Alberta Health. AADL Approved Product List - Lifters & Accessories Pricing effective October 1, 2017

Transcription

1 Alberta Health Approved Product List - Lifters & Accessories Pricing effective October 1, 2017 Recycle Benefits Patient Lifters Overhead Lifters..... APL L-1 Patient Lifters Portable Floor Lifters APL L-2 Home care Beds and accessories (See separate APL BL) Benchmark Benefits Slings. APL L-3 Discontinued/Removed from APL. APL L-4

2 LIFTERS AND ACCESSORIES Recycle Patient Lifters are provided through the Recycle Program and must be returned to an vendor when the client no longer needs it. Slings are considered benchmark benefits and are not recycled by. Eligibility: Must indicate on the 1250 that client has funding in place for overhead track including installation (client responsibility) Clinical rationale for Heavy Duty models includes the client's weight. Quantity and Frequency Requests are required if replacing lifters within 4 years. One type of lifter provided either an overhead track lifter or portable floor lifter. Manufacturer and model must be indicated on Minimum Standards for Lifters Minimum 3 year warranty on lifter, one year on battery, one year on hand pendant and one year on charger. Must have safety mechanisms emergency lowering & stop, slack strap switch, over-speed governor. Distribution of equipment is through Approved Vendors with a facility maintained in Alberta. Parts/components must be available from a Canadian Distributor/Warehouse. Vendor to carry common maintenance parts. Costs: Prices are based on MSRP minus vendor discount unless otherwise indicated. Clients are responsible for any upcharges indicated. L304 L312 L316 L317 OVERHEAD LIFTERS Manufacturer/Model Description Wt.Cap (lbs.) Lifting range Upgrade cost (Client) ArjoHuntleigh Overhead Lifter Voyageur 440 Up to 48 $ $0.00 Humancare Durable metal parts, weighs 22 lbs. Altair HD Carriage adapter available to accommodate other 480 Up to 66 $ $ manufacturer s overhead track systems. Straps - size 3.9 to 17.7 $59.40 Straps - size 19.7 to 29.6 $83.10 Straps size 31/5 to 39.3 $ D-Ring adaptor $38.40 Humancare Altair 150 Molift Nomad For clients under 300 lbs. See L312 for HD model Durable metal parts, weighs 22 lbs. 330 Up to 66 $ Straps - size 3.9 to 17.7 $59.40 Straps - size 19.7 to 29.6 $83.10 Straps size 31/5 to 39.3 $ D-Ring adaptor $38.40 Overhead lifter 560 Up to 78 $ Pricing effective October 1, 2017 APL L- 1

3 PORTABLE FLOOR LIFTERS Recycle Patient Lifters are provided through the Recycle Program and must be returned to an vendor when the client no longer needs it. Slings are considered benchmark benefits and are not recycled by. Eligibility: Must indicate client's weight on all authorizations to support choice of product. Quantity and Frequency Requests are required if replacing lifters within 4 years. One type of lifter provided either an overhead track lifter or portable floor lifter. Manufacturer and model must be indicated on Minimum Standards for Lifters Minimum 3 year warranty on lifter, one year on battery, one year on hand pendant and one year on charger. Must have safety mechanisms emergency lowering & stop, slack strap switch, over-speed governor. Distribution of equipment is through Approved Vendors with a facility maintained in Alberta. Parts/components must be available from a Canadian Distributor/Warehouse. Vendor to carry common maintenance parts. Costs: Prices are based on MSRP minus vendor discount unless otherwise indicated. Clients are responsible for any upcharges indicated. L308 Manufacturer/Model Description Wt.Cap (lbs.) Lifting range Invacare Weight 106 lbs. Reliant casters (larger casters for maneuvering over carpet) 440 Up to 80 $3, Sunrise Weighs 64 lbs. Hoyer Advance E Folding model, requires justification 340 Up to 71 $3, Upgrade cost (Client) L309 Sunrise Hoyer H-HPL402 ArjoHuntleigh Maxi 500 Weighs 84 lbs. Floor pick-up capability. 400 Up to 77 $3, Up to 72 $4, Pricing effective October 1, 2017 APL L- 2

4 SLINGS (Benchmark/non-recycle) Recycle Patient Lifters are provided through the Recycle Program and must be returned to an vendor when the client no longer needs it. Slings are considered benchmark benefits and are not recycled by. Eligibility: Must indicate client's weight on all authorizations to support choice of product. Slings must be compatible with the lifter either same manufacturer or accepted as compatible by manufacturer. Minimum Standards for Slings Minimum 2 year warranty on slings. Distribution of equipment is through Approved Vendors with a facility maintained in Alberta. Costs: Prices are based on MSRP minus vendor discount quoted on matching lifter. Pricing is based on the maximum funded for a sling and is not intended as the for all types of slings under that manufacturer. Consult with the vendor for individual s as these will vary according to type. Manufacturer and Model of the client s lifter must be indicated on the authorization form. Manufacturer Description Quantity and Frequency L313 ArjoHuntleigh Slings 2 every 4 years L315 Handicare Slings 2 every 4 years Sizes MSRP Maximum XXS-L 5% $ Oversize 5% $ XS-L 5% $ Oversize 5% $ Deluxe slings 2 every 4 years S-XL 5% $ L320 Hoyer Advance E slings 2 every 4 years S-XL 5% $ L321 Invacare Slings 2 every 4 years S-XL 5% $ L326 Prism Slings 2 every 4 years S-XL 5% $ L328 Humancare Slings 2 every 4 years S-L 5% $ Oversize 5% $ L318 Molift Slings 2 every 4 years S-M $ L-XXL $ Pricing effective October 1, 2017 APL L- 3

5 DISCONTINUED LARGE EQUIPMENT (Recycle Equipment) Discontinued equipment may be requested from the vendor s in house stock or from recycle pool only (subject to availability). Contact the benefit clerk assigned to your client s preferred vendor to determine if there are any available in the recycle pool. Parts to discontinued products may not be available. Manufacturer/Model Comments /client upgrade L304 Handicare/Rise Porto 450 Suspension in effect since February $3,097.00/$32.80 upgrade L308 Arjo/Maxi-Lite Discontinued by Manufacturer $3,607.15/$ L309 Handicare/Waverly Glen F550 Discontinued by Manufacturer $4, L219 Mattress Overlay and Roho insert Moved to E-benefits benchmark (E412 & E413) L225 Mattress Overlay and Roho insert Moved to E-benefits benchmark (E412 & E413) L236 Action/Gel Overlay Moved to E-benefits benchmark (E414 & E415) Pricing effective October 1, 2017 APL L- 4