Our current in-network insurance plans are limited to the plans listed below:

United Healthcare (PPO Plans)

Humana (PPO Plans)

TriCare East and West Plans

Anthem Blue Cross Blue Shield of CA (PPO Plans, Shipping address MUST be in CA)

Anthem Blue Cross Blue Shield of CO (PPO Plans, Shipping address MUST be in CO)

Anthem Blue Cross Blue Shield of VA (PPO Plans, Shipping address MUST be in VA)Cigna (Open Access Plus Plans)

If you are covered by one of the insurance companies in the list above, please continue by pressing "NEXT".

HOW IT WORKS

• Deductibles – If you have not met your insurance plan deductible, we recommend you do not use insurance to purchase your iWALK crutch.
• You are purchasing the iWALK crutch through Medequip, Inc.. Medequip is not affiliated with iWALKFree, Inc.
• Every insurance plan is different and Medequip cannot guarantee your insurance plan's coverage or reimbursement policies.
• In the case that your insurance will not cover or reimburse for the purchase, you are responsible for the standard online purchase price of $159 + sales tax, if applicable.
• When you submit this completed form, your order will start processing immediately, and the order cannot be cancelled or returned. Typical delivery is 1-4 business days. (Business days are M-F excluding holidays)
• If you prefer to purchase the crutch WITHOUT insurance, you can do so by selecting the “Buy iWALK without Insurance” button at the bottom of each page.

1. Insurance plan information. (If your insurance card is accessible, please keep it available.)
2. Physician's name and phone number
3. Prescription for an iWALK crutch. If you don't have a prescription from your doctor, please wait to submit this form until you have a prescription. (Cigna Insurance has special requirements. Click here to download their form.)
4. Credit Card

• You will provide information needed to process your claim. This information will be transmitted to Medequip, whom will process your insurance claim.
• Your iWALK3.0 crutch order will be processed immediately for fast shipping.
• A representative from Medequip will review your information and contact your insurance. Medequip will then call you within 1 week to discuss the outcome or next step.