Mobility equipment
Wheelchairs, scooters, walkers and transfer aids.
INSURANCE & MEDICAL SUPPLIESStart with your needs.
Start with your needs.
We’ll help with the next step.
Explore equipment and supplies, prepare your inquiry, and contact Vernad to discuss availability and insurance verification.
Coverage, plan participation and patient costs must be confirmed for your specific request.
EQUIPMENT & EVERYDAY ESSENTIALS
What can we help you with?
Select a category to start your inquiry. Coverage and available products vary.
Respiratory supplies
CPAP accessories, nebulizers and oxygen equipment.
Braces & supports
Knee, back, wrist and other orthopedic supports.
Compression equipment
Compression garments and related equipment.
Beds & home care
Beds, mattresses and equipment for home care.
Wound care supplies
Dressings, bandages and related care supplies.
Glucose & health devices
Glucose monitors and other home health devices.
Incontinence & ostomy
Personal care supplies and ostomy accessories.
Product photos are examples from our catalog. A photo or category listing does not establish insurance eligibility.
YOUR NEXT STEP
Medical supply & insurance inquiry
Fill in the information you have, then print the form or save it as a PDF using your browser. You can also print a blank copy.
This is a printable form.
Entries are not sent to Vernad or saved by this website. Call (346) 261-1200 to arrange how to return your completed form and any supporting documents. Avoid sending insurance cards or medical records through ordinary website messages.
Completing this form does not place an order, approve coverage, or create a prescription.
8212 Jensen Dr, Suite A · Houston, TX 77093
(346) 261-1200 · vernadmedicalsupply.com
(346) 261-1200 · vernadmedicalsupply.com
Medical Supply & Insurance Inquiry
Contact Vernad to arrange return of this completed form.
I understand that Vernad must confirm availability, plan participation, coverage and any patient costs before fulfillment.
Patient / representative signature
Date
Sign the printed copy. This inquiry is not an assignment of benefits or a medical order.
Print a blank form before entering details, or complete it here first. Closing or reloading this page may clear your entries.
PLAN INFORMATION
Ask about your specific insurance plan
Contact Vernad about these plans. Participation and coverage must be verified for your location, benefits and requested product before fulfillment.
- Aetna
- Aetna Better Health
- AmeriHealth (IBC)
- AmeriHealth Administrators
- Blue Cross
- Federal Blue Cross
- Erickson Advantage
- Health Partners
- Highmark Blue Cross Blue Shield
- Humana
- Independence Blue Cross
- Independence Administrators
- Integra Health
- Keystone First
- Keystone First VIP
- Keystone Health Plan East / Keystone 65 (IBC)
- Medicare
- PA Medicaid
- Personal Choice / Personal Choice 65 (IBC)