Nelson, President
Copyright © 2005 Buddy Bike, LLC
Web Site Agreement
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