Wheelchair Roundtable Info Sheet

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HowcanIreportaproblemwithmy wheelchairrepairorreplacement?

Ifyouhaveprivateinsurance:

Youcanmakeaninternalcomplainttoyourinsurance company.

YoucanalsomakeacomplainttotheNYSDepartmentof FinancialServices.

Makeacomplaintonline,www.dfs.ny.gov/complaint orbyphone1-800-342-3736

IfyouhaveMedicaidcoverageoraredual-enrolled:

Youfirstneedtoexhaustanyinternalappealsifyouarecovered throughamanagedcareplan(suchasExcellusorFidelis).

YoucanrequestafairhearingwiththeNYSOfficeofTemporary andDisabilityAssistanceifyouweredeniedrepairsora replacement,orifyouhavebeenwaitingalongtimeforavendor tofixyourdevice.

Requestafairhearingonline,www.otda.ny.gov/hearings/request/ orbyphone:1-800-342-3334

IfyouhaveMedicarecoverage:

Youcanfileanappealiftheadministratordeniesyou coverageforarepairorreplacement.

Medicareappealsvarybasedonthetypeofcoverageyou have.

Thiswebsitehashelpfulinformation: www.medicare.gov/providers-services/claims-appealscomplaints/appeals 2 2 3 3

Whatifavendoristakingtoolongto fixmywheelchairordeliveranewone?

Youshouldcontactthevendorandyourinsuranceproviderto letthemknow.

Whenyoucontactthem,explainyourneedsandtellthemwhy youneedtherepairsexpedited.

Youcanalsoaskforareplacementwheelchairiftheycannot getyourwheelchairfixedquickly.

Ifpossible,youshouldcontactthevendorandinsurance companyinwritingaswellasbyphone.

Itisalsohelpfultokeepawrittenrecordofallyour communicationaboutyourwheelchairrepairrequest.

Itisimportanttostayinregularcontactwiththevendorandyour insuranceprovider,soyougettherepairsyouneedquickly.

Youmayalsocontactyourdoctortoreportdelaysoranyhealth issuesyoumightexperiencebecauseofthedelay.

Shareyourstoriesaboutwheelchair repairandreplacementdelays

Itisimportanttoshareyourstoriesabouttheproblemsyou experiencewithgettingwheelchairrepairsandreplacements.

Reachouttoyourdistrict’sNYSSenatorandAssemblyperson, andcontacttheNYSChiefDisabilityOfficerthroughemail accessibility@exec.ny.govorbyphone518-474-8390toexplain yourissueandseehowtheycanhelp.

PleasecompleteourWheelchairRepairDelaysSurvey,available here:https://forms.gle/7QXZC3GrjWagkcN17.

Wewillusetheinformationgatheredinthesurveytoreportany systemicproblemsandinformourfuturework.

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