Your
Cart
Cart
Checkout
Thank You
Your Cart
“BlueJay Folding Cane” has been added to your cart.
Continue shopping
“Blue Jay Reusable Absorbent Underpad” has been added to your cart.
Continue shopping
“Reusable Absorbent Chair Pad” has been added to your cart.
Continue shopping
“Universal Arm Sling, Envelope Style, Navy Blue, Poly-Cotton, Adjustable Strap” has been added to your cart.
Continue shopping
Thumbnail
Product
Price
Quantity
Subtotal
Standard Offset Walking Cane Adjustable Aluminum
$
35.99
Standard Offset Walking Cane Adjustable Aluminum quantity
$
35.99
BlueJay Folding Cane
$
25.00
BlueJay Folding Cane quantity
$
25.00
Blue Jay Reusable Absorbent Underpad
$
15.00
Blue Jay Reusable Absorbent Underpad quantity
$
15.00
Reusable Absorbent Chair Pad
$
25.99
Reusable Absorbent Chair Pad quantity
$
25.99
Universal Arm Sling, Envelope Style, Navy Blue, Poly-Cotton, Adjustable Strap
$
15.00
Universal Arm Sling, Envelope Style, Navy Blue, Poly-Cotton, Adjustable Strap quantity
$
15.00
Update Cart
Order Summery
Subtotal
$
116.98
Total
$
116.98
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
Blue Jay Universal Thigh Wrap
$
25.00
Quad Cane-Small Base
$
22.17
Push Button Aluminum Adjustable Crutch
$
28.02
Drive Medical Aluminum Rollator, 6" Casters - Comfortable, Adjustable and Portable
$
89.99
Refund policy
Privacy policy
Terms of service
© 2024 CapsuleAID. All rights reserved.
