Questions, answered plainly.

Share patient contact details and the equipment you are looking for. Insurance and provider information can help with review; you can provide what you have and our team will contact you if more information is needed.

Our team reviews the information submitted and contacts you about next steps or any additional information needed. Submitting a request does not guarantee coverage, eligibility, payment, or delivery timing.

Yes. The form asks for contact preferences so our team can follow up about your request. Please provide accurate contact information.

Choose the option that is closest, or select that you need help identifying equipment. Our team can follow up for more information.

Medicare coverage depends on the item and applicable requirements, which may include medical necessity, a qualifying provider, supplier rules, and documentation. We cannot confirm coverage or eligibility from a request alone. Check directly with Medicare or your plan.

Coverage depends on your plan, the equipment, provider documentation and other requirements. Submitting a request does not guarantee coverage or payment.

Depending on the request, a prescription, insurance information or other documentation may be needed. Our team will contact you if more information is required.

Requirements vary by product and plan. Your healthcare provider can advise you, and our team can discuss documentation needed for a specific request.

Timing depends on the request and any review or documentation requirements. We do not guarantee delivery dates; our team can discuss timing after reviewing your request.

Yes. A caregiver or authorized representative can submit information on behalf of a patient and confirm their relationship in the form.