Adult Diapers & Incontinence Products Free with Medicaid

FREE* Bladder Control Products Through Medicaid

Complete the form to see if you qualify!

Discover the continence care essentials available through your Medicaid plan.

Have your insurance card ready!

Step 1 of 2

Child's First Name

Child's Last Name

Child's Date of Birth

Date

Month

Day

Year

Phone

State

Zip Code

Child's Insurance Provider

Insurance Provider

Name of Insurance Carrier

Member ID

Child's Medical Condition

Name of Child's Medical Condition

Gender

How did you hear about us?

By checking this box, I provide my consent for Aeroflow Urology or Aeroflow Health to call me, even using an automatic dialer or prerecorded voice, at the number provided. Consent is not a condition of purchase of any goods or services. I also agree to Aeroflow Health’s dispute resolution and binding arbitration policies, its Privacy Policy, as well as its Terms and Conditions.

By checking this box, I provide my consent for Aeroflow Urology or Aeroflow Health to send me recurring text messages at the number provided in relation to account alerts, billing matters, and updates. Message frequency varies. Reply “STOP” to stop at any time. Message and data rates may apply.

Step 2 of 2

Verify Eligibility

Once you complete our eligibility form, we quickly verify your insurance.

Select Products

When verified, we will text and email you with a link to select from the products available to you.

Provide Your Doctor’s Information

You will need a prescription. Once you complete your product selection, we recommend you give your doctor a call, to make sure they return your prescription quickly.

Products Ship

As soon as your items are eligible to ship, we’ll deliver them for free straight to your door.

CHECK ELIGIBILITY

Medicaid Experts

Your Specialist will navigate the complexities of Medicaid to get the most out of your benefits

Quick & Easy

We take care of everything, from working with your doctor and insurance, to handling paperwork.

High Quality
Product Options

We carry a large variety of products for women & men from top brands for plenty of options.

Free
Monthly Delivery

Supplies are shipped fast and for FREE to you each month in unmarked packaging.

CHECK ELIGIBILITY

"I have received 10 star service but there are only five stars here. From working things out with my doctor to delivering the supplies to me.. I have never been taken better care of. The process of reordering is super easy. Love it and highly recommend Aeroflow Urology "