Medicare Part B Pre-Qualification

Check Your DME Eligibility

Fill in your details below. A licensed physician in your state will review your profile and determine whether insurance coverage may support appropriate durable medical equipment.

Check Your DME Eligibility

Complete the form below. A licensed physician will review your profile and help assess whether insurance coverage may support appropriate DME eligibility and coverage review.

First Name *

Last Name *

Email (Optional)

Phone *

Select Your State *

Date of Birth *

Primary Insurance *

Primary Insurance Number *

By submitting, you are giving Express Written Consent authorizing the Wellness Eligibility Program team to contact you via voice, SMS, or email at the information provided regarding the following: confirming personal information, order submission or updates, and other healthcare benefits. The patient understands that these calls or messages may be generated by an automated dialer or messaging system. The patient is not required to provide consent as a condition of requesting or receiving any products or services. The patient also understands that this offer does not qualify them for any prize or reward. You understand that you can opt out at any time by replying STOP to the messages.

256-Bit Encrypted•HIPAA Compliant•No Surprise Billing

CAP & CLIA Accredited Labs

Insurance Coverage Review

Physician-Reviewed Every Order

Prefer to check eligibility over the phone?

Call (800) 492-3829