Yes. Every compression garment and pump order requires a prescription from your treating provider. Your provider sends the order to us directly — through Parachute Health, by secure fax to 800-886-4201, or by secure email to customersupport@midwestcompression.com.

It is, and this is a good question to ask. Providers send compression orders to us directly after your appointment, so our call is often the first you hear of it. You are welcome to look us up at MidwestCompression.com or call us back at (800) 883-1549 to verify before sharing any information.

If you do not recognize the ordering provider, tell us. We will not process an order you do not recognize.

• Ready-to-wear garments — about 2–3 weeks once processing is complete
• Custom garments — about 4–6 weeks
• Compression pumps — about 4–6 weeks

Most insurance plans now require prior authorization, which adds 7–14 days before the order can be placed.

Prior authorization is your insurance company's approval of the item before we are allowed to bill for it. We submit your prescription and clinical documentation, and the plan reviews it — typically 7 to 14 days.

We cannot shorten this window, but we can prevent delays by submitting complete documentation the first time. If your plan asks for something additional, we will contact your provider directly.

Four things make the biggest difference:

• Make sure both your physician and Midwest Compression have your current insurance. If you have secondary coverage, we need that too.
• Send us any address or phone change right away.
• Complete the payment link when it arrives.
• Sign the electronic paperwork as soon as you receive it.

Email changes to customersupport@midwestcompression.com.

The signature link usually arrives within 1–2 business days of your welcome call and is required before anything ships. If you cannot find either message, email customersupport@midwestcompression.com and we will resend it.

Midwest Compression will send you a text asking you to OPT IN. Please choose OPT IN so we can send SMS updates on your order. We will contact you if we need additional information or if you have a patient responsibility due.

If it has been 14 days and you have not heard from us, email customersupport@midwestcompression.com or text 517-657-5223.

Order status, tracking, paperwork reminders, and your secure payment link. Never marketing. Please confirm we have your mobile number — a landline cannot receive the opt-in message, and without the opt-in the updates will not reach you.

To your home address, unless your provider asked us to ship to their clinic. You will receive a tracking number when the order ships. Please confirm apartment or unit numbers with us so nothing is delayed in transit.

Email customersupport@midwestcompression.com or text 517-657-5223 with your name, date of birth, and what changed. Please also tell your ordering provider — an insurance card that is current with us but out of date at the clinic will still stall the order.

Usually, yes. Since January 1, 2024, the Lymphedema Treatment Act made compression garments a covered durable medical equipment benefit under Medicare Part B for patients with a qualifying lymphedema diagnosis, and most Medicare Advantage and commercial plans follow similar rules. Compression pumps have long been covered.

Coverage still varies by plan, so we verify your benefits before your order ships and tell you your expected cost in writing.

Your insurance applies deductibles and coinsurance to compression items just as it does to a doctor's office visit. This is your plan's cost share — it is not a fee from Midwest Compression. Please check your insurance benefits for DME (durable medical equipment).

Under traditional Medicare, once your annual Part B deductible is met, Medicare pays 80% of the approved amount and you are responsible for the remaining 20%.

We verify your benefits before the order is placed and text you a secure link showing your estimated patient responsibility.

This figure is an estimate based on what your insurance told us that day. If your plan processes the claim differently, we will let you know before anything changes.

If you carry a second plan — a spouse's plan, Medicaid, or a Medicare supplement — it can significantly reduce or eliminate what you owe. Missing secondary coverage is one of the most common reasons a patient is quoted more than they should be.

Please check your wallet for a second insurance card and send us the plan name, member ID, group number, and policy holder before your order is placed.

We bill most major plans. Text the exact name of your plan, along with your name and date of birth, to 517-657-5223 and we will confirm coverage. Verification typically takes a few days.

Your patient responsibility is collected up front, before the order goes to the manufacturer. This is standard for durable medical equipment and protects you from an unexpected bill after delivery, particularly on custom items that cannot be returned.

Tell us — there are more options than paying in full or cancelling:

• Split it into payments. We can set up a payment plan.
• Hold the order. Later in the year more of your deductible may be met and your portion could be lower. We will check back on a date you choose.
• Ask about assistance. Email customersupport@midwestcompression.com to ask what may be available.

