Prescription Lower Back Brace | Insurance Cover

Prescription Back Brace

Relieve Back Pain

Are you covered through Insurance?

Your insurance HMO, PPO, Workers Compensation ( work injury insurance), Personal Injury will cover ALL cost of your lower back brace in many cases ( Yes! you do not need to pay in many cases).

Please fill out FREE, no obligation insurance eligibility form below, our specialist will contact your insurance company, doctor, inform your insurance coverage for your medical grade, prescription back brace. You can learn more about insurance eligibility and privacy *HIPAA compliance Q.23 on FAQ page by clicking HERE.

First Name

Last Name

Phone

Birthday

Address

Insurance name

Policy number

Insurance phone number

Doctor Name

Clinic name

Doctor phone number

Doctor Prescription

Upload File

Chart Notes of last visit stating the need of brace

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* Billions Centuries Inc. will at all times maintain reasonable and appropriate security controls to protect the information as required by the HIPAA Security Rule.

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