Your
Cart
Cart
Checkout
Thank You
Your Cart
“Drive Medical Wheelchair Transport Lightweight” has been added to your cart.
Continue shopping
“Deluxe Portable Fingertip Pulse Oximeter with SpO2 and Pulse Rate Monitor” has been added to your cart.
Continue shopping
“OPTIFLEX ANKLE CPM” has been added to your cart.
Continue shopping
“OMRON Series 7 Blood Pressure Unit” has been added to your cart.
Continue shopping
Thumbnail
Product
Price
Quantity
Subtotal
Drive Medical Aluminum Rollator, 6" Casters - Comfortable, Adjustable and Portable
$
89.99
Drive Medical Aluminum Rollator, 6" Casters - Comfortable, Adjustable and Portable quantity
$
89.99
Drive Medical Wheelchair Transport Lightweight
$
229.99
Drive Medical Wheelchair Transport Lightweight quantity
$
229.99
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
OPTIFLEX ANKLE CPM
$
0.00
OPTIFLEX ANKLE CPM quantity
$
0.00
OMRON Series 7 Blood Pressure Unit
$
110.80
OMRON Series 7 Blood Pressure Unit quantity
$
110.80
Update Cart
Order Summery
Subtotal
$
460.78
Total
$
460.78
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
Molded Wheelchair Cushion General Use
$
32.23
Drive Medical Silver Sport 1 Wheelchair – Durable and Lightweight
$
194.99
KOOL SLING
$
0.00
BlueJay Folding Cane
$
25.00
Refund policy
Privacy policy
Terms of service
© 2024 CapsuleAID. All rights reserved.
