Check Your Eligibility

Diapers and pull-ons for children ages 3+ with special needs, available through Medicaid.

Discover the bladder control supplies available to your child through their Medicaid plan.

Please reference your child’s insurance card!

Child's First Name
Child's Last Name
Child's Date of Birth Please provide the date of birth for the person in need of continence care supplies (yourself, your child, etc.)
Date
Phone
State
Zip Code
Child's Insurance Provider Your insurance type is most frequently found at the top of your insurance card.
Name of Insurance Carrier
Member ID Your Member ID is typically found on the front of your insurance card and may be listed as Member ID, Member #, Subscriber ID, Subscriber # or Policy #. This can be a combination of letters and numbers.
Child's Medical Condition In order to receive coverage for continence care supplies, Medicaid requires a diagnosed medical condition related to your child's incontinence.
Name of Child's Medical Condition
Gender
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Step 2 of 2
GET YOUR CHILD'S CONTINENCE CARE ESSENTIALS

in 3 simple steps

Provide your child's Medicaid information.

We verify your child's coverage and submit all required paperwork.

We'll provide you with a curated selection of continence care supplies covered by your child's Medicaid plan.

Choose from the curated breast pumps, maternity compression and postpartum recovery items covered by your insuranceChoose from the curated breast pumps, maternity compression and postpartum recovery items covered by your insurance

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