Does Medicare Pay for Incontinence Supplies Like Adult Diapers?
Key Takeaways
- Original Medicare does not cover incontinence supplies like adult diapers.
- Medicaid may help pay for incontinence supplies like adult diapers.
- Individuals not on Medicaid but with limited resources may be able to get assistance from community support programs.
With few exceptions, Original Medicare does not pay for incontinence supplies like adult diapers. Learn about the assistance that may be available to you.
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Does Medicare Pay for Diapers for Adults?
The Urology Care Foundation estimates that urinary incontinence impacts at least one-quarter of men and women in the United States. Adult diapers are the most common way to guard against uncomfortable accidents. Original Medicare may provide coverage only if your incontinence supplies are deemed medically necessary as a part of long-term care.Does Medicare Help Pay for Incontinence Supplies?
While Original Medicare doesn’t cover incontinence supplies unless medically necessary, some Medicare Advantage plans from private insurance carriers provide additional benefits. If you have Original Medicare Part A and Part B, you can add Medicare Part D prescription coverage. However, Part D also does not cover incontinence supplies. Medicare Advantage (Part C) substitutes for Original Medicare (Parts A and B). Along with Part A and B benefits, you can choose a policy that includes other services like a Medicare Advantage Prescription Drug plan that features Part D coverage. Find out what plans are available in your area and whether they offer benefits that could help.We're here to help you choose the ideal plan.
How Can I Get Diapers Covered by Insurance?
Some states’ Medicaid programs may provide coverage for these items. Medicaid requires a doctor’s order that adult diapers are medically necessary. Medicaid is a federal/state program founded alongside Medicare in 1965 that helps those facing a financial need or disability regardless of age. Every state’s program may have differences in coverage, so check what’s available to you.How Can I Get Free Incontinence Supplies?
If you’re able to verify income status, you may be able to receive assistance from a community diaper bank designed to deliver these products for free to individuals in need.
If you’re a caregiver for someone with low-income status, you may be able to apply for a caregiver grant, which provides funds that can pay for adult diapers. Options like the National Family Caregiver Support Program may be able to help.
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Sources
- Incontinence pads & adult diapers. Medicare.gov.