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Take advantage of Hoveround's Medicare Assistance Program

Our Hoveround Approval Team is experienced in working with Medicare, Medicaid and a number of private insurance companies. We can expedite your claim so that if you qualify, you will receive your motorized wheel chair or motorized scooter as soon as possible. Simply fill out the following form, or call 1-800-542-7236, and we'll rush you a free video and brochure and contact you. (*required fields)

*Title Choose Mr. Ms. Mrs. Miss *First Name *Last Name

*Address

*City *State Choose AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY *Zip Code

*E-mail Address *Phone Number Best Time to call Please Choose Morning Afternoon Evening Do not call, email only

*Do you have Insurance that will help pay for the cost of a Hoveround?  Yes   No

*Without the use of any type of mobility equipment (e.g., cane, walker, Manual Wheelchair) are you stumbling, falling or having difficulty getting around inside your home?  Yes   No