WHEELCHAIRS

Rules

Product warrantees should be honored by the supplier.

Only out of warrantee costs may be considered for funding where criteria is met.

Post-op wheelchairs: only S/steel standard or HD + manual leg elevation footrest (treatment period >12 weeks).

Prices exclude professional fee for evaluation,measuring, fitting, adjusting & follow ups.

Each item code (wheelchair/accessory/replacement/repair) includes the necessary accessories and hardware required to make it functionally fit as per the Instruction for use (IFU).

Accessories to new wheelchairs should be motivated and clinically relevant (eg. Caster wheels, laterals etc)

Eligibility dependent on supply protocol.

Permanent wheelchair users for daily mobility should be issued 4 pairs of pneumatic tubes or 2 pairs of solid tubes per annum.

Permanent wheelchair users for daily mobility should be issued 2 pairs of outer tubes per annum.  Wheelchairs should be prescribed according to the (Guidelines on the provision of manual wheelchairs in less resourced settings 'Wheelchair Guidelines, 2008):

Light manual wheelchair, ultra light manual wheelchair and advanced motorized wheelchair will only be considered if a wheelchair is the primary source of mobility for the user and requires a detailed clinical motivation.

Item

Code

Description

WC

Wheelchairs

WC005

A80060

Wheelchair hire per month

886.15

WC006

A80070

Wheelchair hire per week

200.31

MANUAL WHEELCHAIRS

WC

Folding - Stainless Steel

WC023

A80023

Manual folding stainless steel light

ea

35913.54

WC049

A80049

Manual folding stainless steel standard

ea

7911.70

WC050

A80050

Manual folding stainless steel heavy duty

ea

11380.58

WC051

A80051

Manual folding stainless steel recline and/or tilt

ea

7192.10

WC

Folding - Aluminum

WC024

A80024

Manual folding aluminum recline and/or tilt

12459.80

WC052

A80052

Manual folding aluminum hemiplegic

32303.50

WC053

A80053

Manual folding aluminum heavy duty *special criteria

60889.05

WC054

A80054

Manual folding aluminum light

40411.44

WC055

A80055

Manual folding aluminum ultra light *special criteria

86951.27

WC

Rigid - Stainless Steel

WC056

A80056

Manual rigid stainless steel standard

21387.36

WC057

A80057

Manual rigid stainless steel light

43864.86

WC

Rigid - Aluminum

WC058

A80058

Manual rigid Aluminum standard

11184.27

WC059

A80059

Aluminum positioning and/or tilt *special criteria

72342.71

WC068

A80068

Aluminum standing *special criteria

143476.30

WC061

A80061

Aluminum light *special criteria

64750.73

WC062

A80062

Aluminum ultra light *special criteria

114179.67

WC

Rigid - Titanium

WC063

A80063

Manual rigid titanium light *special criteria

83104.00

WC064

A80064

Manual rigid titanium ultra light *special criteria

194049.57

WC

Rigid - Titanium

WC065

A80065

Carbon ultra light *special criteria

144671.45

WC

Manual to electric external conversions

WC066

A80066

Speedster Clip on

37100.00

WC067

A80067

SmartDrive

100700.00

WC

Wheelchair Economy

WC010

A80010

Rainbow

ea

3948.00

WC015

A80015

Rollability Econ

ea

15396.19

WC020

A80020

Quicky breeze 16" and 18"

ea

28591.80

WC021

A80021

Quicky rubix/CE 16"-20"

ea

25765.86

WC022

A80022

Pacer light

ea

18493.24

WC

Wheelchair Standard

WC030

A80030

8AU41250770M

Qr Reclining wheelchair

ea

10290.51

WC031

A80031

BAUQRRTU250770SM

Qr Tuffee

ea

7480.41

WC032

A80032

8WUQRRTU250770SM

Qr Tuffee special 20"

ea

11291.27

WC033

A80033

8EWUTU250770SM

Qr Tuffee special 22" reinforced/Standard

ea

19108.30

WC034

A80034

8AULS250770SM

Tuffee/Low chairback standard

ea

10075.28

WC035

A80035

Tuffee with amputee brackets X2/standard

ea

9904.62

WC036

A80036

8AUCRUS770SM

Qr Cruiser

ea

6827.36

WC037

A80037

Rough rider

ea

10659.59

WC038

A80038

Saturn Coaster wheelchair standard

ea

9437.09

WC039

A80039

Hercules wheelchair/rural/16"/18"single crossbar

ea

10216.30

WC040

A80040

Hercules special 20"/double crossbar/medop

ea

10995.51

WC041

A80041

Hercules lowback/16"/18"/single cross bar

ea

10649.20

WC

Motorized Wheelchairs

MW045

A80045

Power Wheelchair

ea

41557.84

MW046

A80046

Velocity Wheelchair

ea

92020.94

MW047

A80047

Wheelchair with tilt in space (Any Model)

ea

104884.08

MW048

A80048

Standing wheelchair

ea

102610.10

MW

Mid-wheel drive

MW049

A90049

Motorized mid-wheel Entry level

82282.50

MW

Rear-wheel drive

MW050

A90050

Motorized rear-wheel Mid range heavy duty + manual tilt in space *special criteria

90100.00

MW051

A90051

Motorized rear-wheel Advanced *special criteria (chin control/electronic tilt in space / advanced standing)

184476.08

MW052

A90052

Motorized rear-wheel Entry level Bariatric *special criteria

61681.40

MW053

A90053

Motorized rear-wheel Entry level {standard/chin contol/standing) *special criteria

53621.85

MW054

A90054

Motorized rear-wheel Mid range *special criteria

99202.25

MW055

A90055

Motorized rear-wheel Mid range heavy duty *special criteria

110929.00

MW056

A90056

Motorized rear-wheel Mid range chin control  special criteria

142805.85

MW057

A90057

Motorized rear-wheel Mid range electronic seat height adjustability *special criteria

106132.49

MW058

A90058

Motorized rear-wheel Mid range folding *special criteria

86549.00

MW059

A90059

Motorized rear-wheel Mid range standing *special criteria

201135.00

MW060

A90060

Motorized rear-wheel Mid range electronic seat tilt *special criteria

96804.50

MW061

A90061

Motorized rear-wheel Mid range electronic seat tilt and *special criteria

118243.00

MW062

A90062

Motorized rear-wheel Mid range transportable *special criteria

67561.75