Ready to leave traditional insulin delivery methods behind?
Just submit the form below and be on the look-out for a confirmation email from us to obtain additional information and your e-signature. Our experienced Benefits Team will then get to work with your insurance provider to determine your coverage. We’ll follow up with you to confirm your prescription and arrange for the shipment of your Omnipod® System. It's that easy.
Check Your Insurance Coverage
Prefer to send your forms via mail or fax?
Please work with your doctor or Certified Diabetes Educator to complete and submit the following forms. -
Photocopy of the front and back of your insurance card
Send these three completed documents as a single fax to our confidential fax line at 877-467-8538 or mail them to:
ATTN: Customer Care
600 Technology Park Drive, Suite 200
Billerica, MA 01821
Need assistance filling out your form?
Our Customer Care team is available 24/7 at 1-800-591-3455 and will be happy to help you. The Pod has a waterproof IPX8 rating for up to 25 feet for 60 minutes. The PDM is not waterproof.