Understanding Medicare Coverage for Incontinence Supplies

Navigating Medicare coverage for incontinence supplies can be complex. Here's a breakdown to help clarify what is and isn't covered:

Medicare Part B (Medical Insurance):

• Covers: Outpatient services, including doctor visits to diagnose incontinence and certain durable medical equipment (DME) such as:​

  • Internal or external pelvic floor stimulators​

  • Condom or indwelling catheters​

  • External urinary collection devices​

• Does Not Cover: Disposable items like adult diapers or absorbent pads, as these are considered personal hygiene products, not DME.​

  
  

Medicare Part C (Medicare Advantage):

• These plans must cover everything included in Original Medicare (Parts A and B).​

• Many Part C plans offer additional benefits, potentially covering over-the-counter items.​

• You might be able to purchase adult diapers or other absorbent supplies and seek reimbursement, depending on your specific plan.​

  
  

Medicare Part D (Prescription Drug Coverage):

• Does not cover incontinence supplies.​

• May help cover medications prescribed to treat incontinence.

  
  

Medicaid:

• Coverage for incontinence products varies by state.​

• Some states may have copayments or limits on the number of supplies covered.​

• Contact your local Medicaid office for specific information.​

  
  

Key Takeaways:

• Medicare's coverage for absorbent incontinence supplies is limited.​

• Part C plans may offer additional benefits covering such supplies.​

• For specific coverage details, contact Medicare at 800-633-4227 (TTY: 877-486-2048) or consult your plan provider directly.​

  
  

​Understanding these distinctions can help you navigate your options and ensure you receive the necessary support for managing incontinence.

Catlett, T. (2024, September 13). Does Medicare cover incontinence supplies? AOL. https://www.aol.com/lifestyle/does-medicare-cover-incontinence-supplies-121404275.html