Pride Mobility Jazzy Select 6 2.0 Owner's manual

Brand: Pride Mobility

Model: Jazzy Select 6 2.0

Type: Owner's manual

Page 1 of 4INFINFB3839/RevA/13MAR2020

Jazzy Select 6 2.0 2S-C .................................................. $5,099

Part: JSELECT 6 2.0 2S-C

HCPCS: K0823

Captain Seating

Jazzy Select 6 2.0 2S-SS ................................................ $5,099

Part: JSELECT6 2.0 2S-SS

HCPCS: K0822

Solid Seat Pan

Jazzy Select 6

2.0 Quick Ship Order Form

Account Number: ___________ Date: ________________

Provider Name: __________________________________

Contact: ________________________________________

Phone: ___________________ Fax: _________________

Email: __________________________________________

PO Number: _____________________________________

Marked for: _____________________________________

Ship to Address: _________________________________

City: _____________________ State: ______ Zip: ______

This form is interactive when viewed in Adobe Acrobat Reader and may not function correctly if opened with other applications.

HCPCS codes provided should not be considered as legal advice and do not guarantee reimbursement. DME providers are responsi-

ble for determining the appropriate billing codes when submitting for insurance reimbursement. Payer coding, coverage, and bundling

guidelines may apply. All prices are MSRP. Prices, specications, part numbers, and availability are subject to change without notice.

Prices and part numbers as shown are only available when congured as a complete power chair. Pride Providers may contact Technical

Services for accurate parts ordering.

Thank you for choosing Pride Mobility Products!

INTRODUCTION

BASE COLOR

REQUIRED. Select one color. Colors shown here may dier from actual product depending on monitor/printer calibration.

BASE MODEL

REQUIRED. Select a power base. Weight capacity: 300 lbs. Find more details and specications at pridemobility.com/jazzy-select-6-2-0.

Standard Features

• Mid-wheel drive

• Active -Trac

suspension

• Height-adjustable foot platform

• Flat-free tires

• In-line joystick mounting bracket

• 3.5-amp o-board charger

• 60″ lap belt

POWER ELEVATING SEAT

Optional. VR2 6-key joystick required.

Pride

Mobility Products Corporation

401 York Ave., Duryea, PA 18642

Phone: 1-800-800-8586 | Fax: 1-800-800-1636 | Email: prideorders@pridemobility.com

Pearl White

Part: DGN1807326

Sapphire Blue

Part: DGN1807329

Ruby Red

Part: DGN1807330

Power Elevating Seat ...........................................................................................................................................................................$975

Part: STD1701490

HCPCS: E2300

Page 2 of 4INFINFB3839/RevA/13MAR2020

Account Number: ___________ Date: ________________ Marked for: _____________________________________

ARMRESTS

REQUIRED. The armrests are automatically selected with a Quick Ship order.

JOYSTICK

REQUIRED. The joystick may be automatically selected based on the power base selection.

GC3 .............................................................................. Standard

Par t: CTLDC1574

Used with non-power elevating seats

VR2, 6-key ........................................................................... $200

Part: CTLDC1498

Required with power elevating seats

Deluxe Contour, Limited Recline, High Back, with Solid Seat Pan

Additional lead time may apply.

Solid Seat Pan Seating

1 6 ″ W × 16 ″ – 1 8 ″ D ......................................................... Standard

Part: SET145814

With 60″ Lap Belt

1 8 ″ W × 1 8″ – 2 0″ D ......................................................... Standard

Part: SET145815

With 60″ Lap Belt

2 0″ W × 2 0 ″ D ............................................................................................................................................................................................ $450

Part: SETASMB3185

With 60″ Lap Belt

Depth-Adjustable, Comfort Seat, Limited Recline, High Back, with Solid Seat Pan

CONTOURED SEATING

Optional. Select one seat. All seats include a 60″ lap belt.

1 8 ″ W × 1 6″ D ............................................................................................................................................................................................ $450

Part: SETASMB2775

With 60″ Lap Belt

Deluxe Contour, Limited Recline, High Back

Additional lead time may apply.

1 6 ″ W × 1 6 ″ – 1 8″ D ................... Standard

Part: SET131843

With 60″ Lap Belt

1 8 ″ W × 1 8″ – 2 0″ D ................... Standard

Part: SET131844

With 60″ Lap Belt

2 0″ W × 1 8 ″ – 2 0 ″ D ................... Standard

Part: SET131845

With 60″ Lap Belt

Depth-Adjustable, Comfort Seat, Limited Recline, High Back

Captain Seating

Swing-Away, In-line ..................................................... $245

Left part: ACC148364. Right part: ACC148365

HCPCS: E1028

Swing-Away, 1″ Oset ................................................. $245

Left part: ACC148366. Right part: ACC148367

HCPCS: E1028

JOYSTICK MOUNTING BRACKETS

Optional. The power chair comes standard with an in-line joystick mounting bracket. Additional brackets may be selected below.

Swing-Away Joystick

In-line Mount (Right)

Swing-Away Joystick

Offset Mount (Right)

Flip-up, Height-Adjustable, Full-Length Armrests ................................................................................................................. $85 ea.

