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Medicare and Incontinence Supplies

July 25, 2018

Does Medicare pay for adult diapers?

This seems to be the first question that most seniors ask. Unfortunately, for the vast majority of seniors living outside of nursing homes, Medicare does not pay for adult diapers or other incontinence supplies. While Medicare does cover some medical supplies, such as catheters, most disposable absorbent incontinence products are simply not coveres. Some Medicare supplemental insurance plans, sometimes called Medigap policies, do cover some incontinence supplies, the vast majority do not cover these supplies. 

So, where can you turn to for help with incontinence supplies?

The VA is one 3rd party that provides help. While the VA does pay for adult diapers, many veterans advise caution with regards to the quality. Specifically, the standard issued brand of adult diapers is not considered to be of high quality. However, if a veteran has a preferred brand, such as Attends, Depend, Prevail, Tena or Tranquility, it is possible to have those paid for by the VA. However, a physician prescription, or statement of medical necessity, is often required when a particular brand of adult diaper is desired.

For some veterans, Home and Community Based Services, also called Veterans Directed Care is an option. This program provides financial assistance for care and the flexibility to direct the financial assistance as the veteran feels is best for their needs. Incontinence supplies would most certainly be an eligible expense.

Medicaid in most states will cover the cost of adult diapers and other disposable, absorbent products. Most Medicaid Waivers, which provide assistance to individuals living at home or in the community, also provides assistance typically under the category of home care supplies.  However, Medicaid Waivers and rules change from state to state and in some states the program may limit the brands or quantities of product available to an individual for a set period of time. Individuals on Medicaid should check with their local Medicaid office to see what is and is not covered.

In certain areas of the country, there are non-profit organizations known as diaper banks. These “banks” supply other local non-profits with adult diapers to be given away to seniors that reside in the geographic area. Although many diaper banks do not supply individuals directly, they can provide a list of local non-profits organizations that they provide adult diapers and those organizations can be contacted directly. 

Rely Medical Supply

If your alternative is to purchase incontinence supplies for yourself or a loved one, then Rely Medical Supply is here to help you. Rely Medical Supply can assist you with affordable and quality products to help you manage your incontinence. We have products to fit every budget level and need. Check out our online store for options that include adult pullups, adult diapers, bladder control pads, underpads, wipes, and gloves. If you have questions, our friendly and compassionate representatives are available from 8am to 5pm central time by calling toll free at (888) 529-2308.

 




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