Texas Medicaid currently provides incontinence supplies for both children and adults as one of the medically necessary items under its Medicaid coverage. Read on to find out if you qualify to receive incontinence products through Texas Medicaid at no cost to you.
Can I Get Incontinence Products Covered by Texas Medicaid?
Yes, if you meet all the requirements!
Those living in Texas can receive free incontinence products, like diapers, adult briefs, and more since the state deems them medically necessary for both adults and kids (ages 4+).
Under Texas Medicaid coverage, adults may be eligible to receive:
- Adult diapers.
- Adult protective underwear.
- Bladder control pads.
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- Supplemental products, such as reusable or disposable underpads.
With Texas Medicaid, children ages 4 and up may be able to receive a combination of:
- Diapers
- Pull-ons.
- Supplemental products, such as booster pads, gloves, and wipes.
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 under Texas Medicaid with Aeroflow Urology, you will need to have the following:
- A medical reason for needing supplies diagnosed by a healthcare professional (an incontinence diagnosis with a correlating disability or medical condition that causes incontinence, such as cerebral palsy, autism, spinal cord injury, etc.).
- An estimated number of incontinence products you require every day (i.e. 4 adult briefs, 3 pull-ups, 2 underpads, etc.).
- Must be 4 years of age or older.
- Must be a Medicaid recipient in your state.
- A signed Certificate of Medical Necessity (CMN) (documented proof from your doctor within the last 6 months that your items are medically necessary) and / or a prescription from your healthcare provider. The required paperwork will be dependent upon the requirements of your state.
Medicaid Managed Care Plans in Texas
Free incontinence supplies may be provided through Medicaid managed care plans. These plans vary by state, but in Texas, these plans may include:
- Aetna Better Health.
- Blue Cross Blue Shield.
- Community First.
- Community Health Choice.
- Cook County Children's Health Plan.
- Driscoll Health Plan.
- Scott and White Right Care.
- Sendero Health Plan.
- Superior Health Plan.
- US Family Health Plan.
- Parkland Healthcare.
- Dell Children's Health Plan.
- FirstCare.
- United Healthcare.
- Molina
- Amerigroup
- El Paso First.
- Texas Children's Health Plan.
Get Incontinence Products With Aeroflow Urology & Texas Medicaid
Aeroflow Urology is a durable medical equipment supplier (DME) that helps those who qualify receive free incontinence products that fit every body.
Whether you need an adult pull-on, a discreet bladder control pad, or supplemental items, like underpads or gloves, we can help you stay confident and dry with our different product types and various absorbency levels that fit any level of leakage! We carry products from brands you can trust, including Prevail, TENA, Cuties, and more.
To find out if you qualify for incontinence products that are 100% covered by a Texas Medicaid plan and Aeroflow Urology, fill out our secure Eligibility Form. It takes less than 5 minutes and you’ll hear from us within 1-2 business days after providing your information. After you place your order, we’ll discreetly package and ship your products directly to your home for free each month in unmarked boxes. You’ll also receive friendly reminders every single month to reorder your products so you are never without protection.
Save over $200 a month on incontinence products by submitting your information today!
Where Can I Find My Insurance Information?
To complete our Eligibility Form to find out if you qualify for free incontinence supplies covered by Texas Medicaid, you’ll need to have your insurance information ready. You can find your information on you or your loved one’s insurance card.
Insurance cards differ depending on the state you live in and the type of insurance you have (Texas Medicaid or a Medicaid managed care plan), but you can find the following on your card:
- Full name of the insured person.
- Member ID number (Medicaid ID number).
- Plan name.
If you have questions regarding your insurance information, you can call the number on the card for beneficiaries.
How to Apply for Texas Medicaid
If you are eligible for Texas Medicaid, you can apply online and submit an application via the website at https://www.hhs.texas.gov/services/health/medicaid-chip. If you have questions or need help applying, you can call the Texas Medicaid Hotline at 1-800-252-8263.
I Don't Qualify. What Can I Do?
If you don’t qualify for free bladder and bowel control supplies through your Medicaid to cover incontinence supplies, you may be able to go to your local diaper bank to get free products that will protect you or your loved one against leakage. 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 Texas Medicaid have to be my primary insurance provider? Incontinence products can be provided for any beneficiaries who have Texas Medicaid as their primary or secondary provider.
- How many supplies does Texas Medicaid cover per month? The number of briefs, pull-ups, and other supplies you receive will depend on what is allowed by your Texas 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 Texas Medicaid, so why don’t I qualify for supplies? You should have received an email outlining why you or your loved one were 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 loved one'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? Texas 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 free 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.
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.
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