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MedicallyModern

Incontinence

Incontinence Supplies, Covered by Insurance

Adult diapers, briefs, pull-ons, bladder pads, and underpads, a covered benefit under most New York Medicaid and managed care plans, delivered in plain boxes across the five boroughs, Long Island, Westchester, Putnam County, Dutchess County including Poughkeepsie, and all of New York.

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Discreet packages of adult diapers, briefs and underpads covered by Medicaid, delivered monthly

Key takeaways

  • We verify your current benefits and provide an estimate of your expected out-of-pocket cost before shipment. Benefit information is not a guarantee of payment; final coverage and patient responsibility are determined when your plan processes the claim.
  • 1 incontinence bundles available, billed to Medicare, New York Medicaid, and major commercial plans.
  • Same-day benefit verification, with your expected out-of-pocket sent to you in writing before anything ships.
  • Delivery across the five boroughs, Long Island, Westchester, Putnam County, Dutchess County including Poughkeepsie, and all of New York. Eligible supplies can be shipped statewide. Items requiring measurement, customization, fitting, or adjustment are handled through an in-person delivery or fitting process.

What we offer

Adult diapers and incontinence supplies covered by Medicaid

  • Incontinence Supplies & Resupplies (briefs, underpads, wipes, skin care delivered together)

    Adult briefs or pull-ons in your size, bladder pads, and disposable underpads, sized and adjusted with you and shipped in unmarked boxes. Cleansing wipes and skin barrier products can ship with the same order, but they are covered separately and are not always a covered benefit, we tell you which items your plan includes and price the rest before you decide.

Coverage explained

How the Medicaid diaper program works

Original Medicare Part B does not cover adult briefs, pull-ons, pads, or underpads. New York Medicaid, Medicaid managed care, and many Medicare Advantage and waiver programs do cover them with a practitioner's order, subject to quantity limits. Under NY Medicaid a $1 copayment per covered supply item can apply, with exemptions for certain members, and current limits are generally up to 250 diapers and/or liners and up to 150 disposable underpads per 30 days based on the practitioner's order; higher quantities require prior approval and supporting documentation.

  1. 1

    We confirm which plan pays

    Original Medicare does not pay for these supplies. If you have Medicaid, primary or secondary, or a Medicare Advantage plan with an OTC or supply benefit, that is the benefit we bill. We verify your current benefits and provide an estimate of your expected out-of-pocket cost before shipment. Benefit information is not a guarantee of payment; final coverage and patient responsibility are determined when your plan processes the claim.

  2. 2

    Prescription and diagnosis

    Plans require a prescription and a documented diagnosis such as urinary or bowel incontinence, often tied to an underlying condition. We request it from your provider.

  3. 3

    Quantity limits and copayments

    NY Medicaid limits are generally up to 250 diapers and/or liners and up to 150 disposable underpads per 30 days, set by the practitioner's order, with higher quantities requiring prior approval and documentation. A $1 copayment per covered supply item can apply under NY Medicaid, with exemptions for certain members. We help you pick the mix that gets you through the month and request an increase when the ordered quantity needs to be higher.

  4. 4

    Discreet delivery, confirmed each cycle

    Supplies arrive in plain boxes with no product names on the outside. We track when you may be eligible for a refill and contact you before each cycle. Nothing ships until you or your representative confirms that it is needed.

What patients typically pay

We verify your current benefits and provide an estimate of your expected out-of-pocket cost before shipment. Benefit information is not a guarantee of payment; final coverage and patient responsibility are determined when your plan processes the claim.

Want the specifics for your plan? Read how our insurance process works or check your coverage.

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Why Medically Modern

Why patients choose Medically Modern for incontinence

Dignity is the product here. Plain packaging, a coordinator who doesn't make it awkward, and sizing help so you're not managing leaks with the wrong product.

  • In-network with all major insurances

    Medicare, Medicaid, and the major commercial carriers. We verify your current benefits and provide an estimate of your expected out-of-pocket cost before shipment. Benefit information is not a guarantee of payment; final coverage and patient responsibility are determined when your plan processes the claim.

  • White-glove, high-touch service

    A named care coordinator who contacts your doctor's office and handles prior authorization. We support or submit an appeal where permitted and authorized. You never sit on hold chasing paperwork.

  • Sizing help, discreet packaging, patient-confirmed refills

    A coordinator sizes the product with you so leaks stop instead of stacking products, everything ships in plain boxes with no product names outside, and we contact you before each cycle rather than shipping on our own schedule.

Incontinence covered by the plans we bill every day

  • Medicare A&B
  • NY Medicaid
  • Aetna
  • Humana
  • Fidelis
  • NYSHIP Empire
  • Anthem BCBS
  • MagnaCare
  • UnitedHealthcare

Participation varies by plan and product, we verify your specific plan before anything ships.

Plus most regional Medicaid, Medicare Advantage, and commercial plans. Not sure? We'll check for you.

Incontinence FAQ

Medicaid incontinence supply questions

Official coverage sources

Read the payer rules directly, then let us verify what your own plan allows.

In New York, yes. Medicaid and Medicaid managed care plans cover adult diapers, briefs, pull-ons, bladder pads, and underpads with a practitioner's order and a documented diagnosis. Current limits are generally up to 250 diapers and/or liners and up to 150 disposable underpads per 30 days, and a $1 copayment per covered supply item can apply, with exemptions for certain members.

Your prescriber documents the diagnosis and the number of changes per day, your plan authorizes a quantity within the standard 30-day limits, and a supplier bills Medicaid directly. Quantities above the limits need prior approval with documentation. We handle the authorization. We track when you may be eligible for a refill and contact you before each cycle. Nothing ships until you or your representative confirms that it is needed.

When Medicaid or a Medicaid managed care plan covers you, incontinence supplies are generally a covered benefit subject to quantity limits, and a $1 copayment per covered supply item can apply with exemptions for certain members. We verify your current benefits and provide an estimate of your expected out-of-pocket cost before shipment. Benefit information is not a guarantee of payment; final coverage and patient responsibility are determined when your plan processes the claim.

No. Original Medicare Part B does not cover adult briefs, pull-ons, pads, or underpads. Many Medicare Advantage plans and Medicaid secondary coverage do, and we check both before you spend anything out of pocket.

Overnight and daytime adult briefs with tabs, pull-on protective underwear, bladder pads, and disposable underpads in every size, from major brands. We size you with a coordinator so leaks stop instead of stacking products.

Yes. We serve Medicaid and managed care members across the five boroughs, Long Island, Westchester, Putnam County, Poughkeepsie, and all of New York, with plain-box monthly delivery.

We can request a quantity increase with supporting documentation from your provider, and we'll help you pick more absorbent products so the allowance stretches further.

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Other ways we help

Explore all nine categories

One supplier, nine insurance-covered product lines.