How to Get Incontinence Products Covered by North Carolina Medicaid

A city in North Carolina

North Carolina Medicaid is a state-run insurance option for adults, children, senior citizens, and individuals with disabilities living in North Carolina. Read this article to find out if you qualify to receive incontinence products through North Carolina Medicaid at no cost to you.

Can I Get Incontinence Products Through North Carolina Medicaid? 

North Carolina currently provides incontinence products for both children (ages 3+) and adults as one of the medically necessary items under its Medicaid coverage!

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Please reference your child’s insurance card!

Under North Carolina Medicaid, Medicaid recipients who are children may qualify to receive a combination of:

  • Pull-ups.
  • Diapers
  • Underpads (chux).
  • Gloves
  • Wipes
  • Booster pads.

Adults may qualify to receive a combination of:

  • Adult diapers (adult briefs).
  • Adult pull-ons (protective underwear).
  • Underpads
  • Accessories like wipes and gloves.
  • Booster pads.

What Is Required?

To be approved for medical supplies under North Carolina Medicaid and Aeroflow Urology, you must have the items in the list below. Our Continence Care Specialists will help you gather all of this necessary information:

  • 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. 2 underpads, 3 pull-ons, etc.)
  • 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 3 years of age or older.
  • Must be a North Carolina 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 North Carolina

Medicaid-covered incontinence products are provided through managed Medicaid plans that vary by state.

In North Carolina, you may receive Medicaid through one of the following insurance providers:

  • Blue Cross Blue Shield.
  • United Health Care.
  • Wellcare
  • Amerihealth Caritas.
  • Carolina Complete Care.

How to Get Incontinence Supplies Covered by North Carolina Medicaid

At Aeroflow Urology, your dedicated Continence Care Specialist will verify your coverage and handle the paperwork required to receive incontinence products through your North Carolina Medicaid benefits.

Aeroflow Urology is a durable medical equipment supplier (DME) that provides free high-quality products from brands you can trust such as:

  • Attends
  • Prevail
  • Cuties
  • TENA

We work with you to help find the right mix of products to fit your individual needs.

Whether you need an adult brief, bladder control pad, or catheter, Aeroflow Urology can help you stay dry and protected with confidence with our wide variety of different product types and various absorbency levels. 

To see if you or your loved one qualifies for products, fill out our secure Eligibility Form.

We don't share your information with anyone, and after confirmation of benefits and supplies, your Continence Care Specialist will contact you within 1-2 business days or after hearing back from your healthcare provider to go over sizing and product needs. Once your incontinence products are confirmed, we will discreetly package and ship your products directly to your home each month in unmarked, brown boxes.

If you or your loved one uses incontinence products, you could save money each month through your Medicaid health plan.

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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 North Carolina 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 (North Carolina 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.
North Carolina Medicaid cardNorth Carolina Medicaid card

If you have questions regarding your insurance information, you can call the number on the card for beneficiaries.

How to Apply for North Carolina Medicaid

If you are eligible for North Carolina Medicaid, you can apply online and submit an application via North Carolina ePass. 

If you have questions or need help applying, you can call the NC Medicaid Contact Center at 1-888-245-0179 or use the following link to find your local North Carolina Division of Social Services office.

I Don't Qualify. What Do I Do?

Visit Your Local 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 to get free incontinence products.

One of the local diaper banks in North Carolina is the Diaper Bank of North Carolina. They may carry adult diapers, protective underwear, kid’s diapers, kid’s pull-ups, underpads, along with other incontinence supplies you might need.

FAQs

  1. Does North Carolina Medicaid have to be my primary insurance provider? Incontinence products can be provided for any beneficiaries who have North Carolina Medicaid as their primary or secondary provider.
  2. How many supplies does North Carolina Medicaid cover per month? The number of briefs, pull-ups, and other supplies you receive will depend on what is allowed by North Carolina's Medicaid plan as well as your prescription. Your Aeroflow Urology specialist will let you know exactly the quantity you are eligible to receive.
  3. I have North Carolina 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.
  4. 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.
  5. What about a prescription? Can Aeroflow help? North Carolina 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.
  6. 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 Senior Content Specialist 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 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 incontinence.

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