Who’s Eligible for an Adaptive Bike?

Variety’s My Bike® Program provides an adaptive bike (including a stationary stand and prescribed accessories) to children with disabilities. All equipment is provided for free, but you must meet the following eligibility:

Location

Must live in one of 59 counties in Pennsylvania, including: 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).

Diagnosis

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

Age

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.

Application

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

Income

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 $102,200
3 $129,100
4 $156,000
5 $182,900
6 $209,800
7 $236,700
8 $263,600

-For each additional person, add $26,900.

Letter of Medical Justification (LMJ)

Request an LMJ from your child’s current licensed Physical or 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.

Trial

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.

Presentation Requirement (including a 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.

Can we apply for a second adaptive bike?

YES! If your child received an adaptive bike through Variety and outgrew it, you are welcome to apply for a second. Please note, Variety can only fund a maximum of two bikes per child.

  • For those that received a NEW Rifton bike, you can re-apply four years after receiving the first.
  • For those that received an old Rifton bike, you can re-apply three years after receiving the first.

To re-apply, your child must still meet all of the eligibility guidelines outlined in the application, and a full application must be completed (including a bike fitting/evaluation).

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