Incontinence Supplies Covered by Insurance: What You Need to Know

Managing incontinence can be a daily challenge, but finding the right supplies shouldn’t be. At CityDME, we understand how essential these products are to your comfort, dignity, and health. The good news? Many incontinence supplies may be covered by your insurance, saving you money and ensuring consistent access to the products you need.

In this guide, we’ll break down what’s covered, who qualifies, and how to get started.

What Are Incontinence Supplies?

Incontinence supplies include a range of products designed to manage bladder or bowel leakage. Common items include:

• Adult diapers (briefs)
• Protective underwear (pull-ons)
• Bladder control pads and guards
• Underpads
• Wipes and gloves
• Barrier creams

These products vary in absorbency, fit, and style to meet different needs ranging from light leakage to full protection.

Does Insurance Cover Incontinence Supplies?

Medicaid Coverage

Most state Medicaid programs cover incontinence supplies if they are deemed medically necessary. Coverage typically includes adult diapers, pull-ons, pads, liners, and underpads. To qualify, you’ll need:

• A diagnosis from a healthcare provider
• A prescription specifying the type and quantity of supplies
• Possibly a Certificate or Letter of Medical Necessity

Coverage limits vary by state, and some states may require prior authorization.

Medicare Coverage

Original Medicare does not cover disposable incontinence supplies like adult diapers or pads. However, Medicare Advantage (Part C) plans may offer limited coverage depending on your location and plan details.

If you’re dual-eligible (enrolled in both Medicare and Medicaid), you may qualify for 100% coverage through Medicaid.

Private Insurance

Most commercial insurance plans do not cover incontinence supplies unless they are part of a broader treatment plan. However, some employer-sponsored or supplemental plans may offer partial reimbursement.

How to Qualify for Insurance-Covered Supplies

To get started:

• Visit your doctor: Discuss your symptoms and get a diagnosis.
• Get a prescription: Your provider will specify the type and quantity of supplies needed.
• Choose a supplier: Work with a Medicaid-approved provider like CityDME.
• Submit documentation: Your supplier will handle the paperwork and billing.
• Receive your supplies: Many providers offer free, discreet home delivery.

Why Choose CityDME?

At CityDME, we specialize in providing high-quality, insurance-covered medical supplies, including a wide selection of incontinence products. Our team works directly with your healthcare provider and insurance company to ensure you get the supplies you need with minimal hassle.

Explore our Incontinence Collection to find trusted brands like Presto®, TENA®, and Medline. We offer:

• Discreet shipping
• Personalized product recommendations
• Support navigating insurance coverage

Final Thoughts

Living with incontinence doesn’t have to mean living with financial stress. With the right documentation and support, you may be eligible for full or partial coverage of your supplies. Let CityDME help you take the next step toward comfort and confidence.

Need help verifying your coverage? Contact our team today or browse our online store to learn more.