Left part: FRMASMB8614. Right part: FRMASMB8615

HCPCS: E0973

BATTERIES

REQUIRED. The Power Chair requires two batteries. The batteries are automatically selected with a Quick Ship order.

Battery, U1 ...................................................................................................................................................................................... $133 ea.

Par t: BAT1704611

HCPCS: E2365

Page 3 of 4INFINFB3839/RevA/13MAR2020

Rear Basket (15.25″ × 9.75″ × 9.5″) ......................................$118

Deluxe Contour part: ACCASMB1914. Comfort part: ACCASMB2537

Cane/Crutch Holder ............................................................$110

Deluxe Contour part: ACCASMB2294. Comfort part: ACCASMB2540

HCPCS: E2207

Oxygen Tank Holder ...........................................................$118

Deluxe Contour part: ACCASMB2292. Comfort part: ACCASMB2651

HCPCS: E2208

Walker Holder ......................................................................$103

Deluxe Contour part: ACCASMB2541. Comfort part: ACCASMB1912

Account Number: ___________ Date: ________________ Marked for: _____________________________________

Back-Mounted Accessories

Optional. Only one back-mounted accessory can be used at a time. Includes mounting bracket and hardware.

ACCESSORIES

Optional.

Weather Cover, Medium, Black ........................................ $168

Part: ACCCOVR1022

Saddle Bag (12.5″ × 9.875″) .................................................. $35

Part: DWR1020D010

USB XLR Charger ................................................................ $38

Part: ACC1704791

Dynamic Programmer ....................................................... $423

Part: ELEASMB4352

Flag Holder ........................................................................... $25

Deluxe Contour part: ACCASMB1930. Comfort part: ACCASMB2629

Cup Holder ............................................................................ $20

Style B, Deluxe Contour part: ACCASMB2287

Style C, Comfort part: ACCASMB2288

Unoccupied Transit Kit ..................................................... $100

Part: KIT1805521

Used on Comfort Seats only — see SEATING on Page 2.

Residual Limb Support ........................................$325 ea.

Left part: FRMASMB5301. Right part: FRMASMB5300

HCPCS: E1020

Heel Loops (pair) .................................................................. $50

ELR part: FRMASMB1503. S/A part: FRMASMB7873

HCPCS: E0951

Swing-Away Leg Rest with 7.25″ × 6″ Foot Plates (pair) ..$162

Part: RIG133656

Swing-Away Leg Rest with 8.5″ × 6″ Foot Plates (pair) .. $162

Part: RIG133659

Elevating Leg Rests with 7.25″ × 6″ Foot Plates (pair) ... $325

Part: KIT124479. HCPCS: K0195

Not available with power elevating seats

Elevating Leg Rests with 8.5″ × 6″ Foot Plates (pair) .... $325

Part: KIT124480. HCPCS: K0195

Not available with power elevating seats

LEG RESTS

Optional. Some adjustments may be needed upon receipt of the unit.

60° – 90° Swing-Away Leg Rests

Adjustable in 5° increments.

Elevating Leg Rests

Leg Rest Accessories

50″ Lap Belt ............$39.90

Part: ACCBELT1000

70″ Lap Belt .............$39.90

Part: ACCBELT1003

80″ Lap Belt ............$39.90

Part: ACCBELT1004

90″ Lap Belt ............$39.90

Part: ACCBELT1005

Additional Lap Belts

Optional. Seat comes with a 60″ lap belt. An additional lap belt size may be selected below.

Match seat width and depth — see cushion order form or

cushion part number:

Non-matching cushion size — see cushion order form or

cushion part number:

CUSHION QUICK PICK

Optional. Refer to the specic cushion order form for pricing, sizes, codes, and part numbers. If the cushion size matches the selected seat size,

check Match seat width and depth. If the cushion size diers from the seat size, check Non-matching cushion size. Attach the cushion order

form, or ll in the cushion part number below.

Page 4 of 4INFINFB3839/RevA/13MAR2020

BRANCH PATCHES

Optional.

Air Force Patch ............................... $20

Part: ACC140240

Army Patch ..................................... $20

Part: ACC140241

Coast Guard Patch ........................ $20

Part: ACC140239

Marines Patch ................................. $20

Part: ACC140243

Navy Patch ...................................... $20

Part: ACC140244

Purple Heart Patch ........................ $20

Part: ACC140238

Pride

Mobility Products Corporation

401 York Ave., Duryea, PA 18642

Phone: 1-800-800-8586 | Fax: 1-800-800-1636 | Email: prideorders@pridemobility.com

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NOTES

Special Measurement Seat

SPECIAL MEASUREMENT SEAT

Optional. Special Measurement Seat size cannot exceed 20″W × 20″D. Contact your inside sales specialist for pricing.

Width:______ Depth:______ Seat Type:_______________

Account Number: ___________ Date: ________________ Marked for: _____________________________________

Pride Mobility Jazzy Select 6 2.0 Owner's manual

Brand: Pride Mobility

Model: Jazzy Select 6 2.0

Type: Owner's manual

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Pride Mobility Jazzy Select 6 2.0 Owner's manual

Pride Mobility Jazzy Select 6 2.0 Owner's manual

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