How it works

Once we receive the information and permissions requested in the forms below, we will to reach out to your healthcare provider and insurance company to help determine your benefits. When you’re ready, our insurance verification team will help you through the process and work to get you the lowest out-of-pocket cost.

Get Started Online

Fax or Mail

Printable Forms

Have questions? We can help.

Call us at (877) 801-6901.

What happens next?

A Tandem representative will contact you within two business days to confirm your information. When you are ready to order a Tandem insulin pump, we will work with your healthcare provider to complete the necessary paperwork. A Tandem representative will provide you with regular 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.

Mail or fax your paperwork

Complete and sign both the Patient Information/AOB and the Health and Product Questionnaire forms below.
- Patient Information/AOB
- Health and Product Questionnaire
Make a copy of the front and back of your insurance card.
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 Secure fax:

(855) 875-4648

Questions?

If you have questions or need assistance, please call us at (877) 801-6901. Our Pump Specialists are available Monday - Friday from 6:00am to 5:00pm Pacific Time

Get Started

Whether you're ready for a new pump, or you're just looking to check your insurance coverage, everything you need is right here.