Click for the Menu
See if you can receive your diapers at No Cost to you
See if you can get a Power Chair at no cost to you

Click to Login
NOTE: Our Billing Service is ONLY available to residents of California

Quick Links – Click a link to go straight to a topic of interest

1 – Introduction - Learn the basics of how we can take care of your billing needs

2 – Medi-Cal, Medicare, Insurance Form - Submit a form to us so we can get started on your claim

3 – Medi-Cal - Find out what can be covered for patients with Medi-Cal only

4 – Medicare - Find out what can be covered for patients with Medicare only

5 – Medi-Medi - Find out what can be covered for patients with both Medi-Cal and Medicare

6 – Medicaid - See if we can bill Medicaid for supplies in your state

7 – Idaho Incontinence - Fill out this quick form to see if you can receive incontinence supplies at no cost to you with Idaho Medicaid

 

1 – Introduction:

At Active Life Medical we strive to make it as easy as possible for you to get the products you need in a timely fashion. We will assist in communicating with the doctor to obtain prescriptions and check to see that you meet all of the qualification requirements for billing purposes. Our team of friendly staff understands your needs and will help make the process as hassle free as possible We will meet with the patient, the patients family, and caregivers to review available products and services. We specialize in providing only top quality disposable and durable medical equipment. We will handle all of the Medi-Cal, Medicare, and Insurance billing services on the patient’s behalf at no charge. To get started simply fill out and submit our Medi-Cal, Medicare, and Insurance Billing form or give us a call at 1-800-319-2336.


Thank you,
Active Life Medical Team

Click Here to Return to the top of the page

2 – Medi-Cal, Medicare, Insurance Form:
Click here to go to our secure form page and submit your information so we can get started on your claim. Our forms sit on a secure server so your information is safe. We do not share or sell your information ever. You can also get started by giving us a call at 1-800-319-2336.

Click Here to Return to the top of the page

3 – Medi-Cal Only:

If you are a resident with Medi-Cal only you may be able to have any product you need delivered at little or no cost with our free Medi-Cal billing service. We carry an array of items that are covered by Medi-Cal from incontinence to electric mobility. Please click on categories below to see what specific items are covered by Medi-Cal:
 
Incontinence
Wheelchairs
Walking Aids
Bathroom Safety
Hospital Beds
Electric Mobility

Click Here to fill out our Medi-Cal, Medicare, and Insurance Billing Form

Click Here to Return to the top of the page

4 – Medicare Only:

If you are a customer with Medicare only you may be able to have any Durable Medical Equipment item you need delivered at little or no cost to you with our free Medicare Billing Service. Medicare will not cover disposable items like Incontinence products. Medicare will cover Bedside Commodes and Wheeled Commodes, but will not cover any other bathroom safety type products. Please click on a category below to see what specific items are covered by Medicare:
 
Wheelchairs
Walking Aids
Commodes
Wheeled Commodes
Hospital Beds
Electric Mobility

Click Here to fill out our Medi-Cal, Medicare, and Insurance Billing Form

Click Here to Return to the top of the page

5 – Medi-Medi:

If you are a customer with both Medicare and Medi-Cal you may be able to have any product you need delivered at little or no cost with our free Medi-Cal, Medicare billing service. We carry an array of items that are covered by both Medi-Cal and Medicare from incontinence to electric mobility. Please click on a categories below to see what specific items are covered by Medi-Cal and Medicare:
 
Incontinence – Select items could be covered by Medi-Cal
Wheelchairs – Select items could be covered by Medicare
Walking Aids – Select items could be covered by Medicare
Bathroom Safety – Commodes could be covered by Medicare, Other items could be covered by Medi-Cal
Hospital Beds – Select items could be covered by Medicare
Electric Mobility – Select items could be covered by Medicare

Click Here to fill out our Medi-Cal, Medicare, and Insurance Billing Form

Click Here to Return to the top of the page