Insurance New

Insurance/Medicare/Medicaid/CHIP

We are here to help you understand your benefits and review your insurance options to find the most savings. For FREE insurance verification, call our Customer Service (se habla español) at 1-800-746-7505.

If you wish to apply online with our secure application prescriptioncardFIFTY 50 Medical accepts all major private or commercial insurance plans and most specialized plans, Medicare (with qualifications) and Medicaid/CHIP (Texas).

Private (Commercial) Insurance

    Private or commercial plan is healthcare insurance which is:

  • Provided by private insurance firms for employees (or family members) of a company or members of an organization who typically pay a portion of the premiums; or,
  • Purchased directly from an insurance agent, broker, insurance carrier or a state or federal marketplace plan.

We verify and coordinate your private insurance benefits if you’ll provide us information about yourself, your condition, your insurance card and payment card. This secured form will collect your information securely and confidentially.

Click below and fill out and securely submit our online insurance eligibilty form or

Medicare

Note:

    We accept Medicare healthcare insurance if:

  • You have purchased a Medicare Advantage plan with Part C benefits; or,
  • You are able to physically pick up your order from our Coppell, Texas pharmacy location.

We verify and coordinate your insurance benefits if you’ll provide us information about yourself, your condition, your insurance card and payment card. This secured form will collect your information securely and confidentially.

I want to fill out your secured online Insurance Verification Form, HIPAA Agreement and submit online.

Click below and fill out and securely submit our online insurance eligibilty form or Click below to submit your Insurance/Medicare information and to read and agree to the HIPAA Notice

I want to fill out your secured online Insurance Verification Form, HIPAA Agreement and submit online.

 

I’d rather print out the online form, fill it out and contact Customer Service at 1-800-746-7505 to submit my form.

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