Gathering Patient Information
• Verify patient information
• Verify eligibility and benefits
• Verify patient information
• Verify eligibility and benefits
The Face-To-Face will include all of the following*:
2a. The beneficiary has a mobility limitation that significantly impairs his/her ability to participate in one or more mobility-related activities of daily living (MRADLs)
2b. The mobility limitation cannot be sufficiently resolved using an appropriately fitted cane or walker,
2c. Use of a manual wheelchair will significantly improve the beneficiary’s ability to participate in MRADLs and the beneficiary will use it on a regular basis in the home,
2d. The beneficiary is willing and functionally able to use the manual wheelchair that is provided in
2e. The beneficiary has enough upper extremely function and other physical and mental capabilities needed to safely self-propel the manual wheelchair that is provided in the home during a typical day OR the beneficiary has a caregiver who is availing, willing and able to aid with the wheelchair.
*A Face-To-Face with a MD may be required depending on your insurance.
• Evaluation is scheduled and conducted by an ATP
• The following will take place during the evaluation:
- Assess the patient’s condition & medical situation
- Measure & evaluate the patient for equipment recommendation
- Discuss equipment options
- Review home requirements
• Documentation & paperwork goes to MD for completion and review
• Confirm all required documentation has been received and completed for the submission and approval by insurance.
• Equipment is ordered once approval is received from funding source
• Our team will assemble the equipment once received
• Delivery is scheduled once assembly is complete
• The chair is delivered by our team and the final adjustments are made to the chair to ensure patient satisfaction
Please include names, phone numbers, emails, addresses, and any additional info that applies:
- Patient Information
- Primary Care Physician
- Current Therapist (If you have one now)
- Prescribing Physician (Who prescribed the equipment)
- Referral Clinic
We will need to have the most updated policy information in order to process your order:
- Primary Insurance, including Group # and ID #
- Secondary Insurance, Including Group # and ID #
- Medicare/Medicaid and replacement insurance information
- Deducible and Co-Pay percentages
- What type of mobility equipment are you currently using?
- Who provided the equipment?
- When did you receive the equipment?
- Who was the funding source for the equipment? (Insurance, Self-Pay, Donated)
- What is your medical history?
A prescription for Manual/Power Wheelchair repair including diagnosis codes. This can be faxed to our Service Department at (832) 626-4070
We accept Cash, Check, and Credit Cards. If you are unsure if we accept your method of payment, please call us at (832)445-0956
Contact us immediately to inform our team of any changes. We will contact your insurance provider to determine what action is required to complete the order.
*Notice: If you have rental equipment through Great American and your insurance changes, you can be held responsible for the rental equipment.
Great American Mobility services the greater Houston area and surround counties. Please call us at (832) 445-0956 to confirm if we deliver to your location.
An Assistive Technology Professional is certified to guide you through the complex rehab process. They analyze, recommend, select, and train on how to properly use the equipment best suited to meet your needs.
ATPs' are required and necessary to complete the sophisticated process of ordering rehab equipment. Most insurance providers request the involvement of an ATP.
Please see below the current list of accepted insurance plans.
Referral is received regarding the patient's supply needs.
A Customer Service Specialist is assigned to the patient.
The patient is contacted within 4 hours from their Customer Service Specialist to review medical benefits and to go over the supply order.
Temporary supplies are drop-shipped to the patient, if needed, until order is complete and shipped.
The patient is contacted every 30 days by their representative to reorder supplies