Florida Medicaid currently provides incontinence supplies for children as one of the medically necessary items under its Medicaid coverage.
Can I Get Incontinence Products With Florida Medicaid?
Yes, children ages 4+ may qualify for incontinence products through Florida Medicaid. Unfortunately at this time, adults are not covered for incontinence supplies under Florida’s Medicaid programs.
Under Florida Medicaid, children ages 4 and up may be able to receive a combination of:
- Pediatric diapers.
- Pediatric pull-ups.
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- Supplemental products, such as booster pads, underpads, gloves, wipes, and more.
Medicaid-covered incontinence products are provided through managed Medicaid health plans that vary state by state. Unfortunately, Medicare does not currently cover incontinence products. However, Medicare does typically cover urinary catheters.
What Is Required?
To be eligible to receive free incontinence products with Florida Medicaid and Aeroflow Urology, your child will be required to have the following:
- An incontinence diagnosis with a correlating disability or medical condition that causes incontinence, such as cerebral palsy, autism, spinal cord injury, etc.). This will need to be diagnosed by a healthcare professional.
- The estimated number of incontinence products your child requires every day (i.e. 6 diapers, 3 pull-ups, 3 underpads, etc.).
- Must be 4 years of age or older.
- Must be a Medicaid recipient in Florida. This means your child must be enrolled in their own Medicaid plan.
- A signed Certificate of Medical Necessity (CMN). This is documented proof from your child’s pediatrician within the last 6 months that their products are medically necessary. Your child may also be required to have a prescription for incontinence products from their healthcare provider. The required paperwork will be dependent on the requirements of your state.
Florida's Medicaid Managed Care Plans
Free pediatric incontinence products may be provided through Medicaid health plans, such as Medicaid or Medicaid managed care plans. These plans vary by state, but in Florida, these plans may include:
- Aetna Better Health.
- Molina
- Community Care Plan.
- Sunshine Health Plan.
- United Healthcare.
- Vivida
- Humana
- Amerihealth Caritas.
- Florida Community Care.
- Simply Health.
Get Incontinence Products With Aeroflow Urology & Florida Medicaid
Aeroflow Urology is a durable medical equipment supplier (DME) that helps those who are eligible to receive free incontinence supplies. Our products fit a range of body shapes and sizes, from children’s sizes to bariatric sizes. We carry products from brands you can trust, including Prevail, TENA, Cuties, and more.
Whether your child needs a pull-up or underpad to protect their bed, we can help them stay comfortable and dry with our different product types and various absorbency levels that fit any level of leakage!
To find out if your child qualifies for incontinence products that are 100% covered by a Florida Medicaid plan and Aeroflow Urology, fill out our secure Eligibility Form. Just be sure that you’re entering your child’s personal and insurance information and not your own so we can determine their eligibility. Our form takes less than 5 minutes to complete, and you’ll hear from us within 1-2 business days.
After you place your child’s order, we’ll discreetly package and ship your products directly to your doorstep each month in unmarked boxes. You’ll also receive friendly reminders monthly to reorder your child’s products so they’ll never go without protection.
Where Can I Find My Insurance Information?
To complete our Eligibility Form and find out if your child qualifies for free bladder and bowel care products, you’ll need to have their insurance information ready. You can find this information on your loved one’s insurance card.
Insurance cards differ depending on the state you live in and the type of insurance your child has (Florida Medicaid or a Medicaid managed care plan), but you can find the following on your child's card:
- Full name of the insured person.
- Member ID number (Medicaid ID number).
- Plan name.
If you have questions regarding your child's insurance information, you can call the number on the card for beneficiaries.
I Don't Qualify. What Can I Do?
If your child did not qualify for incontinence products, you may be able to go to your local diaper bank to get them free products that will protect against leakage. Visit a diaper bank in Florida to see if they have the supplies you need, including:
- Children’s diapers and pull-ups.
- Bladder control pads.
- Supplemental items, like gloves and wipes.
Florida diaper banks include:
- Central Florida Diaper Bank.
- Miami Diaper Bank- Diaper Hub.
- The Greater Fort Lauderdale Diaper Bank.
- Diaper Bank, Covering South Florida.
FAQs
Does Medicaid have to be my primary insurance provider?
Incontinence products can be provided for any beneficiaries who have Medicaid as their primary or secondary provider.
How many supplies does Medicaid cover per month?
The number of briefs, pull-ups, and other supplies you receive will depend on what is allowed by your particular state’s Medicaid plan as well as your prescription. Your specialist will let you know exactly the quantity you are eligible to receive.
I have Medicaid – so why don’t I qualify for supplies?
You should have received an email outlining why you or your child was not approved for supplies. The reason could be one of the following:
- Aeroflow Urology is not in network with your Medicaid plan, or our contract may not allow us to provide the supplies you are requesting.
- You may not meet your insurance provider’s age requirement.
- Incontinence supplies are not a covered item under your Medicaid plan.
- You or your child’s disability may not be a qualifying condition under your plan.
I submitted my information. When will I know if I’m approved?
One of our dedicated Continence Care specialists will contact you via phone or email within 1-2 business days of submitting your information. If it has been longer than this time frame, please give us a call at 844-276-5588 and we would be happy to check into your account and provide an update. Our office is open Monday-Friday 8am-5pm ET.
What about a prescription? Can Aeroflow help?
Medicaid requires a prescription in order to cover continence care products. If you do not have a prescription for you or your child, your Continence Care Specialist will reach out to your doctor directly for the paperwork.
I have Medicare. Why don’t I qualify for incontinence supplies?
Unfortunately, Medicare does not currently deem incontinence products as “medically necessary” so they do not cover supplies. However, they may cover your catheters.
Information provided on the Aeroflow Urology blog is not intended as a substitute to medical advice or care from a healthcare professional. Aeroflow recommends consulting your healthcare provider if you are experiencing medical issues relating to continence care.
