TRUFORM 490-4E ATHLETIC SUPPORT

Additional information

Insurance Information

Here at HerniaProducts.com, we offer Insurance billing for Medicare patients. To qualify, you will need to fax or mail us the following information AFTER placing your order with us:

1. Name
2. Address
3. Phone #
4. Date of Birth
5. Prescription from Doctor or Physician with their telephone number. (Within the last 6 months)
6. I.C.D.9 Code on Prescription
7. Copy of Medicare Card
8. Supplemental Insurance

Please send faxes to 1-949-644-9353. Attention: 'Medicare Billing'

Or Mail Info To:
400 Newport Center Dr. Suite 104
Newport Beach,CA 92660

For ALL OTHER private insurance companies, the HCPC#'s are available to send to your own private insurance company. Tax Id# 95-2896022.