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How to Complete Your Eligibility Screening

Before purchasing a PMU Assurance Plan, you are required to complete an eligibility screening to ensure coverage meets your specific needs and safety profile.

  • Answer each question honestly based on your current health, medical history, and any previous permanent makeup in the area you want covered.
  • If you’re unsure about a question, answer as accurately as you can and use any open text areas to explain.
  • When you’re done, click ‘Submit for Eligibility Review’ to send your form.
What Your Status Means

Approved

You meet the current PMU Assurance eligibility guidelines and may be able to move forward with purchasing a plan, subject to final review and program terms.

Review Needed

We need to look more closely at your responses. Our team may reach out to you or your artist for clarification or additional information before your plan can be approved.

Not Eligible

Based on your answers, you do not currently meet the PMU Assurance eligibility guidelines. This decision is made to protect your health, safety, and outcome.

Check Eligibility for PMU Assurance Plan

Please complete the following eligibility questionnaire to determine if you qualify for a PMU Assurance plan. Answer all questions honestly to ensure accurate results

Do you have any known allergies to pigments, lidocaine, or topical anesthetics?
Yes
No
Do you have any skin conditions (e.g., eczema, psoriasis, or dermatitis) in the area where the procedure will be performed?
Yes
No
Are you currently taking blood-thinning medications or supplements?
Yes
No
Do you have any medical conditions such as diabetes, epilepsy, or autoimmune disorders that may affect healing?
Yes
No
Have you undergone chemotherapy or radiation therapy in the past 6 months?
Yes
No
Are you currently pregnant or breastfeeding?
Yes
No
Do you have a history of keloid or hypertrophic scarring?
Yes
No
Are you currently using Retin-A, Accutane, or other skin-thinning treatments?
Yes
No
Have you had any recent cosmetic procedures (e.g., Botox, fillers, or chemical peels) in the area of the planned procedure?
Yes
No
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