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Maternity Compression Qualification Through Insurance

We are here to help you process your request for maternity compression! The information we collect on this form is required for insurance benefit confirmation and the processing of your order.

In preparation of your baby’s arrival, we will confirm your insurance benefit ahead of time. We then contact you to assist you with your selection and confirm your insurance.

Fill out the form below to find out if you qualify for maternity compression through your insurance and get the support you need.

Mom’s Information

Address(Required)
Please enter a valid phone number.
MM slash DD slash YYYY

Baby’s Information

MM slash DD slash YYYY

Doctor’s Information

Doctor's Name(Required)
Please enter a valid phone number.

Insurance Company Information

Tricare members please use DOD Benefits Number (DBN) or Sponsors Social
This should be the Member’s Services phone number.
Tricare members please use DOD Benefits Number (DBN) or Sponsors Social

Compression Product Info

Choose which items you are interested in.

Bands are designed to shift baby weight off the abdomen, hips, and lower back.

Maternity Support Bands(Required)

Maternity Support Bands help support if you have pressure that causes pregnancy-related pain or discomfort. Bands are designed to shift baby weight off the abdomen, hips, and lower back. Can also aid in reducing sciatica.

Can help to stabilize the abdomen with supportive panels, to speed up recovery, reduce pain and relieve discomfort.

Postpartum Recovery Garments(Required)

Maternity Support Bands help support if you have pressure that causes pregnancy-related pain or discomfort. Bands are designed to shift baby weight off the abdomen, hips, and lower back. Can also aid in reducing sciatica.

Bands are designed to shift baby weight off the abdomen, hips, and lower back.

Compression Socks(Required)

Compression socks or maternity socks help circulate blood, reduce swelling, and relieve pain and cramping during all stages of pregnancy and postpartum.

the sock sizing is done in accordance to measurements of the ankle and calf