to check out your insurance qualifications for a mobility scooter chair. A representative will contact you to assist you with your selection!

Who are you inquiring for?

Choose one...MyselfFriend/Family Member

What type of insurance do you have, if any?

Choose one...LOPWorkers CompensationPrivate/CompanyMedicareMedicaidOtherNone

Can you walk well enough to complete your daily activities?

Yes No

Can you use a cane or walker?

Yes No

Can you propel a manual wheelchair?

Yes No

Best time to call?

Choose one...MorningAfternoonEvening

Do you have diabetes

Yes No

Are you on oxygen therapy?

Yes No

Do you suffer from other obesity related conditions?

High blood pressure Heart disease Osteoarthritis Heartburn Depression Urinary stress incontinence Infertility Menstrual irregularities

First Name:
Last Name:
Email:
Phone:
Address:
City:
State:	Zip Code:
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The Best Healthcare helps you and your family decide the chair that's right for you. We will find providers who will work with your doctor and insurance company to help qualify you for coverage.

Once you're pre-qualified your mobility chair can be delivered as soon as possible to you. Receive:

• Quick Pre-qualification
• Top Brands Including Pride Mobility, Invacare and Shoprider
• Dozens of Models
• Nationwide Service
• Coordinating with Medicare or Your Insurance Company

Fill out our quick prequalifying form to begin your path to mobility again.