Funding
Eyegaze Inc. works with Medicare, Medicaid and private insurance. Navigating insurance can be confusing and frustrating, so we have a dedicated advocate on hand to help. Learn MoreFunds
Finding the Right Insurance Provider
There are many different insurance providers who all offer different levels of coverage. These are also different from plans that may be offered through your employer or state-specific Medicaid.
We can help you find the best source of funding. To begin making inquiries, we need to get an accurate estimate of your financial responsibility to purchase a device.
Potential Sources of Funding
Medicare
Medicaid
Employer
Private Insurance
Intake
Funding Request Process
Fill out the following forms
Please complete and return the following documents to Eyegaze Inc. for specific plan benefits.
Click on each document to the right to download them.
• SLP Report
A communication evaluation by a speech-langauge pathologist needs to document the need for a communication device.
Retain for your records
Keep these documents on hand for your records.
- Privacy Practices
- DMEPOS Standards
How to Submit Required Documents
Send all completed paperwork to Eyegaze Inc. via fax or mail.
Mailing Address
Eyegaze Inc.
Funding Dept.
10363 Democracy Lane
Fairfax, VA 22030
Funding Dept.
10363 Democracy Lane
Fairfax, VA 22030
Fax Number
(703) 385-7137