Medicaid & Incontinence Supplies: Check Your Coverage in 4 Easy Steps

Finding the right incontinence supplies and figuring out how to pay for them often comes with a lot of questions. The good news is that Medicaid might fully cover the cost.

Also, the rules for Medicaid coverage are different in every state, so it’s not always easy to know if you're covered. That’s why we’ve made the process simple. Follow these four easy steps to see if you or your loved one qualifies for incontinence products through Medicaid at no cost.

In many cases, yes, but there are a few things you should know.

Most state Medicaid programs will pay for incontinence supplies if there’s a medical reason and if a healthcare provider confirms there’s a need for the supplies.

This means that in order to get incontinence products and have Medicaid cover the cost of them, you’ll need to have a prescription and give proof of medical necessity. This is the case for both kids and adults who need their supplies covered through Medicaid.

Here are a few examples of who might qualify:

• A child with a developmental condition such as autism, cerebral palsy, or spina bifida.
• An adult who experiences bladder leakage due to surgery, childbirth, or a chronic condition.
• A senior managing age-related incontinence or mobility issues.

Because each state runs its own Medicaid program, the types and amounts of products you can get may be different depending on where you live. Medicaid may cover items like diapers, underpads (chux), pull-ons, bladder control pads, and more. 

Checking if you qualify for free incontinence supplies through Medicaid shouldn’t take more than a couple of minutes. The process is quick, and you only need to add a few basic details to get your results.

To find out what you might be eligible for, start with these four easy steps:

To see if you might qualify, you’ll just need to have these details to check your Medicaid eligibility.

Have the following ready:

• State of residence. 
• Date of birth.
• Contact details (name, phone, and email).
• Basic insurance information (e.g., do you have Medicaid, Medicare, or private insurance?).

These details will help us figure out what your state Medicaid program may cover.

Note: If you’re a caregiver or parent, be sure to enter the patient’s information, not your own.

Have your info from Step 1? Next, enter it into our secure online form/eligibility checker. It only takes a few minutes and is simple to use.

Your information is kept private and is only used to check if you can get free incontinence supplies through your Medicaid plan.

Once you’ve completed the eligibility checker, one of two things will happen:

• Instant Results: You may see right away if you or your loved one qualifies. If you received your results instantly, go to Step 4 below.
• Follow-Up Needed: A member of our care team will contact you by phone or email if we need more information to confirm your eligibility. 

Please note that this is only a first check and not a final answer. However, it helps start the process of getting absorbent incontinence supplies like pull-ups or adult diapers through your health insurance.

If you have questions about your results, contact us at 1-844-276-5588 (available Monday - Friday: 8:00 AM - 6:00 PM EST) or email us at info@aeroflowurology.com.

If you were instantly approved after filling out the eligibility checker, you’ll be shown which incontinence products may be available based on the state you live in and what type of incontinence you have.

You’ll also have the option to get your supplies delivered to your home each month in discreet packaging, so you never have to worry about running out or making last-minute trips to the store.

Getting incontinence supplies through Medicaid makes a big difference, but many people don’t realize they qualify. By checking your coverage, you can avoid paying out of pocket and feel more confident knowing supplies will show up right when you need them. 

Plus, coverage through Medicaid can vary widely between states, so even if you’ve been told in the past that certain products aren’t covered, it may be worth verifying again. This is because Medicaid rules can change, so it’s always worth double-checking.

If you or your loved one uses incontinence products, you could save up to $630 each month through your Medicaid health plan and Aeroflow Urology! 

In most states, Medicaid covers different types of incontinence supplies like adult briefs, catheters, and protective underwear when there’s a documented medical condition that can cause urinary incontinence. Coverage may vary by state and health plan, but our quick 4-step eligibility check can help guide you through the process.

Medicaid requires a letter of medical necessity (or proof) from your doctor to confirm your diagnosis, type of incontinence, and the need for supplies like diapers, pull-ons, or underpads. This proof helps make sure your insurance plan will pay for these supplies.

Once Aeroflow Urology verifies your Medicaid coverage, you’ll get a personalized list of available products based on your needs, medical condition, and coverage level. We’ll walk you through choosing the right fit — whether it’s adult briefs for full coverage or booster pads for extra protection — and set up monthly deliveries if you qualify.

If you’ve lost Medicaid coverage, you may be able to re-enroll. You and your loved ones have 90 days to renew your coverage before you are completely disenrolled.

Unfortunately, Medicare doesn’t consider incontinence supplies as medically necessary items. If you have Medicare, you will likely have to pay out-of-pocket costs for your incontinence supplies. However, even if you have Medicare, you may still qualify to receive Medicaid benefits due to recent life changes or if you are low-income.

References:

U.S. Centers for Medicare & Medicaid Services. (n.d.). Medicaid. Medicaid.gov. https://medicaid.gov/

Disclaimer

Information provided on the Aeroflow Urology blog is not intended as a substitute for medical advice or care from a healthcare professional. Aeroflow recommends consulting your healthcare provider if you are experiencing medical issues relating to incontinence.