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From catheters to pediatric and adult bladder control supplies, discover the continence care essentials covered by your insurance.

Have your insurance card ready!

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

THE AEROFLOW

Difference

Easy Qualification

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Free Discreet Shipping

Online Ordering & Monthly Reminders

Get your continence care essentials

in 3 simple steps

  • Provide your insurance information.
  • We verify your coverage and submit all required paperwork on your behalf.
  • Choose from the curated continence care items covered by your insurance.

congrats!

We ship them free, straight to your door.

I Need Coverage For...

Adult Incontinence

My Child's Incontinence

Catheters

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