Your
Cart
Cart
Checkout
Thank You
Your Cart
“Theratherm Moist Heat Pad” has been added to your cart.
Continue shopping
Thumbnail
Product
Price
Quantity
Subtotal
Ice It! F-Pack - Wrist/Ankle/Foot
$
11.82
Ice It! F-Pack - Wrist/Ankle/Foot quantity
$
11.82
Hydrocollator Heat Pack
$
36.05
Hydrocollator Heat Pack quantity
$
36.05
Aircast AirSport Ankle Brace
$
59.99
Aircast AirSport Ankle Brace quantity
$
59.99
Deluxe Portable Fingertip Pulse Oximeter with SpO2 and Pulse Rate Monitor
$
30.00
Deluxe Portable Fingertip Pulse Oximeter with SpO2 and Pulse Rate Monitor quantity
$
30.00
Power Neb Ultra Nebulizer
$
39.99
Power Neb Ultra Nebulizer quantity
$
39.99
Seat Only for Drive
$
39.99
Seat Only for Drive quantity
$
39.99
Theratherm Moist Heat Pad
$
92.90
Theratherm Moist Heat Pad quantity
$
92.90
Update Cart
Order Summery
Subtotal
$
310.74
Total
$
310.74
Proceed to checkout
Which insurance do you have?
Medicare
Medicaid
No Fault
Workers Comp
Other
Medicare Claim Insurance Purchase Request
To complete this order we need some information, please fill out below to the best of your ability and our team will contact you if there are any additional requirements.
Name
(Required)
First Name
Last Name
Phone Number
(Required)
Email
(Required)
Date of Birth
(Required)
DD dash MM dash YYYY
Insurance Type
Medicare
Mediciad
No Fault
Workers Comp
Other
Insurance Provider
(Required)
Insurance ID
(Required)
Documents Section Upload (i.e. prescriptions)
Max. file size: 2 GB.
I agree to allow CapsuleAID and its authorized representatives to contact me about my medical supplies, orders, and related subject.
(Required)
Agree
Medicaid Claim Insurance Purchase Request
To complete this order we need some information, please fill out below to the best of your ability and our team will contact you if there are any additional requirements.
Name
(Required)
First Name
Last Name
Phone Number
(Required)
Email
(Required)
Date of Birth
(Required)
DD dash MM dash YYYY
Insurance Type
Medicare
Mediciad
No Fault
Workers Comp
Other
Insurance Provider
(Required)
Insurance ID
(Required)
Documents Section Upload (i.e. prescriptions)
Max. file size: 2 GB.
I agree to allow CapsuleAID and its authorized representatives to contact me about my medical supplies, orders, and related subject.
(Required)
Agree
No Fault Claim Insurance Purchase Request
To complete this order we need some information, please fill out below to the best of your ability and our team will contact you if there are any additional requirements.
Name
(Required)
First Name
Last Name
Phone Number
(Required)
Email
(Required)
Date of Birth
(Required)
DD dash MM dash YYYY
Insurance Type
Medicare
Mediciad
No Fault
Workers Comp
Other
Insurance Provider
(Required)
Insurance ID
(Required)
Documents Section Upload (i.e. prescriptions)
Max. file size: 2 GB.
I agree to allow CapsuleAID and its authorized representatives to contact me about my medical supplies, orders, and related subject.
(Required)
Agree
Workers Comp Claim Insurance Purchase Request
To complete this order we need some information, please fill out below to the best of your ability and our team will contact you if there are any additional requirements.
Name
(Required)
First Name
Last Name
Phone Number
(Required)
Email
(Required)
Date of Birth
(Required)
DD dash MM dash YYYY
Insurance Type
Medicare
Mediciad
No Fault
Workers Comp
Other
Insurance Provider
(Required)
Insurance ID
(Required)
Documents Section Upload (i.e. prescriptions)
Max. file size: 2 GB.
I agree to allow CapsuleAID and its authorized representatives to contact me about my medical supplies, orders, and related subject.
(Required)
Agree
Other Claim Insurance Purchase Request
To complete this order we need some information, please fill out below to the best of your ability and our team will contact you if there are any additional requirements.
Name
(Required)
First Name
Last Name
Phone Number
(Required)
Email
(Required)
Date of Birth
(Required)
DD dash MM dash YYYY
Insurance Type
Medicare
Mediciad
No Fault
Workers Comp
Other
Insurance Provider
(Required)
Insurance ID
(Required)
Documents Section Upload (i.e. prescriptions)
Max. file size: 2 GB.
I agree to allow CapsuleAID and its authorized representatives to contact me about my medical supplies, orders, and related subject.
(Required)
Agree
Best Sellers
Hydrocollator Heat Pack
$
36.05
Ice It!® ColdCOMFORT System with Adjustable Strap
$
33.18
MEDNEB+ with Reusable and Disposable Neb Kits & Bag
$
49.99
Colpac-Polyurethane Covered
$
26.87
Refund policy
Privacy policy
Terms of service
© 2024 CapsuleAID. All rights reserved.
