• Ready to get started?

    Whether you're ready for a t:slim Pump, or you're looking to check your insurance coverage, everything you need to get started is right here.

    I'm ready for a Tandem pump.

    Complete this form to check your insurance benefits and start the process to get your new Tandem insulin pump.

    I WANT A PUMP!

    I want to check my insurance coverage.

    Complete this form to authorize us to contact your insurance provider to help determine coverage for a new Tandem pump.  

    CHECK MY COVERAGE!

    Before you get started

    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. Our Pump Specialists are available Monday - Friday from 6:00am to 5:00pm Pacific Time.

    What happens next?

    We will contact you within two business days to confirm your information, prior to contacting your insurance company.  When you are ready for a Tandem insulin pump, we will also work with your healthcare provider to complete the proper paperwork. A Tandem representative will contact you regularly with status updates.

  • Prefer Paper? No problem.

    If you prefer not to submit your information through the online form above, getting started is still simple. Just follow the instructions below to mail or fax your information to us. Or you can always call us and we can take your information over the phone. Our Pump Specialists are here from 6am to 5pm Pacific Time, Monday through Friday.

    Paper Forms for Fax or Mail

    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

    Get started in three easy steps

    1. Complete and sign both the "Patient Information/AOB" and "Health and Product Questionnaire" forms.
    2. Make a copy of the front and back of your insurance card.
    3. Fax or mail the above items to Tandem Diabetes Care.

     

    Return forms by mail:

    ATTN: Customer Sales Support
    Tandem Diabetes Care
    11045 Roselle Street
    San Diego, CA 92121

     Return forms by fax:

    SECURE FAX
    (855) 875-4648

      

  • RX ONLY.  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.