If you or a loved one lives with incontinence, you shouldn’t have to worry about paying for supplies like diapers or pads.
The good news is that Medicaid can often cover the cost of the products you need. Learn how to receive $0 incontinence supplies through Medicaid by checking your coverage via our quick, secure eligibility form.
Medicaid is our country’s public healthcare program for eligible low-income adults, children, pregnant women, older adults, and people with disabilities. It provides coverage to more than 70 million Americans — about 1 in 5 people.
States run Medicaid, but they follow federal government requirements. Because Medicaid is a federal-state partnership, the federal government sets the basic standards for coverage, and each state creates its own rules to determine the following:
Who is covered in each state.
The services that are covered.
Which healthcare models are used.
The way in which healthcare providers and hospitals are paid.
To learn how to enroll for Medicaid, visit medicaid.gov.
What Is Covered Under Medicaid?
Medicaid works differently in each state, so what’s covered can change depending on where you live. Your state also has certain benefits it must cover. These 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.
Types of Incontinence Supplies Covered by Medicaid
The type of incontinence you have will help determine which products covered by your Medicaid plan are best for you. Your healthcare provider can help you choose the right products and will usually prescribe a certain number of supplies per month based on your symptoms.
Many state health insurance Medicaid plans cover incontinence supplies. Check the state coverage guide above to see what you may be able to receive where you live.
You can also visit our in-depth Incontinence Product Guides page to learn more about each type of product, or view them individually below.
Bladder control pads, sometimes called incontinence pads, are less bulky than adult diapers or adult protective underwear. They’re disposable, absorbent liners with an adhesive strip that secures to your undergarments and provides discreet protection for 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 designed for moderate leakage. They have an elastic waist and stretchy leg openings, making them easy to pull on or off. Protective underwear doesn’t have refastentable tabs and instead resembles typical underwear, which can be helpful for people who are more independent and active.
Adult disposable briefs, also known as adult diapers, are more absorbent than protective underwear and are designed for heavy leakage. They have tab closures, so they can be changed without fully undressing, and tearable sides for easy removal and clean-up. These are a great choice for people 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-ons are unisex disposable pull-on underwear for children, typically starting around ages 3–4 and up. They’re made for kids with bladder or bowel leakage and are designed to look and feel like real underwear, so they can also be used as potty-training pants. Kids’ pull-ons are often meant for children with incontinence related 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.
How Can I Get $0 Incontinence Supplies Through Medicaid?
Submit your information, call your doctor, select your free products, and we'll ship them to you each month.
Ship your products directly to your home in discreet packaging.
Send monthly resupply updates so never run out of supplies.
Match you with incontinence products that continue to fit your needs.
What Is Required to Get Incontinence Supplies Covered?
Our Incontinence Care Specialists are trained on all state Medicaid guidelines and work on your behalf to collect all required documentation needed to get your supplies fully covered. To get your supplies covered, you must have:
A diagnosis: To qualify for $0 supplies, you need a diagnosis for a medical condition or special need that causes incontinence.
The following may also be required based on the state you live in and your specific insurance plan:
Physician's Order: A prescription or order from your healthcare provider that outlines which supplies are medically necessary for you every month.
Certificate of Medical Necessity: A form your healthcare provider completes for your insurance company to explain why incontinence supplies (or other medical supplies) are medically necessary.
Letter of Medical Necessity: A letter your healthcare provider writes for your insurance company that explains in more detail why the requested incontinence supplies are medically necessary.
Medical Records: Clinical or office notes from your healthcare provider that document your condition and are used to show your insurance company why incontinence supplies are medically necessary.
Prior Authorization: A review and approval process your insurance company completes after your provider requests incontinence supplies, which must be approved before any supplies can be shipped.
Insurance providers need a prescription to show that your incontinence supplies are medically necessary. A prescription also allows your healthcare provider to recommend the products that fit your needs.
Our Incontinence Care Specialists can work with your healthcare provider to get your prescription, but you may need to schedule a visit, depending on your provider’s office.
What Medicaid Plans Are Available?
Medicaid has four types of plans available that may cover incontinence care products. Many people enrolled in a state Medicaid program are enrolled through a Medicaid managed care plan.
1. Fee-For-Service 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.
2. Managed Care Plan
With a managed care plan, your Medicaid benefits are handled by a private insurance company that partners with your state. Your healthcare providers must be in-network with that plan. 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 for these plans can vary depending on your state and your specific plan.
3. Spend Down Programs
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.
4. Early and periodic screening, diagnostic, and treatment (EPSDT)
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 plans may have provisions that allow children with profound medical needs who are outside the conventional age limits of Medicaid to get incontinence care supplies without prior authorization.
Frequently Asked Questions
Does Medicaid cover all incontinence products?
Medicaid can cover the cost of most incontinence products if you have a medical necessity that causes incontinence. To receive Medicaid-covered products, your healthcare provider must write a prescription that lists the number of supplies and type of bladder control supplies you need each month.
Can I change the products I receive each month?
Yes, with Aeroflow Urology, you can quickly change the amount of products you or your loved one receives each month. Log in through our website or contact us at 1-844-276-5588.
What if my state’s Medicaid program denies coverage?
If your state’s Medicaid program denies coverage for incontinence supplies, you may be able to appeal the decision or submit additional paperwork. Aeroflow Urology can review your case, explain the denial, and help you explore your next steps.
Check your coverage for Medicaid-covered incontinence supplies now!
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.
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.