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  • Paying For Manual Wheelchair

    Hi, I started the long wheelchair purchasing process on June 30th and so far have already seen a Physical Therapist, Had an In-home evaluation and a Dr. visit. All of my information has been sent to medicare and everything has been approved. When I first spoke to the wheelchair company they told me That I'm required to make payment WHEN CHAIR IS DELIVERED. Now just as they are about to order it they're telling me to PAY HALF UPFRONT. Are there any concerns about paying before they order? BTW I have Medicare only if it matters.

  • #2
    I'd tell them that you will only pay for it if it fits. DMEs have been known to screw up an order, and then you are stuck with a chair that is not what you thought you were getting.
    Don - Grad Student Emeritus
    T3 ASIA A 26 years post injury

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    • #3
      Agree with Donno. If it's Medicare you should only be paying 20% of copay ( assuming you've met yearly deductable by now, Sept.) Definitley don't pay for 1/2 of total chair price. Most DME's might make you sign something saying you'll pay your 20% but kind of chintzy to make you pay sight unseen, imo.

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      • #4
        It is my understanding they are supposed to bill Medicare themselves, then you pay a co-pay. If they are not doing this I would suspect some problem with this vendor. You may want to get all copies of PT, Home eval. and Dr. report!! You may need to deal with another vendor.

        I would definitely advise you not to pay anything until you get the chair and sit in it and check all measurements with a tape measure. I once had to reject a chair with incorrect measurements. It took about 3 weeks to get another, correct chair.

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        • #5
          I would also report this to Medicare. I believe this is a violation of the Medicare vendor rules, and could result in this vendor being de-certified as a Medicare provider.

          (KLD)
          The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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          • #6
            Thanks for all of your replies. Maybe I worded my statement incorrectly. The wheelchair vendor does not want me to pay for the entire chair. They would bill medicare for the 80%, I'm assuming after I receive the chair. They want me to pay half of the 20% amount before they place the order with TiLite as a security deposit. They also claim there would be a 25% restocking fee if I didn't buy the chair after they order it that I'd be responsible for.

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            • #7
              Originally posted by SCI-Nurse View Post
              I would also report this to Medicare. I believe this is a violation of the Medicare vendor rules, and could result in this vendor being de-certified as a Medicare provider.

              (KLD)

              Are you saying it may be a violation of Medicare vendor rules if they require me to pay half of the 20% upfront before they order the chair or does that only apply if they had asked for payment of the 80% portion?

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              • #8
                did you personally sign off on final cad? I wont even order a chair for a customer until they personally sign off on the cad.
                your 20% shouldn't be paid till u get chair and its correct when dealing with ins and medicare/Medicaid. never have I heard of a deposit in my 27 yrs rolling when dealing with insurance


                Originally posted by 92Trunk View Post
                Thanks for all of your replies. Maybe I worded my statement incorrectly. The wheelchair vendor does not want me to pay for the entire chair. They would bill medicare for the 80%, I'm assuming after I receive the chair. They want me to pay half of the 20% amount before they place the order with TiLite as a security deposit. They also claim there would be a 25% restocking fee if I didn't buy the chair after they order it that I'd be responsible for.
                Bike-on.com rep
                John@bike-on.com
                c4/5 inc funtioning c6. 28 yrs post.
                sponsored handcycle racer

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                • #9
                  Originally posted by fuentejps View Post
                  did you personally sign off on final cad? I wont even order a chair for a customer until they personally sign off on the cad.
                  your 20% shouldn't be paid till u get chair and its correct when dealing with ins and medicare/Medicaid. never have I heard of a deposit in my 27 yrs rolling when dealing with insurance

                  I have heard no mention of a CAD. He wants me to sign a contract and pay a deposit of around $300 before he even places an order with Tilite. This has been the most complicated process I've ever been through. When we first started the process he informed me that I wouldn't have to make payment until I actually receive the chair. Now after 2.5 to 3 months he wants to change up on me. Between the Physical Therapist & the Dr. visit I'm already out of ~$220.00 with nothing to show for it. If I could get all my information from DR & PT I would just go elsewhere but I hate to loose 3 months of work. Also there's no guarantee the new vendor wouldn't pull the same stunt or maybe even worse.
                  Last edited by 92Trunk; 09-29-2014, 12:37 PM. Reason: Spelling

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                  • #10
                    I'm almost @ the point I just wanna take out a loan and buy it myself.

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                    • #11
                      First, I know nothing...
                      Just curious though, is it normal for it to take so long before chair is even ordered?
                      Again, I don't know anything. But seem to remember that the face to face rule on getting Rx for new chair there is a time limit on time between the evaluation and chair delivery?
                      "Good Luck!"

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                      • #12
                        huge red flag. if you haven't signed off on a cad, this guy doesn't have a clue what he's doing. period. a cad has nothing to do with actual order it is generated with the quote. fire him!

                        Originally posted by 92Trunk View Post
                        I have heard no mention of a CAD. He wants me to sign a contract and pay a deposit of around $300 before he even places an order with Tilite. This has been the most complicated process I've ever been through. When we first started the process he informed me that I wouldn't have to make payment until I actually receive the chair. Now after 2.5 to 3 months he wants to change up on my. Between the Physical Therapist & the Dr. visit I'm already out of ~$220.00 with nothing to show for it. If I could get all my information from DR & PT I would just go elsewhere but I hate to loose 3 months of work. Also there's no guarantee the new vendor wouldn't pull the same stunt or maybe even worse.
                        Bike-on.com rep
                        John@bike-on.com
                        c4/5 inc funtioning c6. 28 yrs post.
                        sponsored handcycle racer

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                        • #13
                          Thanks Mike. I'll have to check into the time limit. It is a long process. You have to 1st have a In home evaluation done. Then Physical Therapy visit. Then face to face DR visit. Then send in all paperwork to Medicare for approval which is usually about 2 weeks. It take another 2 weeks or so for the chair to be made by the manufacturer. Then however long the vendor waits before they bring it to you. I initially called to speak with someone about a wheelchair on June 30th. It was about a week before he came to my house. I had all my paperwork to the vendor by July 25. Vendor for some reason didn't send it to Medicare right away but according to when they claim they sent it Medicare took 3 weeks for approval. Now I'm just waiting to hear back from him to see it he wants the job or not

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                          • #14
                            Originally posted by fuentejps View Post
                            huge red flag. if you haven't signed off on a cad, this guy doesn't have a clue what he's doing. period. a cad has nothing to do with actual order it is generated with the quote. fire him!
                            agreed.

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                            • #15
                              Originally posted by 92Trunk View Post
                              I'm almost @ the point I just wanna take out a loan and buy it myself.
                              That choice would only make sense if a person was working and could deduct the amount on their tax return under 'work related expenses, (not Medical).

                              Hope you stick with it as lots of good advice here about how this process works. The CAD drawing lets you inspect everything about the chair you ordered. A copy of the vendor's written up order should also be inspected before it's submitted to chair manufacturer. Keep in close touch with the vendor due to time limits. Absolutely agree, no payment until you measure and sit in chair. If any errors, do not "sign off" any forms.

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