Have you ever tried a new incontinence product for yourself or your loved one, just to later realize it’s not the right fit?

We know this is a frustrating experience that can cost you money out of pocket, take up your time, and cause issues like leakage and skin irritation. That’s why we offer samples of incontinence supplies, like adult and pediatric diapers, pull-ups, bladder control pads, and more, for free!

Use this guide to learn how to request free incontinence product samples with Aeroflow Urology so you can get the right products every month for free* through your insurance plan.

Am I Covered?

Find Out In 2 Easy Steps

Discover the free samples & free products available through your insurance plan.

Have your insurance card ready!

Date of Birth for Individual In Need of Supplies Please provide the date of birth for the person in need of continence care supplies (yourself, your child, etc.)

Types of Free Incontinence Supply Samples

We work with a variety of brands that have different sizes and absorbencies. We’re able to offer samples to help you find the right product for your incontinence needs that are also covered by your Medicaid plan.

  • Adult Pull-Ons

    Adult Pull-On Samples

    These pull-on-style adult protective underwear are designed to look like real underwear for men and women with moderate leakage.

  • Bladder Control Pads

    Bladder Control Pad Samples

    Also known as incontinence pads, these products work like liners and adhere to the inside of undergarments for light leakage.

  • Adult Diapers

    Adult Diaper Samples

    Adult diapers, also called adult briefs, are tab-style briefs equipped with maximum absorbency. They’re best suited for individuals with moderate to severe leakage.

  • Pediatric Pull-Ups

    Pediatric Pull-Up Samples

    Pediatric pull-ups are made for younger and older children with light to moderate leakage. They’re made to look and feel like real underwear for both boys and girls.

  • Pediatric Diapers

    Pediatric Diaper Samples

    Pediatric diapers for kids and older kids (youth briefs) are tab-style diapers designed for heavy leakage.

  • Underpads (Chux)

    Underpads, also called chux, are a part of our incontinence accessories category. These pads can be placed on beds, furniture, and car seats. They’re designed to soak up leaks and protect against any surface.

Requirements for Receiving Free Incontinence Supply Samples

In order to receive free incontinence supply samples, you’ll need to qualify for incontinence product coverage through Medicaid or your other Medicaid managed care plan.

Requirements for Kids & Adults

To get diapers, pull-ups, bladder control pads, and other incontinence products free* through insurance, you need:

  • To be 3-4 or older (depending on the state you live in).
  • A signed letter of medical necessity or a prescription from your doctor within the last 12 months.
  • A record of diagnostic information pertaining to the underlying condition that causes incontinence as well as any other medical diagnoses.
  • The number of incontinence supplies needed each month.
  • To be enrolled in a Medicaid or other Medicaid managed care insurance plan.

How to Request Free Incontinence Supply Samples

If you qualify to receive free* incontinence supplies through insurance with Aeroflow Urology, you’ll be assigned one of our highly-trained Continence Care Specialists. Your Specialist will help you determine which type of incontinence product will suit you best and you can request free samples of any continence care product until you find the supplies that fit your unique needs. 

Qualifying for Free Samples & Incontinence Products

Signing up to receive free samples and products every month is quick and easy!

All you need to do is fill out our Eligibility Form. It takes less than 5 minutes.

After submitting your information through our secure form, we’ll reach out to you within 1-2 business days to confirm your coverage. From there, you’ll be able to choose which free samples you’d like to receive and which products you want delivered to your doorstep every month for free.

After you receive your first month’s supply, we’ll send you friendly reminders through your preferred method of communication when it’s time to refill your products.


*Medicaid coverage varies by state. Submitting your info is not a guarantee of benefit.