“LIFE LINE MEDICAL SUPPLY” IS A MEDICARE SUPPLIER
Instructions for – CLIENT PAYMENT with Medicare Benefits
In order to assign your Medicare Benefits to Life Line Medical Supply for this purchase, fill out the form below and click the Submit button. We will contact you within 24 hours upon verifying your Medicare/Medicaid coverage. If you desire a faster response please contact our general manager Chris Collard. Contact information is listed at bottom of page.
When we call you back, please look for a phone call from LifeLine Meds , (281) 758-8669 on your caller ID.
This is a secure form and your information is held in the strictest confidence.
IF WE PROCEED AS YOUR SUPPLIER, WE WILL NEED TO HAVE YOUR PERMISSION TO FILE WITH MEDICARE. NO CLAIM IS EVER FILED WITHOUT YOUR PERMISSION.
The following form is encrypted and on a secure server to meet HIPAA standards.
WILL I LOSE MY MEDICARE OR MEDICAID BENEFITS IF I CHANGE THE STORE THAT IS SENDING MY SUPPLIES?
NO, but consider our financial help with your Co Pay.
NO your benefits belong to you. A supply company, or a physician cannot take them from you.
NO, Medicare and Medicaid do not care which supply company, or which brand of product you select. You may change either at any time.
Life Line Medical Supply has been fully accredited for 3 years, until September 21, 2019. See the attachments.
Medicare performs “unannounced inspections” to insure that providers comply with the 30 Medicare Supplier Standards. Medicare has completed 3 “unannounced inspections” of Life Line Medical during the last 18 months. No deficiencies were noted.
Life Line Medical carries a $50,000 Surety Bond from Old Republic Insurance Company, which guarantees to you that any medical product provided to you has been paid for in full. Thus, you are guaranteed that the equipment and supplies provided by Life Line Medical Supply has been paid for, bonded and approved by Medicare.
Life Line Medical carries a $3,000,000 General Liability policy from Scottsdale Insurance Co. It is 6.7 times the amount required by Medicare. This policy provides coverage for any negligent acts.
YOU WILL NOT LOSE YOUR BENEFITS IF YOU SWITCH TO LIFE LINE MEDICAL SUPPLY For additional information contact: Chris Collard, Chris.Collard@lifelinemedical.us
Toll Free Number: (866) 873-2696 Houston Office (281) 758-8669