Pride Mobility Jazzy Air MED Owner's manual

Brand: Pride Mobility

Model: Jazzy Air MED

Type: Owner's manual

INFINFB4560/RevA/15NOV2023 Page 1 of 3

Jazzy Air® MED — 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®

MED 2SE-C .................................................... $7,459

Part: JAZZYAIRMED 2SE-C. HCPCS: K0831

Captain Seating

Jazzy Air®

MED 2SE-SS .................................................. $7,459

Part: JAZZYAIRMED 2SE-SS. HCPCS: K0830

Solid Seat Pan Seating

BASE MODEL

REQUIRED. Select a power base. Weight capacity: 300 lbs. More details and specications can be found at pridemobility.com/jazzy-air-med.

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.

Black

Part: DGN2302764

Standard Features

• Flat-free drive wheels

• VR2 joystick

• In-line joystick mounting bracket

• Height-adjustable foot platform

• Unoccupied transit loops

• 12″ seat elevation

• Active -Trac ® suspension

• Mid-wheel technology

FDA Class II Medical Device*

SEATING

REQUIRED. Select one seat. All seats include a 60″ lap belt. Seat sizes on this unit cannot exceed 2 0″ W × 1 8″ – 2 0 ″ D .

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

Part: MEC2007667

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

Part: MEC2007668

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

Part: MEC2007669

Captain Seating — Depth-Adjustable Memory Seat, Limited Recline, High Back

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

Part: MEC2201676

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

Part: MEC2201677

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

Part: MEC2201678

Solid Seat Pan Seating — Fold-Flat Seats

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

Jazzy Air® MED is available exclusively to Authorized Pride Providers with a dedicated brick-and-mortar location (showroom). The Jazzy Air®

MED may be displayed on an authorized provider’s dedicated website for educational purposes only, may not be listed on any third-party web-

sites, and may not be sold online. The Jazzy Air® MED is not eligible to be drop-shipped to a residence. Other conditions may apply.

INFINFB4560/RevA/15NOV2023 Page 2 of 3

Weather Cover, Medium, Black .. $168

Part: ACCCOVR1022

Saddle Bag (12.5″ × 9.875″) ............ $40

Part: DWR1020D010

2.1-Amp USB Charger ..............$42.99

Part: KIT2001524

Saddle Bag (11.75″ × 17″) ............... $40

Part: DWR1020D016

Cup Holder — Style C ..................... $32

Part: ACCASMB2288

Flag Holder ..................................... $65

Part: ACCASMB2629

Cell Phone Holder ...........................$74

Part: ACC2007134

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. HCPCS: E2207

Oxygen Tank Holder ...........................................................$140

Part: ACC1610773. HCPCS: E2208

Walker Holder ..................................................................... $200

Part: ACC1610776

U-1 AGM Battery ....................................................................................................................................................... $140 ea. (2 required)

Part: BATLIQ1017. HCPCS: E2365

BATTERY UPGRADE

Optional. The power chair requires two batteries. U-1 batteries are automatically selected with a quick ship order.

Joystick Mounting Bracket

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

Swing-Away Joystick Mounting Bracket, Left ..................... $245

Part: KIT1906945. HCPCS: E1028

Swing-Away Joystick Mounting Bracket, Right ..................$245

Part: KIT1905628. HCPCS: E1028

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

Part: KIT2101481

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

Part: KIT2101483

Armrest, Left (Flip-up, Height-Adjustable, Full-Length) ....$90

Part: ARM2007884. HCPCS: E0973

Armrest, Right (Flip-up, Height-Adjustable, Full-Length) ..$90

Part: ARM2007885 HCPCS: E0973

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

Part: KIT2101484. HCPCS: K0195

LEGRESTS

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

ARMRESTS

REQUIRED. These armrests are automatically selected with a quick ship order.

60° – 9 0° Swing-Away Leg Rests

Adjustable in 5° increments.

Elevating Leg Rests

Leg Rest Accessories

Residual Limb Support, Left ...................................... $342 ea.

Part: FRMASMB5301. HCPCS: E1020

Residual Limb Support, Right ...................................$342 ea.

Part: FRMASMB5300. HCPCS: E1020

Heel Loops (pair), for Swing-Away Leg Rests ................. $53

Part: FRMASMB7873. HCPCS: E0951

Heel Loops (pair), for Elevating Leg Rests ...................... $53

Part: FRMASMB1503. HCPCS: E0951

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 MED comes standard with a 60″ lap belt. Additional sizes are available below.

INFINFB4560/RevA/15NOV2023 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 ............................... $21

Part: ACC140240

Army Patch ..................................... $21

Part: ACC140241

Coast Guard Patch ........................ $21

Part: ACC140239

Marines Patch ................................. $21

Part: ACC140243

Navy Patch ...................................... $21

Part: ACC140244

Purple Heart Patch ........................ $21

Part: ACC140238

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.

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

Pride Mobility Jazzy Air MED Owner's manual

Brand: Pride Mobility

Model: Jazzy Air MED

Type: Owner's manual

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Pride Mobility Jazzy Air MED Owner's manual

Pride Mobility Jazzy Air MED Owner's manual

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