Check your Eligibility Explore essential items for motherhood, including breast pumps, pregnancy support, and postpartum care— conveniently covered by your insurance. Personal InformationMom's Full Name *Email Address *Phone Number *I consent.By checking this box, you consent to SMS terms and conditions. You'll receive SMS and emails regarding your order. Message and data rates may apply. To opt-out at any time reply ‘STOP’ to any of our messages.To opt out of texting, please indicate other preferred method of contact:Date Of Birth *Please put your date separated by slashesLanguage PreferenceEnglishSpanishEstimated Baby's Due Date *Please put your date separated by slashesInsurance InformationPlease select your insurance. *SelectWellpointParklandCook Children's Health PlanSuperior Health PlanAetna Better Health PlanMolina Healthcare of TexasCHIP PerinatalRight Care by BSWTexas Medicaid (TMHP)FirstCareDriscoll Health PlanCommunity FirstTricare / HumanaBCBS TXCignaOtherOther InsuranceInsurance ID NumberOBGYN InformationOBGYN Clinic's InformationClinic's NameDoctor's NameClinic's Phone NumberCityProduct RequestI WOULD LIKE: ( ALL ITEMS ARE AT NO COST WITH MEDICAID )BREAST PUMPSUPPORT BAND ( During Pregnancy )Benefits of Support Bands:• Helps to disperse the weight of your growing baby • Increases stability • Alleviates pain • Decreases SI joint pain • Lowers round ligament pain • Reduces pressure on the bladder • Supports prenatal activities or exercises • Corrects posture • Reduces sciaticaSupport Band SizeXS ( Pre-Pregnancy Pant Size: 00 - 0 )S ( Pre-Pregnancy Pant Size: 2 - 4 )M ( Pre-Pregnancy Pant Size: 6 - 12 )L ( Pre-Pregnancy Pant Size: 14 - 18 )XL ( Pre-Pregnancy Pant Size: 20 - 26 )Only available during pregnancy*COMPRESSION SOCKSBenefits of Compression Socks:• Prevents swelling • Reduces discomfort • Increases blood circulation • Prevents or minimizes risk of varicose and spider veins • Helps prevent blood clots • Lowers your risk of deep vein thrombosis (DVT) • Assists with long days on your feet • Increases overall comfort throughout the dayCompression Socks SizeS (Ankle: 6.5" - 8.5" / Calf: 11" - 16.5 ")M (Ankle: 8" - 10" / Calf: 12" - 17.5 ")L (Ankle: 9" - 11.5" / Calf: 13" - 19 ")XL (Ankle: 11" - 15" / Calf: 17" - 23 ")POSTPARTUM RECOVERY SUPPORT GARMENTBenefits of Postpartum Recovery Support Garment:• Provides gentle compression & support to reduce swelling, soreness, and pain • Stabilizes the abdomen, lower back, and hips for improved posture • Increases overall mobility • Tightens and tones belly, hips, waist, pelvis, and lower backPostpartum Recovery Support Garment SizeXS ( Pre-Pregnancy Pant Size: 00 - 2 )S ( Pre-Pregnancy Pant Size: 4 - 6 )M ( Pre-Pregnancy Pant Size: 8 - 10 )L ( Pre-Pregnancy Pant Size: 12 - 14 )XL ( Pre-Pregnancy Pant Size: 16 - 18 )2XL ( Pre-Pregnancy Pant Size: 20 - 22 )BLOOD PRESSURE MONITORPlease provide a good mailing address for delivery of products:Street Address *Apartment, suite, etcCity *State *ZIP / Postal Code *I understand that Medicaid will pay for one electric breast pump. Any other electric breast pumps I received will be an out-of-pocket expense.**I acknowledge.SUBMIT APPLICATION Silicon Hands Free Collection CupsZomee Z1Motif TwistPregnancy Support BandMaternity Compression SocksPostpartum GarmentBlood Pressure Monitor Click to apply here. Respiratory Equipment Request Now ABOUT US RSQ Medical Equipment, LLC is a woman and veteran-owned small durable medical equipment business. Founded in 2015, RSQ started as a vision to become a new and different resource for children living in emerging economies and their respiratory health. OUR LOCATION Like us on Facebook!