Insurance Coverage for Incontinence Supplies
Does Medicaid cover incontinence supplies? What type of incontinence supplies will my insurance reimburse for? Does my insurance cover incontinence supplies? Does Medicare cover diapers or underpads?
It’s common to have questions like this. After all, you want to ensure you’re fully using your insurance benefits.
The good news is that many plans cover incontinence supplies. Find out more with our handy insurance guide below. We also provide some helpful alternate options for getting your supplies when your insurance doesn’t cover your needed products.
Medicaid Coverage for Incontinence Supplies
Medicaid is a state-run insurance option for low-income adults, children, senior citizens, and people living with disabilities. Each Medicaid program may have different requirements and benefits for incontinence supplies from state to state.
Additionally, because the federal government partially funds Medicaid programs, they will follow certain federal guidelines, including requirements regarding income limits.
180 Medical can supply incontinence products to covered individuals through Florida Medicaid and Georgia Medicaid waiver programs.
Want more information? Check out our pages for Medicaid of Florida & Medicaid of Georgia. Also, you can reach out to our specialists. We can help you understand your Medicaid waiver program benefits as well as which types and amounts of supplies will be covered.
Does Medicaid reimburse for incontinence supplies?
While some state Medicaid plans will cover incontinence products, such as adult diapers, children’s diapers, and underpads, other state Medicaid plans may not. All 50 states have different guidelines, benefit levels, and requirements. In other words, it’s difficult to give a definite answer without verifying your Medicaid plan.
Contact 180 Medical to learn more about what types of supplies your Florida Medicaid or Georgia Medicaid waiver program will cover.
Medicare Coverage for Incontinence Supplies
Medicare is a health insurance program provided by the Centers for Medicare and Medicaid Services (CMS) through the United States federal government. It covers millions of people who qualify for coverage every year.
To qualify for Medicare, you must be an American citizen or a permanent legal resident who is 65 years or older or under 65 and living with a disability or receiving Social Security benefits.
Medicare has 4 parts of insurance coverage:
- Hospital insurance coverage under Medicare Part A
- Medical insurance coverage under Medicare Part B
- Medicare Advantage plan options, known as Medicare Part C
- Prescription drug coverage under Medicare Part D
Does Medicare cover adult diapers and/or other incontinence supplies?
No. While Medicare covers intermittent catheters and ostomy supplies, it typically does not cover incontinence supplies. Examples of non-covered items include diapers, mattress-protecting underpads, and bladder control pads or liners.
However, you may have options through a private insurance company’s Medicare Advantage plan.
Private Insurance Coverage for Incontinence Supplies
A private insurance plan is any health insurance coverage option not based on state or federal government assistance, such as Medicaid or Medicare.
Some popular private insurance companies you may have heard of or know include Blue Cross Blue Shield, Aetna, Cigna, and United Healthcare.
Private insurance policies help when you need medical services and supplies, including prescription drugs, durable or disposable medical equipment (DME), and hospital stays.
Do private insurance plans reimburse for incontinence supplies?
Private insurance plans vary from company to company regarding coverage, limits, and deductibles.
While many private insurance plans will reimburse for incontinence products, others may not. Some may cover them but have a specific limit on how many are allowed every 30 days.
More Info About Insurance and Incontinence Supplies
Do you have more questions about getting incontinence supplies through your Medicaid waiver program in Florida or Georgia? 180 Medical is more than happy to help.
Contact us today to learn more.