Check Your Medicare Eligibility

Check Your Medicare Eligibility

Order with Medical Solutions online or call us at 1-866-655-3606, and we'll be happy to assist you with your medical supplies needs.

Or, before you pay out-of-pocket, fill out this simple form and Medical Solutions will assist with determining your Medicare eligibility; it's fast, easy, and could save you $1000s.

You might be eligible for your Medicare plan to cover test strips, insulin pumps, lancing devices, lancets, blood glucose meters, or control solution.

Click here to learn more about the ways Medical Solutions works with Medicare.

Required fields marked with *

*First Name:
*Last Name:
*Email:
*Primary Phone:	( )- - Ext:
Month Born:
Year Born:	(YYYY)
Do You Plan On Choosing Medicare As Your Primary Insurer?	Yes No
*Physician's Name:
*Physician's Phone:	( )- - Ext:
*Are You Currently Using Insulin?	Yes No
Comments?
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