We cannot waive or discount an amount your plan has set as your responsibility, but we would rather find a way than lose the order.

Yes. HSA and FSA cards are accepted, and we issue receipts you can submit to your insurance yourself for possible reimbursement. Retail items are available at midwestcompression.com/shop; for other cash purchases, email customersupport@midwestcompression.com.

Patient-pay orders are paid in full before the order is sent to the manufacturer.

Coverage is never a guarantee of payment. If a claim is denied after a garment has been manufactured — for missing clinical documentation, an expired prescription, or a non-covered diagnosis — you are financially responsible for the billed amount.

This is exactly why we hold orders until documentation is complete. It is not us being slow; it is us protecting you from a bill.

Let us know — timing can change what you owe. We will look at both plans and help you decide when to place the order. Please send us the new plan information as soon as you have the card.

Most insurance plans allow three sets of daytime garments every six months and two nighttime garments every two years, per affected body area.

Bandaging supplies, liners, zippers, and padding are covered as medically necessary with documentation.

Out-of-pocket cost applies per set — two sets is roughly double the cost of one, three sets roughly triple. If you have no out-of-pocket amount, additional sets cost you nothing.

Would you like to add another set or two? If so, we will adjust the paperwork with your provider.

Garments have to be washed regularly. With only one set, there are days you go without compression — and skipped days let swelling build back up.

• Rotating between sets extends the useful life of each one.
• The allowance resets every six months and unused allowance does not carry over.
• Two sets is the most common choice: wear one while the other is washed.

Compression begins to break down after about four to six months of regular wear. Once a garment stretches out it is no longer delivering the pressure your provider prescribed, even though it still looks fine.

Text your name and the item you need to 517-657-5223, or email customersupport@midwestcompression.com, and we will review your eligibility. Review typically takes a few days. Deductibles and coinsurance apply to replacements the same way they did to your first order.

Replacements outside the normal schedule are allowed with proper documentation. Contact us at customersupport@midwestcompression.com and explain what happened; we will tell you what your plan needs.

For ready-to-wear leg garments, calf circumference at the widest point and ankle circumference at the narrowest point. Measurement forms are at midwestcompression.com/forms.

Send measurements with the product name to customersupport@midwestcompression.com and we will recommend a size.

If your measurements are more than a few months old, or your limb has changed noticeably, we will ask for new ones before ordering.

Fittings are by appointment only. Book online at our scheduling page or email customersupport@midwestcompression.com and we will help you find a time.

Flat knit garments are knitted row by row to your exact measurements. They are prescribed for disproportionate limbs, severe swelling, or dimensions outside standard sizing, and we dispense them from CircAid, Juzo, Medi, and Sigvaris.

Because each one is made for a single person, it has no resale value — which is why custom garments take longer, require a certified lymphedema therapist's measurements and progress note, and cannot be returned or cancelled once production begins.

Contact us right away — do not keep wearing something that cuts in.

• Custom garments carry a 14-day fit guarantee. Notify us in writing within 14 calendar days of delivery with updated measurements from a certified lymphedema therapist, and the manufacturer will alter or remake the garment at no additional charge. Manufacturers remake when the corrected measurement differs by more than 3 cm; criteria vary by brand.
• Ready-to-wear garments follow our standard 30-day return policy.

Email customersupport@midwestcompression.com with your order number and photos.

For custom orders, no. We order a single garment first to confirm the fit. Once fit is verified, we place any additional garments your prescription calls for. It adds a little time and it prevents a full order of garments that do not fit.

Many patients qualify based on diagnosis and symptoms — most commonly a lymphedema diagnosis. We can check for you. Email customersupport@midwestcompression.com.

Most insurance plans replace pumps every five years. If your pump is older than five years, or is no longer working the way it should, we can send paperwork to your provider to start the conversation. There is no obligation.

It is a device you use at home. You slip on a sleeve that connects to the pump, and it gently inflates and deflates in a wave pattern to move fluid out of the limb. Most patients use it for about an hour a day, sitting or lying down comfortably.

Instructions ship with the device, and setup videos are at midwestcompression.com/instructional-videos.

Yes, in certain circumstances. Email customersupport@midwestcompression.com or use the contact form on our website to ask whether a rental is appropriate for your situation.

