*When filling out the form for your child, please make sure you submit their personal information and insurance information instead of your own.
How It Works
Ready to see if your child qualifies for free bladder control supplies with Medicaid or insurance through Aeroflow Urology? Here’s how you can start saving money:
- Submit their information via the form.
- Contact your child’s doctor.
- Choose their free incontinence products.
- Reorder for free every month through text or email.
Have a question? Call us at 1-844-276-5588 or email us at info@aeroflowurology.com.
Our Eligibility Form is HiTrust-certified, so you know your information is secure!




Check if Your Child Qualifies for $0 Diapers
If you care for a child with autism who has Medicaid or insurance, you could receive diapers and other incontinence supplies (such as gloves and wipes) at no cost.
Whether your loved one needs pediatric or youth sizes, Aeroflow Urology fights to maximize your insurance benefits and delivers your products straight to your door.


Check your child's coverage for 100% free supplies now!




