Illinois Medicaid is a state-run health insurance option for kids, adults, and seniors living in the state. Illinois currently provides incontinence supplies for adults as one of the medically necessary items under its Medicaid coverage.
Read this article to find out if you qualify to receive incontinence products through Illinois Medicaid at no cost to you.
Can I Receive Incontinence Products Covered by Illinois Medicaid?
Yes! Adults and children ages 4 and older may qualify for incontinence products through Illinois Medicaid and Aeroflow Urology.
Check Your Eligibility
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Under Illinois Medicaid, adults may be eligible to receive a combination of the following:
- Protective underwear.
- Briefs (adult diapers).
- Disposable underpads.
- Bladder control pads.
- Gloves
- Booster pads.
Children living in Illinois who have Illinois Medicaid may qualify to receive the following:
Wipes are not covered by Illinois Medicaid.
What Is Required?
To be approved for incontinence supplies under your Illinois Medicaid program and Aeroflow Urology, you must have the items in the list below. Our Continence Care Specialists will help you gather all of the below necessary information and help collect all necessary paperwork.
- Your medical reason for needing supplies (incontinence diagnosis with correlating disability or medical condition).
- An estimated number of incontinence products you need every day (i.e. 5 bladder control pads, 2 pull-ups).
- A qualifying disability or medical condition that causes incontinence and is diagnosed by a healthcare professional, such as spina bifida, cerebral palsy (CP), autism, etc.
- Must be 4 years of age or older.
- Must be an Illinois Medicaid recipient.
- Depending your insurance, a signed Certificate of Medical Necessity (documented proof from your doctor within the last 6 months that your items are medically necessary) and / or a prescription from your healthcare provider.
Medicaid Managed Care Plans In Illinois
Medicaid-covered continence care products are provided through managed Medicaid plans that vary by state.
If you live in Illinois, you may receive Medicaid through one of the following insurance providers:
- Medicaid
- Blue Cross Blue Shield.
- Countycare
- Meridian
- Molina
- Aetna Better Health.
- Humana Medicaid.
How to Get Incontinence Supplies Covered by Illinois Medicaid
Aeroflow Urology understands that incontinence products can become costly very quickly, and we want you and your loved ones to feel dry and protected in your medical supplies.
Your dedicated Continence Care Specialist will verify your coverage and handle the paperwork required for your health plan and prescription.
If you'd like to get your products faster, you can reach out to your healthcare provider to let them know we'll be asking for a prescription on your behalf.
We work with you to help find the right mix of products to fit your individual needs - whether you, or your loved one, need pull-ons, catheters, or bladder control pads.
After confirmation of your Illinois Medicaid benefits, we discreetly package and ship products directly to your home each month.
To check your eligibility for coverage for our high-quality products, submit your insurance information through our quick, secure Eligibility Form, and your dedicated Continence Care Specialist will contact you via phone or email in 1-2 business days with an update on your coverage.
Where Can I Find My Insurance Information?
To complete our Eligibility Form and find out if you’re eligible for free incontinence supplies covered by Illinois Medicaid, you’ll need to have your insurance information ready.
Insurance cards differ depending on the state you live in and the type of insurance you have (Illinois Medicaid or a Medicaid managed care plan), but you can find the following on your card:
- Full name of the insured person.
- The member ID number (Medicaid ID number).
- The plan name.
If you have questions regarding your insurance information, you can call the number on the card for beneficiaries.
How to Apply for Illinois Medicaid
If you are eligible for Illinois Medicaid, you can apply online and submit an application at https://abe.illinois.gov. If you have questions or need help applying, call the Health Benefits Hotline at 1-800-843-6154.
I Don't Qualify. What Can I Do?
Visit a Diaper Bank
If you or a loved one has incontinence and you don’t qualify for incontinence products through Medicaid, you may be able to go to your local diaper bank or a diaper drive to get free products. Low-income families may qualify for free diapers through a diaper program, along with other healthcare products, including those that protect against adult incontinence and pediatric incontinence.
Visit the Diaper Bank of Northern Illinois or the Diaper Bank of Southern Illinois to get your products. They may carry adult diapers, protective underwear, kid’s diapers, kid’s pull-ups, underpads, along with other incontinence supplies you might need.
FAQs
- Does Illinois Medicaid have to be my primary insurance provider? Incontinence products can be provided for any beneficiaries who have Illinois Medicaid as their primary or secondary provider.
- How many supplies does Illinois Medicaid cover per month? The number of briefs, pull-ups, and other supplies you receive will depend on what is allowed by Illinois' Medicaid plan as well as your prescription. Your Aeroflow Urology specialist will let you know exactly the quantity you are eligible to receive.
- I have Illinois 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 due to 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, or you or your child’s disability may not be a qualifying condition under your plan.
- I submitted my information to Aeroflow Urology. When will I know if I’m approved for free incontinence supplies? 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? Illinois Medicaid requires a prescription in order to cover continence care products. If you do not have a prescription for you or your loved one, 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.
Mica Phillips
Mica has been at Aeroflow for over six years. He brings creativity to a sometimes stagnant and complacent industry and tries his best to uncomplicate the complex world of Insurance. He is a graduate of the University of North Carolina and holds a Bachelor’s degree in English. In addition to his daily responsibilities as Vice President of Aeroflow Urology, he’s contributed to numerous articles for online journals regarding senior care, incontinence, and navigating insurance benefits. In his spare time, he enjoys listening to live music, visiting breweries, and traveling the world with his wife.
About the Author
Marlee Septak is the Editorial Lead at Aeroflow Urology and was a past Content Writer for Aeroflow Diabetes. She brings a deep understanding of incontinence and health conditions associated with it to her writing. She graduated from Columbia College Chicago and holds a Bachelor's degree in Journalism. Marlee has contributed to various magazines and blogs, including Borgen Magazine, Echo Magazine, Chicago Ideas Week, Assuaged, and Peaceful Dumpling. In her spare time, she enjoys traveling, trying new restaurants, and just sitting down with a good book.
Disclaimer
Information provided on the Aeroflow Urology website 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.
