Three simple steps will get you started. Following the instructions below will give us everything we need to help you find out about your insurance coverage, and get you started with a new t:slim® Insulin Pump.
The "Patient Information/AOB" form provides us with contact information for you, your healthcare provider, and your insurance company. It also grants Tandem Diabetes Care, and our authorized distributors or agents, your written permission to contact them on your behalf.
Patient Information/AOB Form
Health and Product Questionnaire
These forms provide us with contact information for you, your healthcare provider, and your insurance company and gives us permission to contact them on your behalf to determine your benefits. Please note, if you leave the forms before you complete the signature process, your data will be lost and you'll need to start over. Need assistance? Give us a call at (877) 801-6901.
We will contact you within two business days to confirm your information, prior to contacting your insurance company. When you are ready for a t:slim Insulin Pump, we will also work with your healthcare provider to complete the proper paperwork. We will contact you regularly with status updates.
Return forms by mail:
ATTN: Customer Sales SupportTandem Diabetes Care11045 Roselle StreetSan Diego, CA 92121
Return forms by fax:
The t:slim® Insulin Delivery System is intended for the subcutaneous delivery of insulin, at set and variable rates, for the management of diabetes mellitus in persons requiring insulin, for individuals 12 years of age and greater. t:slim Pump is available for sale by or on the order of a physician.
IMPORTANT SAFETY INFORMATION