Supply Reminder Program

This program was created to remind "Medicare" and "Private" insurance patients of when they are eligible for replacement supplies, according to Medicare guidelines.(most private insurances follow these same guidelines).

How It Works

• Fill out the Supply Replenishment Contact Authorization Form, which lists all replaceable supplies.
• Follow the instructions on the form and fill it out to the best of your ability. Do not worry about any mistakes, we will review your choices with you once the form is received.
• At the end of the form, please sign to validate your choices.
• Send your completed "Supply Replenishment Contact Authorization" form by mail to:
  
  
  Health Management Services, Inc.
  Attn: Supply Replacement Program
  9100 Southwest Fwy, Suite 114
  Houston, TX 77074
  
  
• After receiving your letter, we will place your information on our hassle free reminder calendar. When you are qualified for supply replenisment, your name will appear on our reminder calendar and HMS will contact you either by phone, email or letter informing you that your supplies are ready for shipment.

Good to know

• We do not ship supplies automatically. We require you to confirm the order before any items may be shipped. All other desired supplies would be marked in the same fashion as the mask was done.
  
• Cushions and masks must be received 30 days apart per Medicare guidelines. If you mark that you would like a cushion every month and a mask every three months, on the month you are due for the mask you would not receive the extra cushion that month, only the mask.
• There will be times when other possible mask/cushion selections may interfere with one another, though we will keep track of this information and address these situations accordingly.