Living with incontinence can be challenging, and affording essential supplies like diapers or bladder control pads adds another layer of stress. The good news is that Medicaid often provides coverage for the products you need! Learn how to access free incontinence supplies through Medicaid and manage your incontinence symptoms with confidence.
Check your or your loved one's coverage for free incontinence supplies today with our Eligibility Form.
In This Guide:
Discover the incontinence supplies available through your insurance plan.
Medicaid is our country’s public healthcare program. Medicaid is run and financed by the federal government and individual states. It provides coverage for around 10 million beneficiaries.
Medicaid is a federal-state partnership, so as well as federally-set standards for coverage, each state creates its own rules to determine the following:
Select your state to learn more about its Medicaid plan, requirements, and which incontinence supplies may be covered under your plan.
No coverage for Aeroflow Urology
Coverage for adults and kids 4+
Coverage for adults and kids 3+
No coverage
Coverage for adults and kids 3+
No coverage
Coverage for adults and kids 3+
Coverage for adults and kids 4+
Coverage for adults and kids 3+
Coverage for adults and kids 3+
Coverage for adults and kids 4+
Coverage for adults and kids 3+
Coverage for adults and kids 4+
Coverage for adults and kids 3+
No coverage
No coverage
Coverage for adults and kids 3+
Coverage for adults and kids 3+
Coverage for adults and kids 3+
No coverage
Coverage for adults only
Coverage for adults and kids 3+
No coverage with Aeroflow urology
Coverage for adults and kids 4+
Coverage for adults and kids 4+
Coverage for adults and kids 3+
Coverage for adults and kids 4+
Coverage for adults and kids 4+
Coverage for adults and kids 5+
Coverage for adults and kids 3+
Coverage for adults and kids 3+
Coverage for adults and kids 3+
People who qualify for Medicaid usually meet a combination of the following requirements:
To learn how to enroll for Medicaid, visit medicaid.gov.
Medicaid has four types of plans available that may cover continence care products. Many people enrolled in a state Medicaid program are enrolled through a Medicaid managed care plan.
Under this type of Medicaid plan, healthcare providers are paid for the services they provide you. You may receive medical care at any provider that accepts Medicaid and there are no network requirements under this plan. In some states, this is the only type of Medicaid plan available.
With this type of plan, your Medicaid benefits are managed by a private insurance company that partners with your state. Under a managed care plan, your healthcare providers must be in-network. There are different types of managed care plans that you may be asked to choose from or may be assigned based on your state’s guidelines and your specific needs. Coverage and eligibility guidelines for managed care plans vary widely depending on your plan.
Certain states have these types of programs for people who have special medical needs and who are not low-income. Spend-down programs vary from state to state.
This plan is for people under 21 years old and allows for regular screenings, diagnoses, and treatments for medical conditions. Depending on your specific insurance plan, EPSDT may have provisions that allow children with profound medical need who are outside the conventional age limits of Medicaid to get continence care supplies without having prior authorization.
Each state’s regulations are different and there are variations of coverage. The state you live in also has specific mandatory benefits. Benefits may include:
Most people enrolled in Medicaid plans are also enrolled in private insurance plans. These plans usually cover comprehensive, acute, and long-term services.
The type of incontinence you're diagnosed with will likely play a role in determining which types of incontinence products covered under your Medicaid plan are the best fit for you. Your healthcare provider will help you determine the right products to suit your needs and will also prescribe a certain number of products per month based on your symptoms.
Many state health insurance Medicaid plans cover incontinence supplies. Be sure to check the state coverage guide above to find out which incontinence supplies Medicaid recipients are eligible to receive in your state.
You can also visit our Product Guides page to find our which type of incontinence product will suit you best.
Bladder control pads, sometimes called incontinence pads, are less bulky than adult diapers and adult protective underwear. They are disposable, absorbent liners with an adhesive strip that secure to undergarments and offer discreet protection for those experiencing light bladder leakage. These products come in gender-specific variations, often referred to as male guards for men.
Adult pull-ons, also called adult protective underwear, are disposable underwear ideal for moderate leakage. These products feature an elasticized waist and stretchy leg openings and they can be easily pulled on and off. Protective underwear does not have refastentable tabs and resemble typical underwear, which may be an excellent choice for independent and more mobile individuals.
Adult disposable briefs, also called adult diapers, are different from protective underwear in that they offer higher levels of absorbency for heavy leakage and feature tab closures that allow for changing without the need to fully undress. These products have tearable side panels for easy removal and clean up, and are ideal for individuals with heavy incontinence and / or limited mobility.
Pediatric diapers are disposable diapers for children (ages 3 to 4 and up). These unisex kids’ diapers are commonly used for younger children who have special needs or certain medical conditions that may delay the potty training process.
Pediatric pull-ups are disposable pull-ons for children ages 3 or 4 and up (depending on your state’s Medicaid coverage) that are made for kids with bladder and bowel leakage. They are designed to look and feel like real underwear and can be used as potty-training pants. Kids’ pull-ups are commonly used for children who have incontinence due to special needs or certain medical conditions.
Supplemental items, such as underpads (chux), gloves, and wipes, can assist in extra leakage protection and clean-ups for adults, older adults, and children.
*Coverage of these specific products is different depending on your health plan. While the vast majority of Medicaid covers briefs, protective underwear, and bladder pads, accessory coverage varies widely.
*The cost of catheters may be covered under a Medicare plan.
All Aeroflow Urology Continence Care Specialists are trained on all state Medicaid guidelines and will work on your behalf to obtain all required documentation to ensure your incontinence supplies are fully covered.
You will need:
The following may also be required based on the state you live in and your specific insurance plan:
Insurance providers require a prescription in order to show the medical necessity of your product. Our Continence Care Specialists are happy to work with your healthcare provider to obtain a prescription, but a visit to your provider may be needed. Please let us know if you have any additional questions about the required prescription.
There are a wide variety of factors that contribute to incontinence for people of all ages. In order to be eligible for coverage of incontinence supplies, Medicaid requires that documentation of a condition associated with your incontinence is on file. Aeroflow Urology can help you to obtain this information.
The first step to qualifying for no-cost incontinence supplies for yourself or a loved one is to make sure you are enrolled in your state's Medicaid program. Only Medicaid will currently pay for these supplies if you qualify.
The next step is simple! Complete the Aeroflow Urology Eligibility Form. From there, you'll need to call your healthcare provider to let them know Aeroflow Urology will be reaching out for your required prescription. We will then:
Disclaimer
Information provided on the Aeroflow Urology website 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 incontinence.
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