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Funding Options

HOW TO FUND A BUDDY BIKE

Many families have obtained funding to purchase the Buddy Bike as therapeutic equipment for children with physical and/or cognitive disabilities such as autism, Down Syndrome, sight impairment, cerebral palsy, epilepsy and hypotonia. Below you will find a list of ideas for seeking funding assistance to purchase the Buddy Bike as therapeutic equipment.

 

Many families have found success through their Department of Developmental Disabilities or their county's Department of Health & Human Services or other similar state or county organization and have used a variety of medical waivers. Often these departments do not list their approved vendors in a web site so you may have to request this list to see if Bikes For Every Body or Buddy Bike is listed. 

If Bikes For Every Body LLC (dba Buddy Bike) is not currently registered as a vendor with your county or state agency, please share our information with them. We are happy to apply to become a vendor!

Bikes For Every Body LLC (dba Buddy Bike)

Shelley Patterson | shelley@buddybike.com | 786.489.2453

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.

Buddy Bike is not a Medicaid provider so we cannot bill Medicaid. We do not offer funding programs, but 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. Contact the organization for their criteria and program requirements. Some programs are state-specific.

Partner Programs

Help Hope Live logo

USA ONLY (includes Puerto Rico)

Help Hope Live provides a medical fundraising platform for the expenses that insurance doesn't cover. They provide the platform, tools and support as well as a direct payment option to protect your other benefits.

Call Shelley at 786.489.2453 to request a quote then set up your fundraising page.

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CENTRAL FLORIDA

New Hope for Kids grants wishes to children who live in Central Florida, are not yet 19 years of age, and who have been diagnosed with a life-threatening illness. New Hope for Kids has partnered with Buddy Bike to help families to receive The Buddy Bike and other adaptive bicycles.

BUDDY BIKE VENDOR REGISTRATIONS

Buddy Bike has worked with several organizations 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 durable medical equipment (DME) or therapeutic equipment. Below you will find a list of agencies where we are currently registered as a vendor. If you do not see a program below that applies to you, 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.

The list below 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.

MEDICAID - We are not Medicaid Providers and do not bill Medicaid directly; but we do have an NPI and The Buddy Bike often falls into category E1399 Durable Medical Equipment Miscellaneous.

Bikes For Every Body (dba Buddy Bike) is Registered as a Vendor in These Agencies

COLORADO

Developmental Pathways

Individual Unmet Needs & Scholarships funds may be available to fund adaptive bikes. Connect with your Case Manager to find out if you qualify for this assistance.

NEW JERSEY

NJDDD

New Jersey Division of Developmental Disabilities (NJDDD) - Ask your support coordinator for the vendor list that is not online. Bikes For Every Body and Buddy Bike is the only adaptive bicycle vendor listed!

TEXAS

TEA and SSES
Texas Education Agency

Texas Education Agency (TEA) - Supplemental Special Education Services (SSES). We are a TEA approved vendor on ClassWallet

WISCONSIN

NorCen

North Central Health Care (NorCen) in Lincoln County.

CONTACT YOUR STATE'S DEPARTMENT OF DEVELOPMENTAL DISABILITIES

Ask for their vendor list. If Bikes For Every Body (dba Buddy Bike) is not listed, ask your support services coordinator to contact shelley@buddybike.com or 786.489.2453 to let us know how we can register as vendors so families can use their services funds to purchase The Buddy Bike as therapeutic equipment.

CLASSWALLET

Bikes For Every Body LLC (dba Buddy Bike) is verified as a vendor with ClassWallet in these states.

 

If we're not in your state yet please ask your county or state agency if adaptive bicycles can be covered with ClassWallet funds, then have them send us a request to register!

shelley@buddybike.com

  • Texas

DURABLE MEDICAL EQUIPMENT - DME CODE

The Buddy Bike may qualify as HCPCS Code E1399 DME Miscellaneous and has also been covered as HCPCS T2029 Assistive Technology - Tandem Bicycle.

"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."

MEDICAL WAIVER PROGRAMS

Adaptive bicycles can often 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.

Many families have found success through their Department of Developmental Disabilities or their county's Department of Health & Human Services or other similar organization and have used a variety of medical waivers.

  • Caseworker: You should begin by speaking with your caseworker or family support counselor for specifics in your state on coverage and to see if assistance is available through county or state funding and grants. Another good starting place would be to contact your Community Center Boards (CCB).

  • 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 therapeutic purposes.

  • DME Provider: The Buddy Bike may be classified as Durable Medical Equipment (DME). You may contact the organization in your state that provides DME. See DME Code above.

SAMPLE FUNDING REQUEST LETTERS
These sample letters may be helpful in submitting your funding applications.

 

USEFUL WEB PAGES
You may find these web pages to be useful in your search for funding.

INSURANCE

To our knowledge, the Buddy Bike has been partially covered by a couple insurance policies 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 plan.

SUBMIT A CLAIM, step-by-step process:

  1. Letter of Medical Necessity filled out by Doctor and PT and OT, coded as Durable Medical Equipment (DME). See DME Code above.

  2. Get a price quote for the bike, but do not purchase yet. Contact shelley@bikesforeverybody.com

  3. Submit Letters of necessity and quote for Insurance company eligibility review.

  4. After approval is received then you can order and pay for the bike.

  5. After receiving the bike then submit bill along with approval letter for reimbursement.

 

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.

GRANTS & CHARITABLE ORGANIZATIONS

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 Foundation.

 

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 or other funding assistance for adaptive bikes.

CHARITABLE ORGANIZATIONS
These organizations may also offer funding assistance. Use the links to search for chapters in your area.

FUNDRAISING

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 programs.

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.

  • Church or other community groups

 

FUNDRAISING ONLINE
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 or SOCIAL MEDIA PAGE
Create a web page or social media page to raise awareness of your child's disability and to raise funds. Add a section talking about the Buddy Bike and how it would benefit your child. 

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Ready to Get Started? 

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