Due to a number of medical conditions, including lumbar spine disc herniation, chronic tremor, and cardio-pulmonary disease, Lisa has trouble getting around. She lives in a very hilly area in the Bronx, which makes it impossible for her to travel outside her home with a manual wheelchair. She asked her Managed Long Term Care (MLTC) plan for a motorized scooter, but they denied her request due to lack of medical necessity.
With a monthly income of only $823, Lisa was not able to afford the price of the expensive scooter. She turned to ICAN for help. Her advocate at the Center for the Independence of the Disabled, New York (CIDNY) knew what to do. First, she gathered medical documentation from her doctors to show Lisa’s need for a motorized scooter. Then she helped Lisa apply for a Fair Hearing. The Fair Hearing resulted in a favorable decision and coverage for a scooter. Lisa was overjoyed.
“If it wasn’t for ICAN and the work they do, I wouldn’t have received my motorized scooter. I would be totally homebound without their help.”