Funding is generally available through virtually any public or private insurance program in the U.S. and Canada. Contact Ride Designs or your local authorized Ride supplier to check for funding under your current insurance coverage.

US Funding:
Medicare and the Corbac™
Medicare and the Ride Custom Cushion
Medicare and the Forward™ Cushion
Medicare and the Ride Custom Back

Canadian Funding:
Ontario ADP Funding for Ride Cushions
Ontario ADP Funding for Corbac™
Ontario ADP Funding for the Forward™ Cushion
Ontario ADP Funding for the Ride Custom Back

Alberta AADL Funding for Ride Cushions
Alberta AADL Funding for Corbac™
Alberta AADL Funding for the Forward™ Cushion
Alberta AADLFunding for the Ride Custom Back

Medicare code for the Ride Corbac™ Adjustable Back Support:

Code: E2611 General use wheelchair back cushion, width less than 22 inches,
any height, including any type mounting hardware.

Claims for the Ride Corbac under E2611 must clearly state:

1. The product name followed by "back cushion": Ride Corbac back cushion
2. The manufacturer: Ride Designs, a Division of Aspen Seating
3. The model number: CB-XX00
4. The width of the Corbac: XX

Coverage Policy:

Simply put, if a person qualifies for a wheelchair under medicare, then they qualify for a general use back support.

Medicare Code for the Ride Custom Cushion:

Code: E2609, Custom Fabricated Seat Cushion

Coverage Policy

A custom fabricated seat cushion (E2609) is covered if the following criteria are met:

1) Patient meets all of the criteria for a prefabricated skin protection seat cushion or positioning seat cushion;

2) There is a comprehensive written evaluation by a licensed clinician (who is not an employee of or otherwise paid by a supplier) which clearly explains why a prefabricated seating system is not sufficient to meet the patient's seating and positioning needs.

To get custom seating funded, one must not only be able to justify the prescribed intervention, but document what has been used, assessed, and ruled out, and why other simpler less costly options didn't work.

• Letter of Medical Necessity justification statement suggestions
  for the Ride Custom Cushion (PDF document)
  Download Adobe Acrobat Reader free for PDF files

If a custom fabricated cushion is provided for a patient who does not meet the stated coverage criteria, but the coverage criteria for another type of cushion are met, payment will be based on the allowance for the least costly medically appropriate alternative; if the criteria for another type of cushion are not met, the custom fabricated cushion will be denied as not medically necessary.

Medicare Code for the Ride Custom Back:

Code: E2617, Custom Fabricated Wheelchair Back Cushion, any size, including any type mounting hardware.

Coverage Policy

A custom fabricated back cushion (E2617) is covered if criteria (1) and (2) are met:

1. Patient meets all of the criteria for a pre-fabricated positioning back cushion.

2. There is a comprehensive written evaluation by a licensed clinician (who is not an employee of or otherwise paid by a supplier) which clearly explains why a prefabricated seating system is not sufficient to meet the patient’s seating and positioning needs.

To get custom seating funded, one must not only be able to justify the prescribed intervention, but document what has been used, assessed, and ruled out, and why other simpler less costly options didn't work.

• Letter of Medical Necessity justification statement suggestions
  for the Ride Custom Back (PDF document)
  Download Adobe Acrobat Reader free for PDF files

• PDAC letter

If a custom fabricated back cushion is provided for a patient who does not meet the stated coverage criteria, but the coverage criteria for another type of back cushion are met, payment will be based on the allowance for the least costly medically appropriate alternative; if the criteria for another type of back cushion are not met, the custom fabricated back cushion will be denied as not medically necessary.

Medicare and the Forward Cushion:
E2607 Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth. Effective Dec. 1, 2009: Update includes new diagnoses. (PDF)

IMPORTANT MEDICARE UPDATE

Skin and positioning cushions (E2607, Ride Forward cushions) are now available for a number of diagnoses that previously required documentation of an actual pressure ulcer. This is most significant for brain injury with quadriplegia or hemiplegia, as well as stroke with hemiplegia.

IMPORTANT UPDATE:
Skin Protection & Positioning Cushions
Medicare Funding for Forward Cushions, effective Dec 1, 2009.

Coverage Criteria – SKIN PROTECTION AND POSITIONING E2607

A combination skin protection and positioning seat cushion E2607 is covered for a patient who meets the criteria for both a skin protection seat cushion and a positioning seat cushion. See below:

Coverage Criteria – SKIN PROTECTION:

A skin protection seat cushion E2603, E2604, K0734, K0735 is covered for a patient who meets both of the following criteria:

1. The patient has a manual wheelchair or a power wheelchair with a sling/solid seat/back and the patient meets Medicare coverage criteria for it; and

2. The patient has either of the following: a. Current pressure ulcer (ICD-9 CM codes 707.03, 707.04, 707.05) or past history of a pressure ulcer (707.03, 707.04, 707.05) on the area of contact with the seating surface; or

Absent or impaired sensation in the area of contact with the seating surface or inability to carry out a functional weight shift due to one of the following diagnoses:  spinal cord injury resulting in quadriplegia or paraplegia (344.00–344.1), other spinal cord disease (336.0-336.3), multiple sclerosis (340), other demyelinating disease (341.0-341.9), cerebral palsy (343.0-343.9), anterior horn cell diseases including amyotrophic lateral sclerosis (335.0-335.21, 335.23-335.9), post polio paralysis (138) traumatic brain injury resulting in quadriplegia (344.09), spina bifida (741.00-741.93), childhood cerebral degeneration (330.0-330.9), Alzheimer’s disease (331.0), Parkinson’s disease (332.0), muscular dystrophy (359.0, 359.1), hemiplegia (342.00-342.92, 438.20-438.22)*, Huntington’s chorea (333.4)*, idiopathic torsion dystonia (333.6)*, athetoid cerebral palsy (333.71)*
* Effective for dates of service on or after December 1, 2009.

Coverage Criteria – POSITIONING:

A positioning seat cushion E2605, E2606 is covered for a patient who meets both of the following criteria:

1. The patient has a manual wheelchair or a power wheelchair with a sling/solid seat/back and the patient meets Medicare coverage criteria for it; and

2. The patient has any significant postural asymmetries that are due to one of the diagnoses listed in criterion 2b above or to one of the following diagnoses: monoplegia of the lower limb (344.30-344.32, 438.40-438.42) due to stroke, traumatic brain injury, or other etiology, spinocerebellar disease (334.0-334.9), above knee leg amputation (897.2-897.7)*, osteogenesis imperfecta (756.51)*, transverse myelitis (323.82)*.

*Effective for dates of service on or after December 1, 2009

Ontario Suppliers:
The following codes have been approved by the Ontario Ministry of Health and Long-term Care for the Assistive Devices Program (ADP) for Ride Designs cushions and back supports:

Alberta Suppliers:
The following codes have been approved by the Alberta Aids to Daily Life and Alberta Seniors and Community Support for Ride Designs cushions and back supports:

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