Rosenzweig Insurance Agency - Pharmacy Insurance

Pharmacies, Drug Stores and Medical Goods Suppliers

DMEPOS Medicare Surety Bond

The Centers for Medicare & Medicaid Services (CMS) has implemented a rule which requires suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) to obtain and maintain a surety bond in the amount of $50,000 on a continuing basis. Due to large volume, we are able to issue most bonds within 24 hours without a financial statement or spouse's signature.

Medicare Bond Application Form *

Please complete the Medicare Bond Application Form* and email the completed form to Pharmacy@RosenzweigInsurance.com or fax it to (516) 358-7940.

Additionally, please mail a signed copy of the application along with your $300 check to our address listed above.

* Instructions for electronic PDF forms: This form can be completed on your computer and then sent back to us via email or fax. First, complete the form by typing in your information. Then, click on 'File' and 'Save As' to save the completed form on your computer or print the completed form. Then, email the completed form as an attachment to Pharmacy@RosenzweigInsurance.com or fax the printout of the completed form to (516) 358-7940.

All bonds and rates are subject to company approval.

For free Pharmacy Insurance quotes call (516) 352-7495.

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