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To find out if your facilitity, residents & patients can get Insurance-covered adult briefs, catheters, protective underwear, bladder control pads, and more through insurance, guide your patients and residents here to fill out our Eligibility Form! It takes less than 5 minutes. Just make sure they have their insurance card on hand!


What to expect next...

  • One of our expert Continence Care Specialists to help your patients or residents get a required prescription from your healthcare provider.
  • Send patients or residents free product samples so you can find what fits best.
  • Ship continence care products straight to their home every month... for free!
  • Send your patients, residents or their care givers email or text message reminders when it's time to refill your supplies so you won't ever run out of products.
  • If you are a facility please call us at 1-844-276-5588 and learn how you can  get your facility covered!

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.

Have your insurance card ready!

Child's First Name
Child's Last Name
Child's Date of Birth Please provide the date of birth for the person in need of continence care supplies (yourself, your child, etc.)
Date
Phone
State
Zip Code
Child's Insurance Provider Your insurance type is most frequently found at the top of your insurance card.
Name of Insurance Carrier
Member ID Your Member ID is typically found on the front of your insurance card and may be listed as Member ID, Member #, Subscriber ID, Subscriber # or Policy #. This can be a combination of letters and numbers.
Child's Medical Condition In order to receive coverage for continence care supplies, Medicaid requires a diagnosed medical condition related to your child's incontinence.
Name of Child's Medical Condition
Gender
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