Pediatric Therapy Associates & Aeroflow Urology

Discover the bladder control supplies covered by your Medicaid plan.

Have your insurance card ready!

Step 1 of 2

Child's First Name

Child's Last Name

Child's Date of Birth

Date

Month

Day

Year

Phone

State

Zip Code

Child's Insurance Provider

Insurance Provider

Name of Insurance Carrier

Member ID

Child's Medical Condition

Name of Child's Medical Condition

Gender

How did you hear about us?

By checking this box, I provide my consent for Aeroflow Healthcare to send me recurring text messages and calls, including with marketing, and sent via an automatic dialer or prerecorded voice, at the number provided. Consent is not a condition of purchase of any goods or services. Reply “STOP” to stop at any time. Message and data rates may apply. I also agree to Aeroflow’s Terms and Conditions.

Step 2 of 2

Get Your Child Diapers, Pull-Ups, & More With Aeroflow Urology

To find out if your child can receive bladder control supplies through insurance, fill out our Eligibility Form! It takes less than 5 minutes. Just make sure you have your insurance card on hand!

If your child qualifies, we will...

Have one of our expert Continence Care Specialists help you get a required prescription from your child's healthcare provider.
Send your child free product samples so you can find what fits the best.
Ship your continence care products straight to your home every month... for free!
Send you email or text message reminders when it's time to refill your child's supplies so you won't ever run out of diapers or pull-ups!

Check Your Eligibility

2 Easy Steps

Get Your Child Diapers, Pull-Ups, & More With Aeroflow Urology

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