Submit An Order

What Do I Need For Insurance Orders?

  1. Patient First & Last Name, and Date of Birth
  2. Patient Prescription signed by Doctor
  3. Chart Notes*

*Required for most Medicare orders.

Medicare Beneficiaries

Learn more about your Medicare options, Medicare beneficiary pricing, and the billing process with Bellevue Healthcare

Other Ways To Order

Call Us

Discuss your equipment and coverage options with a team member at 1.866.451.2842 or your local Bellevue Healthcare branch.

Fax

1.425.467.6661

Local Drop-Off

Stop by or arrange for your prescription to be dropped off at your local Bellevue Healthcare showroom.

If you are sending someone on your behalf, please be sure they provide your information to a Bellevue Healthcare team member.

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