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:

Location

Reside in one of the 64 counties that Variety currently serves, including: 52 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, Lawrence, Luzerne, Lycoming, McKean, Mercer, Mifflin, Montour, Northumberland, Perry, Potter, Snyder, Schuylkill, Somerset, Sullivan, Tioga, Union, Venango, Warren, Washington, 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).

Diagnosis

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

Age

Be 3 through 21 years of age. An application may be submitted up to 60 days prior to a child’s 3rd birthday.

Application

Complete all applicable sections of the Program Application.

Income

Applicant’s household income must meet the income guidelines for Variety’s programs (see pages 6-7 in the application for more details). Income verification will be required.

# Household Members Household Salary
2 $84,550
3 $106,650
4 $128,750
5 $150,850
6 $172,950
7 $195,050
8 $217,150

*For each additional person, add $22,100.

Letter of Medical Justification (LMJ)

Submit an LMJ from your child’s current  licensed Physical / Occupational Therapist, Personal Care Physician, Physician Assistant, or 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 for more details).

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 once everything else is completed – see page 14 in the application for more details).

Presentation Requirement

Variety requires the applicant and his/her parent or legal guardian to attend a scheduled regional presentation to receive the equipment in order to properly review all safety and equipment specifics before it is taken home Program Application Program Handout “My Bike” Order Form