Who’s Eligible for an Adaptive Bike?

Variety’s My Bike® Program currently provides Rifton adaptive bikes to children with disabilities who meet the following eligibility criteria:


Must live in one of the 71 counties that Variety currently serves, including: 59 counties in Pennsylvania (i.e. Adams, Allegheny, Armstrong, Beaver, Bedford, Blair, Bradford, Butler, Cambria, Cameron, Carbon, Centre, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lawrence, Lehigh, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Somerset, Snyder, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, and York), and 12 counties in West Virginia (i.e. Barbour, Brooke, Doddridge, Hancock, Harrison, Marion, Marshall, Monongalia, Ohio, Preston, Taylor, and Wetzel).


Have a diagnosed physical, mental, and/or sensory disability documented by your child’s current current  licensed Physical / Occupational Therapist, Personal Care Physician, Physician Assistant, or Certified Nurse Practitioner.


Be 3 through 21 years of age. An application may be submitted up to 60 days prior to a child’s 3rd birthday, but equipment can not be presented until the child is 3 years old.


Complete and submit the Program Application to the best of your knowledge.


Applicant’s household income must not exceed Variety’s income guidelines. Income verification is required with the application (see pages 6-7 in application).

# Household Members Household Salary
2 $91,550
3 $115,150
4 $138,750
5 $162,350
6 $185,950
7 $209,550
8 $233,150

-For each additional person, add $23,600.

Letter of Medical Justification (LMJ)

Request an LMJ from your child’s current  licensed Physical / Occupational Therapist, Personal Care Physician, Physician Assistant, or Certified Nurse Practitioner indicating that a Rifton adaptive bicycle would be medically appropriate and therapeutic for the child and that a conventional bike would not be appropriate (see page 10 in the application).


The successful trial of a Rifton adaptive bike, in which the child is individually fitted / evaluated on a Rifton adaptive bike, and the bike size, color, and adaptations are decided. This is the final step in the application process only after everything else is completed (see page 11 in the application).

Presentation Requirement (final fitting)

Variety requires the applicant and his/her parents or legal guardians to attend a scheduled regional presentation to receive their customized medical equipment, so we can conduct a final fitting and review the equipment before it is taken home.

APPLY ONLINE NOW Barriers to Applying

Program Handout Program Application My Bike Order Form