How to Get Incontinence Supplies Covered by Virginia Medicaid

The Virginia Medicaid program is a state-run health insurance option for kids, seniors, adults, and individuals with disabilities. Read on to find out if you qualify to receive incontinence products through Virginia Medicaid at no cost to you.

To be approved for incontinence supplies under Virginia Medicaid you, or your loved one must have the following items. An Aeroflow Urology Continence Care Specialist will help you gather all of this necessary information.

• The medical reason for needing supplies.
• The estimated amount of supplies needed per day (i.e. 2 adult briefs, 1 disposable underpad, etc.).
• Must have a qualifying medical need, such as Parkinson’s Disease, Down syndrome, etc.
• Children must be 3 years of age or older.
• Must be enrolled in a Virginia Medicaid plan.
• Depending your insurance, a signed Certificate of Medical Necessity (documented proof from your doctor within the last 6 months that your items are medically necessary) and / or a prescription from your healthcare provider.

Aeroflow Urology understands that getting continence care products through insurance can be confusing. That's why we take the stress out of the process by:

• Navigating hard-to-understand insurance paperwork and requirements by doing the paperwork for you!
• Sending you free samples of incontinence products before you order, so you'll be protected against leaks and fit for your unique needs.
• Shipping your supplies right to your door in discreet packaging every single month. 
• Reminding you when it's time to refill your supplies so you never run out. 

See if you or your loved one qualifies in just 5 minutes with our Eligibility Form. 

If you have questions regarding your insurance information, you can call the number on the card for beneficiaries.

Individuals or families may apply for Virginia Medicaid online or through their local Department of Social Services, as well as by calling Cover Virginia at 1-855-242-8282. Aged, blind or disabled individuals or married couples may apply for Medicaid online by using CommonHelp.

1. Make Sure You Fill Out Our Form Correctly.

If you are filling out the Eligibility Form for a child or loved one, be sure you're entering their insurance information and not your own. We need to determine if they are covered under Virginia Medicaid and this helps us do so. 

2. Head to a Diaper Bank In Your State.

You may be able to go to your local diaper bank or a diaper drive to get free products. Low-income families may qualify for free diapers through a diaper program, along with other healthcare products, including those that protect against adult incontinence and pediatric incontinence. They may carry adult diapers, protective underwear, kid’s diapers, kid’s pull-ups, underpads, along with other incontinence supplies you might need.

Visit the Northern Virginia Diaper Bank. 

1. Does Virginia Medicaid have to be my primary insurance provider? Incontinence products can be provided for any beneficiaries who have Virginia Medicaid as their primary or secondary provider.
2. How many supplies does Virginia Medicaid cover per month? The number of briefs, pull-ups, and other supplies you receive will depend on what is allowed by your Virginia Medicaid plan as well as your prescription. Your specialist will let you know exactly the quantity you are eligible to receive.
3. I have Virginia Medicaid – so why don’t I qualify for supplies? You should have received an email outlining why you or your child was not approved for supplies. The reason could be one of the following: Aeroflow Urology is not in network with your Medicaid plan, or our contract may not allow us to provide the supplies you are requesting, you may not meet your insurance provider’s age requirement, incontinence supplies are not a covered item under your Medicaid plan, you or your child’s disability may not be a qualifying condition under your plan.
4. I submitted my information. When will I know if I’m approved? One of our dedicated Continence Care specialists will contact you via phone or email within 1-2 business days of submitting your information. If it has been longer than this time frame, please give us a call at 844-276-5588 and we would be happy to check into your account and provide an update. Our office is open Monday-Friday 8am-5pm ET.
5. What about a prescription? Can Aeroflow help? Virginia Medicaid requires a prescription in order to cover continence care products. If you do not have a prescription for you or your child, your Continence Care Specialist will reach out to your doctor directly for the paperwork.
6. I have Medicare. Why don’t I qualify for incontinence supplies? Unfortunately, Medicare does not currently deem incontinence products as “medically necessary” so they do not cover supplies. However, they may cover your catheters.

Information provided on the Aeroflow Urology blog 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.