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

Discover the incontinence products available through insurance.

We never share your information with third parties. Your eligibility will be determined by your insurance plan and the state you live in.

Date of Birth

Date

Month

Day

Year

Child's First Name

Child's Last Name

Phone

State

Zip Code

Child's Insurance Provider

Insurance Provider

Name of Insurance Carrier

Member ID

Gender

Child's Medical Condition

Name of Child's Medical Condition

How did you hear about us?

By checking this box, I provide my consent for Aeroflow Urology or Aeroflow Health to call me, even using an automatic dialer or prerecorded voice, at the number provided. Consent is not a condition of purchase of any goods or services. I also agree to Aeroflow Health’s dispute resolution and binding arbitration policies, its Privacy Policy, as well as its Terms and Conditions.

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