Email us to request a Return Authorization Number and include the model number and serial number from the machine, along with your name, address, phone, and email. We will email return instructions once the authorization is issued.

Repairs can take up to 10 days. The patient is responsible for shipping cost.

Yes. Pack it with protective padding in a small suitcase or duffel and label the bag “Handle with Care — Medical Equipment.” Pumps pass safely through airport X-ray machines. Contact us 14 days before you travel and we will provide documentation explaining the device.

Wash them before the first wear. Hand wash, or use a gentle cycle in a mesh bag with mild soap, and let them air dry.

Put daytime garments on first thing in the morning, before swelling builds up, and take them off at night — unless your provider told you otherwise. Nighttime garments are a separate product designed to be worn while you sleep.

Do not keep wearing it and do not try to stretch or alter it yourself.

Step-by-step videos are at midwestcompression.com/instructional-videos. You can also schedule training with us — email customersupport@midwestcompression.com.

No. We are a durable medical equipment supplier, not a healthcare provider, and we cannot give medical advice, interpret your diagnosis, or change your compression level. Questions about your treatment belong with your ordering provider or lymphedema therapist.

If you are having a medical emergency, call 911.

This order was prescribed by your doctor, so before you cancel, talk to us — a payment plan or holding the order until more of your deductible is met is often a better outcome.

• Ready-to-wear items may be cancelled by email before they ship.
• Custom items may only be cancelled before the manufacturer begins production. After that they cannot be cancelled or refunded.

Send cancellations in writing to customersupport@midwestcompression.com.

• Knit compression products (stockings, socks, arm sleeves, gauntlets, gloves) — returnable within 30 days even if worn. Must be laundered first or a $10 cleaning fee applies.
• Night garments and wraps — returnable or exchangeable within 30 days, unworn. Briefly trying them on for size is fine.
• Special order and custom items — not returnable unless there is a manufacturing defect.
• Trim-to-fit or customizable products — not returnable once worn or altered.

Full details at midwestcompression.com/returns.

Email us to request a Return Authorization Number and allow up to 5 business days for processing. Returns sent without authorization are not eligible for a refund, and you would be responsible for shipping to retrieve them.

• Shipping charges are non-refundable.
• You pay return shipping, except on defective products.
• Refused or returned-to-sender packages incur the original shipping cost plus a 20% restocking fee.

Tell us within 14 days — a broken seam, the wrong compression class, or dimensions that do not match the order form. It will be remade or replaced at no charge under the manufacturer's warranty. Defects found after normal wear has begun fall under the manufacturer's standard warranty, which varies by brand.

• Website — MidwestCompression.com
• Secure email — customersupport@midwestcompression.com
• Text — 517-657-5223
• Phone — (800) 883-1549
• Secure fax — 800-886-4201

Please allow up to 48 hours for a reply. We are closed weekends and holidays.

Monday–Wednesday 9:00–3:00, Thursday 9:00–5:00, Friday 9:00–1:00 Eastern.

8988 East D Avenue, Richland, MI 49083. Visits are by appointment only.

Send attachments through our secure email, customersupport@midwestcompression.com. Please do not send protected health information through website chat or social media. For anything involving your medical records, contact us directly and we will arrange secure communication.

Pneumatic compression pumps from BioCompression, and compression garments from Medi, Juzo, Sigvaris, CircAid, and L&R — including ready-to-wear and custom flat knit, night garments, wraps, sleeves, and gauntlets. We also carry cold compression for shoulder, back, knee, and ankle.

Only if they are listed as an authorized representative on your file. If you would like to add someone, tell us and we will note the authorization. Until then, privacy rules prevent us from discussing your order with anyone else.

If the order was placed on Parachute Health, use the secure Parachute message platform. Otherwise, secure email customersupport@midwestcompression.com or secure text 517-657-5223. Please allow up to 48 hours for a reply.

New referrals: Parachute Health, secure fax 800-886-4201, or secure email — include patient demographics, diagnosis, and signed progress notes.

Visit MidwestCompression.com for educational resources, product information, clinical studies, instructional videos, and support. Our clinical FAQs answer questions about pump pressure, contraindications, and lymphedema care.