Send Us a Message:

Use this form to request an insurance eligibility check for any medical equipment or supplies you are interested in receiving through your insurance. Provide the exact item name, reason you need it, and any relevant medical details in the additional information field. If you need more than one item, list all additional products in the Additional Information section.

After you submit the form, our team will review your information and verify coverage with your insurance provider. We will contact you if we need anything else, or to let you know whether your requested items are eligible for coverage.