Bezzy communities provide meaningful connections with others living with chronic conditions. Join Bezzy on the web or mobile app.
Can't get enough? Connect with us for all things health. diaper pants for elderly
Original Medicare (parts A and B), Medicare Advantage (Part C), and prescription drug (Part D) plans cover different aspects of diagnosis and treatment for incontinence.
Your options depend on the part of Medicare you have and the type of incontinence supplies or products you need.
Part B is medical insurance. It covers outpatient services, including doctors’ visits to determine the underlying cause of incontinence and durable medical equipment (DME).
DME for incontinence may include:
Part B does not cover adult diapers or other absorbent incontinence supplies. These items are considered disposable personal hygiene products, not DME.
In 2024, most people will pay a monthly premium of $174.70. Your premium may be higher depending on your income.
After you pay a $240 deductible, you’ll generally pay 20% of all Medicare-approved costs for covered services.
Part C plans are required to cover the same incontinence services as Original Medicare. Many Part C plans offer additional health and wellness benefits, including coverage for over-the-counter items.
That means you may be able to purchase adult diapers or other absorbent incontinence supplies and seek reimbursement from your Part C plan.
Part D is prescription drug coverage. It doesn’t cover adult diapers or other absorbent incontinence supplies. However, it can help cover the cost of certain medications used to treat incontinence.
Each Part D plan sets its own cost and coverage amounts. The amount of coverage each plan provides depends on its formulary and tier system.
Most Medicaid programs cover incontinence products, but the extent of coverage can vary from state to state. Some states may have copayments or limits on the number of supplies covered.
You can contact your local Medicaid office to learn more.
Medicare’s coverage for absorbent incontinence supplies is limited. You may be eligible for coverage under Part C, but most plans focus on DME, outpatient treatments, and prescription medications.
If you have questions about your coverage, you can call Medicare at 800-633-4227 (TTY: 877-486-2048).
If you have a Part C or Part D plan, you may need to contact your plan provider directly. Look for a phone number on your plan’s card or a “Contact Us” page on your insurance provider’s website.
Medicare has a phone number that you can call 24/7 for help. Companies that offer Part C, Part D, or Medigap plans also provide telephone assistance…
Learn what's offered through the Medicaid home and community-based services (HCBS) waiver program and how to check your eligibility.
Save yourself the shopping headache with our 7 picks for incontinence bed pads.
Medicare coverage for an ingrown toenail depends on whether a clinician decides it's medically necessary.
Medicare doesn't cover naturopathic doctors. But some of the services they provide may be eligible for coverage.
True out-of-pocket (TrOOP) costs are payments you make for prescription drugs with a Medicare Part D plan.
Medicare may not cover many TMJ treatments. Learn more here.
Medicare typically covers Gentle Cure. Learn more here.
The ACA provided many changes for the Medicare system. Learn more here.
pee pad Certain Medicare plans typically cover at least part of the cost of inhalers for COPD. There are also several ways to further save on costs.