Do I need a prescription for incontinence products?
Insurance providers do require a prescription in order to show the medical necessity of the product. However, our Continence Care Specialists are happy to work with your doctor to obtain a prescription, but a visit to your healthcare provider may be needed.
Does Medicare cover incontinence products?
Unfortunately, Medicare does not cover incontinence products. This holds true for most Medicare replacement and Medicare Advantage plans, as well. However, if you have a Medicaid supplement secondary to your Medicare, Medicare replacement coverage, or a Medicare/Medicaid Dual plan this may qualify you for incontinence supplies through insurance.
Why doesn’t Medicare cover my incontinence products?
Medicare sets their own guidelines for the coverage they provide. Unfortunately, they have decided that this includes not covering incontinence products at this time. We recommend contacting a Medicare representative directly for more information regarding coverage.
Check Your Eligibility
In 2 easy steps!
From catheters to pediatric and adult bladder control supplies, discover the continence care essentials covered by your insurance.
Medicaid is my secondary insurance, do I qualify?
If you have a Medicaid supplement secondary to your Medicare, Medicare replacement coverage, or a Medicare/Medicaid Dual plan this may qualify you for incontinence supplies through insurance. We recommend checking your eligibility through our form at the top of this page.
I have private insurance, am I covered?
Unfortunately, most private or commercial insurance plans do not consider incontinence products to be a covered benefit, as they are available over the counter. However, it is still advisable, if you are unsure of your coverage, to contact your specific insurance company and ask if incontinence products are a covered benefit.
If your private insurance plan has an FSA or HSA included as one of your plan benefits, it may be possible to use this benefit to purchase incontinence supplies out of pocket at shop.aeroflowinc.com.
Additionally, as with Medicare, if you have Medicaid as a supplemental insurance to your commercial or private insurance plan, it is possible that your Medicaid supplement will still cover incontinence products, even if your primary insurance does not. To find out if you qualify, submit your info at our quick and easy form above.
I have Medicaid, why aren’t I covered?
Even if you have Medicaid, there are a few scenarios where you will unfortunately not be covered for incontinence supplies:
- QMB coverage. Certain types of “QMB” or “qualified Medicare beneficiary” Medicaid plans are what is known as “restricted coverage”. This typically means that your specific Medicaid insurance only helps subsidize the cost of your Medicare part A/B premiums, and will not allow for incontinence coverage. This varies widely from state to state and plan to plan, so if you are unsure of your coverage type, please complete our form above to check your eligibility.
- Age restrictions. Certain Medicaid plans have age restrictions in place that only allow individuals within certain age ranges to receive incontinence products through their Medicaid benefits. Some plans specifically exclude coverage of products for children with special needs except in very specific circumstances, as well. Other plans do not consider adult incontinence supplies to be a covered benefit, and so any patient over the age of 18 will not be covered through Medicaid. As with QMB coverage, this varies widely from state to state and plan to plan, so if you are unsure of your coverage type, please complete our form above.
- Assisted Living / Hospice Care. If you, or a loved one, wants to receive incontinence supplies through Medicaid and resides in a skilled nursing or assisted living facility, in hospice or palliative care, or if they are in a home health episode, there may also be restrictions on your ability to receive incontinence supplies through Medicaid. For more information, please check your eligibility with our above form.
Insurance is an incredibly complicated subject that many individuals understandably do not fully understand. With the high degree of complexity, and how these benefits can vary widely from state to state, plan to plan, and person to person, we recommend that if you, or someone you know, needs incontinence supplies through their Medicaid plan, you always submit our form. One of our Continence Care Specialists will contact you in 1-2 business days to go over your coverage options.
I have Medicaid, but I was told that Aeroflow specifically cannot service my request for incontinence supplies through Medicaid. Why is that?
There are a few different reasons why, even if you have valid Medicaid coverage, and your particular type of Medicaid covers incontinence supplies, Aeroflow specifically would not be able to help fulfill your request to get these supplies through your insurance.
- Out-of-network. The most common answer is that Aeroflow may be out-of-network with your particular type of Medicaid. This means that your Medicaid plan has an established network of providers for various services, and unfortunately, they did not select Aeroflow to participate in that network. In these cases, we suggest that you contact your specific insurance plan so that they can provide you with a list of in-network providers for the service you need, as you would with a doctor or specialist.
- Preferred providers. In other cases, your particular Medicaid plan may have elected to offer what is called a “sole” or “preferred” provider for a certain service, like incontinence products. In these cases, your Medicaid plan has dictated that only a single provider, or a small group of providers, can provide that particular service to their members. If you receive communication of this from Aeroflow after submitting our form, we always recommend that you contact your particular Medicaid plan for more information on who their specific providers are, so that they can refer you to them.
Aeroflow’s goal is to redefine continence care, and provide increased dignity and quality of life to all people who are in need of continence care products. Even if we are unable to service your specific request, we always want to make sure that we do our part to educate you on the complex world of insurance and coverage. If you ever have further questions about communication you receive from us, please call us at 844-276-5588. Our office is open Monday-Friday, 8am-6pm.