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
We will contact you within two business days to confirm that we have received your completed paperwork. We will work with your insurance company to determine your benefits and with your healthcare provider to complete a Statement of Medical Necessity. We will contact you regularly with status updates.
Have questions? Call us. 1-877-801-6901
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