How to Get Incontinence Supplies Covered by Insurance

Step 1

Check Eligibility

Step 2

Submit Form

Step 3

Confirmation

Who are you shopping for?

My Child's Incontinence (under 18)

Adult Incontinence (18+)

Has your child been diagnosed with an underlying medical condition that causes incontinence or delayed potty training?

Such as autism, Down syndrome, or other developmental delays.

Yes

No

My Child's Incontinence

Please come back once you have a medical diagnosis from your doctor!

START OVER

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Date of Birth

Date

Month

Day

Year

Gender

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State

Zip Code

Child's Insurance Provider

Insurance Provider

Name of Insurance Carrier

Member ID

Child's Medical Condition

Name of Child's Medical Condition

How did you hear about us?

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By checking this box, I provide my consent for Aeroflow Urology or Aeroflow Health to send me recurring text messages at the number provided in relation to account alerts, billing matters, and updates. Message frequency varies. Reply “STOP” to stop at any time. Message and data rates may apply.

My Insurance Covered Supplies

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Get Incontinence Supplies Covered By Insurance