Pride Mobility Jazzy Air 2 Owner's manual

Brand: Pride Mobility

Model: Jazzy Air 2

Type: Owner's manual

INFINFB3836/RevB/27AUG2020 Page 1 of 3

Jazzy Air

2 — Quick Ship Order Form

Pride

Mobility Products Corporation

401 York Avenue, Duryea, PA 18642

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

Account Number: ___________ Date: ________________

Provider Name: __________________________________

Contact: ________________________________________

Phone: ___________________ Fax: _________________

Email: __________________________________________

PO Number: _____________________________________

Marked for: _____________________________________

Ship to Address: _________________________________

City: _____________________ State: ______ Zip: ______

Jazzy Air

2 | FDA Class II Medical Device*................. $5,799

Part: JAIR21001

HCPCS: K0899 - Power Mobility Device, not coded by DME PDAC

or does not meet criteria.

*Pride® FDA Class II Medical Devices are designed to aid individuals with

mobility impairments.

BASE MODEL

REQUIRED. Select a power base. 300 lb. weight capacity. More details and specications can be found at pridemobility.com/jazzy-air-2.

INTRODUCTION

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

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

COLOR

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

Ruby Red

Part: DGN1803732

Pearl White

Part: DGN1803736

Sapphire Blue

Part: DGN1803734

Onyx Black

Part: DGN1803737

Citrine Yellow

Part: DGN1803740

Silver

Part: DGN1803739

Pink Topaz

Part: DGN1803741

Black Pearl*

Part: DGN1803738

Tanzanite Blue*

Part: DGN1803735

Garnet Red*

Part: DGN1803733

*Matte Colors

Standard Features

• Integrated foot platform

• Flat-free drive wheels

• VR2 joystick

• In-line joystick mounting bracket

• U-1 batteries with 5-amp charger

• LED marker lights

• 12″ seat elevation

• Under-seat storage

INFINFB3836/RevB/27AUG2020 Page 2 of 3

Account Number: ___________ Date: ________________ Marked for: _____________________________________

Weather Cover, Medium, Black .. $168

Part: ACCCOVR1022

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

Part: DWR1020D010

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

Part: ACC1704791

Saddle Bag (11.75″ × 17″) ............... $35

Part: DWR1020D016

Cup Holder — Style C ..................... $20

Part: ACCASMB2288

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

Part: ACCASMB2416

Cell Phone Holder .......................... $60

Part: ACC1611300

ACCESSORIES

Optional.

Back-Mounted Accessories

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

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

Part: ACC1610772

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

Part: ACC1610775

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

Part: ACC1610773

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

Part: ACC1610776

40-Amp AGM ...................................................................................................................................................................................$175 ea.

Part: BAT1704612-P

Battery Upgrade

Optional. The Jazzy Air 2 comes standard with two U-1 batteries. Battery upgrade options are available below.

Joystick Mounting Bracket

Optional. The Jazzy Air 2 comes standard with an in-line joystick mount. An additional mount may be selected below.

Retract4 Swing-Away Joystick Mounting Bracket.......................................................................................................................... $350

Part: MEC168060

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

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

Part: KIT124480. HCPCS: K0195

LEGRESTS

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

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

SEATING

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

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

Part: SET1804596

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

Part: SET1804597

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

Part: SET1804598

Captain Seating — Fold-Flat Seats

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

Part: SET1701580

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

Part: SET1701581

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

Part: SET1701582

Solid Seat Pan Seating — Fold-Flat Seats

NOTE: Seat backs are approximately 2″ wider than seat bases on solid seat pan seating.

INFINFB3836/RevB/27AUG2020 Page 3 of 3

Pride

Mobility Products Corporation

401 York Avenue, Duryea, PA 18642

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

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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

Account Number: ___________ Date: ________________ Marked for: _____________________________________

NOTES

Match selected 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 detailed pricing, sizes, codes, and part numbers. Check the non-matching box and attach

a cushion order form for a size other than the previously selected seat width and depth or enter part number below.

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: ACCBELT1001

ADDITIONAL LAP BELTS

Optional. The Jazzy Air 2 comes standard with a 60″ lap belt. Additional sizes are available below.

Pride Mobility Jazzy Air 2 Owner's manual

Brand: Pride Mobility

Model: Jazzy Air 2

Type: Owner's manual

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Pride Mobility Jazzy Air 2 Owner's manual

Pride Mobility Jazzy Air 2 Owner's manual

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