Medicare and Medicaid coverage for absorbent products and catheters varies, with Medicare covering up to 200 catheters and one catheter and lubricant package per month for qualified patients. Private insurance coverage also varies based on company, policy structure, diagnosis, and care protocol, sometimes covering costs completely, partially, or not at all. Health savings accounts and flexible spending accounts may reimburse costs by submitting a receipt, pending approval from the administrator. State Medicaid coverage also differs regarding coverage of incontinence products.
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2. Reimbursement
for Absorbent Products and Catheters
Medicare and Medicaid coverage
Private insurance
Health Savings Accounts (HSAs) and Flexible
Spending Accounts (FSAs)
3. Private Insurance
Coverage varies across the board
Depends on:
Company
Structure of the policy
Diagnosis and care protocol
Upon request, your provider may have you fill out
a form that you send back to the provider or the
payer
Sometimes costs are completely, partially, or not
covered
4. HSAs and FSAs
Coverage varies
Most likely:
Send in a purchase receipt of the cost you want
reimbursed
Wait for the savings plan administrator to decide
If so, you will usually receive a check for the price
on the receipt
5. Medicaid and Medicare
Medicare covers the monthly costs of qualified
patients with retention or voiding dysfunction
for:
Up to 200 single-use disposable catheters
One sterile urological catheter and one packet of
lubricant in each individual package
Medicaid coverage varies from state to state,
some with complete and some with partial
coverage of products
Visit the federal and state Medicaid and Medicare
websites to see if you are eligible