Medicare, Tricare and most Private Insurances will pay for Vacuum ED Pumps and Devices.

We work with your doctor to obtain your prescription and we bill your insurance companies for you as a courtesy to ensure prompt and discreet delivery of your ED Vacuum Therapy Pump. We also offer Diabetic Supplies and Respiratory Supplies as well!

For visiting our site from one of our partners receive a NO COST Glucose Meter when you sign up to receive your diabetic
supplies by mail!

Choose from a variety of high quality ED Devices

Receive a Diabetes Health &
Wellness Kit as an added bonus

Vacuum ED Pumps are:

90% effective
Non Invasive
Drug Free
Reimbursed by
Medicare and most
Insurers

To give us a better understanding of your requirements and needs - please fill out the form as much as you desire and one of our ED Pump Insurance Verification Specialists will contact you regarding your specific benefits.
All information is kept strictly confidential.

First Name:*	Middle Initial:	Last Name:*

Telephone:*

Email Address:

Street Address:*

Address Line 2:

City:*

State:*

Zip Code:*

Date of Birth:*

ED Pumps, Penis Pumps and Vacuum Therapy Devices are covered by Medicare and most insurances!

Insurance Information

My Primary Insurance is:*

Medicare or Insurance ID #:	Secondary Insurance Company:

Which Brand ?:

Battery or Manual?:

Comments: (Physician name, etc...)

*Battery option at additional cost

We look forward to speaking with you!

To learn more, visit our website at www.advanceddiabetessupply.com

* No cost Blood Glucose Meter offer is valid when you sign up to receive diabetic testing supplies by mail through Advanced Diabetes Supply Advanced Diabetes Supply.