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Are Incontinence Supplies Covered by Medi-Cal?

Are Incontinence Supplies Covered by Medi-Cal?

Man smiling outside shown. Are incontinence supplies covered by Medi-Cal? We discuss in this blog.

Are incontinence supplies covered by Medi-Cal? If you’ve recently been diagnosed with incontinence, or have a loved one in need of incontinence supplies, you may be wondering if Medi-Cal can help with the cost. 

Below, we’ll explore details of what Medi-Cal coverage is and how it may be beneficial to some incontinence supply users. 

Urinary Incontinence

Urinary incontinence can be caused by a variety of medical factors, but statistics tell us that it is one of the most common medical conditions in the U.S. today with about 13 million Americans currently experiencing it.

But, what is urinary incontinence exactly?

At its core, urinary incontinence is the inability to control urination. That being said, there are several different types of incontinence: 

  • Overflow Incontinence: This typed of urinary incontinence occurs when there is a constant urinary dribble pursuant to the bladder not completely emptying.
  • Urge Incontinence: When an involuntary loss of urine is experienced following a sudden and intense urge to urinate, it’s known as urge incontinence. This type of incontinence can sometimes be caused by diabetes or other neurological disorders.
  • Stress Incontinence: When actions like sneezing, coughing, laughing, lifting, and exercising cause urine leaks, this is known as stress incontinence; this form of incontinence is most common in women.
  • Functional Incontinence: Functional incontinence is most common in cases where conditions that restrict movement, such as arthritis, or mental impairments impede a patient’s ability to urinate regularly in the toilet.
  • Mixed Incontinence: When a patient experiences more than one type of incontinence, as discussed above, it’s known as mixed incontinence. 
When any of these incontinence diagnoses are experienced, incontinence supplies are often used to help manage urinary incontinence. When these types of supplies, patients often wonder what can be done to reduce spending and costs? Or, are incontinence supplies covered by Medi-Cal? Let’s take a closer look.

What Is Medi-Cal?

Medicaid currently covers approximately 75.4 million Americans in the U.S.; this can include individuals, families, pregnant women, disabled patients, elderly, and children. These individuals who meet low-income or other requirements as established by both state and federal guidelines can qualify for no-cost or low cost healthcare coverage by Medicaid.

While a federal program, Medi-Cal is managed locally by each state. In the state of California, the Medicaid program is known as Medi-Cal. According to California’s Department of Healthcare Services, there are currently 12 million people in the state who use Medi-Cal. 

But who is eligible for Medi-Cal?

Medi-Cal is only available to those who qualify under the qualifications dictated by the state. These qualifications include but may not be limited to: 

  • Pregnancy
  • Age over 65
  • Disabled
  • Youth under the age of 21
  • Caregivers or parents of disabled individuals
  • Recipients of CaWorks, SSI, CalFresh, refugee assistance, and more
  • Individuals who are refugees and in the U.S. on a temporary basis
There are also certain income limitations and restrictions that also apply to Medi-Cal eligibility. You can view these income requirements here.

Are Incontinence Supplies Covered by Medi-Cal?

So, are incontinence supplies covered by Medi-Cal? For those who have Medi-Cal insurance coverage, it’s important to have an idea of what types of services and supplies can be covered. Examples of common supplies and services covered are: 

  • Emergency medical services
  • Dental care
  • Vision care
  • Maternity care
  • Newborn care
  • Hospitalization
  • Outpatient services
  • Mental health services
  • Substance abuse services
  • Prescription medication
  • Chronic disease management
  • Medical Equipment and supplies
  • Incontinence supplies
Incontinence supplies are commonly covered for those in need through Medi-Cal benefits. In order for these incontinence supply coverage to be obtained, there must be documented medical need and physicians must prescribe the specific supplies needed.

Would you like to enroll to receive Medi-Cal covered incontinence products? Complete the form below to get started.

Woman holding incontinence pull up. Are incontinence supplies covered by Medi-Cal? We discuss in this blog.

What Kind of Incontinence Supplies are Covered by Medi-Cal?

The type of incontinence supplies covered by Medi-Cal will vary from patient to patient and be dependent on their individual needs. The types of incontinence supplies that are commonly prescribed and covered by Medi-Cal can include: 

  • Pads/Liners: Pads and liners come in all sorts of shapes and sizes and can be used inside a patient’s underwear for light to medium incontinence support. 
  • Pull Ups: Pull ups are a form of disposable underwear that can be used by both men and women for moderate to heavy incontinence. 
  • Diapers/Briefs: This a more traditional style of incontinence supply; briefs are used for moderate to heavy incontinence and have tape tabs on the side for secure fitting.
  • Booster Pads: Booster pads can be placed inside a diaper or pull up for additional absorbency. 
  • Underpads: Also referred to as chux, underpads can be used to protect beds and seating surfaces from any incontinence-related leaking. 
  • Wipes: Incontinence wipes can be used for cleansing in between changes to keep the patient’s skin clean.
  • Cream: Barrier cream can be applied to a patient’s skin while using incontinence supplies to help keep moisture from resting on the skin.
  • Wash: For some patients, cleansing can be easier during changes by using an incontinence wash. With this type of cleanser, you spray it onto the skin directly and then wipe clean. 
  • Gloves: Gloves can be used by the patient or their caregiver to increase sanitation while changing incontinence supplies. 
Within each incontinence supply category, Medi-Cal has certain medical requirements and quantity limitations in place that your healthcare provider and healthcare supplier can help you understand.

What If I Don't Have Medi-Cal?

If you don’t have health insurance or Medi-Cal that covers incontinence supplies, you do have the option of purchasing them out of pocket. Because these costs can add up quickly if the supplies are needed regularly, it’s essential that cost efficient options are procured for patients. The experts at Active Life Medical can help patients and caregivers navigate finding the most economical and cost-effective adult diaper and incontinence supply options.

Man and woman smiling outside together shown. Are incontinence supplies covered by Medi-Cal? We discuss in this blog.

How Active Life Medical Can Help

When you’re prescribed incontinence supplies and adult diapers, it’s essential that you get the right products quickly, easily, and covered by your insurance or Medi-Cal. Dealing with a professional medical provider that you can trust and who understands your unique needs, such as Active Life Medical, makes the process of navigating choices for your Medi-Cal diapers for adults, billing your insurance, and getting your supplies delivered discreetly to your door a snap. So, if you’re wondering if your incontinence supplies are covered by Medi-Cal, give us a call and we can help!

You can feel confident that you’re in good hands with the experts at Active Life Medical. We’ll walk you through the entire process for incontinence supply coverage, including: 

  • Coordinating paperwork with your physicians and healthcare suppliers
  • Walking you through incontinence supply options and brands
  • Billing your incontinence supply directly to your insurance and handling all of the paperwork
  • Delivering straight to your door quickly and discreetly on your schedule

Active Life Medical’s team of customer service experts can help you with incontinence supplies covered by Medi-Cal or suggest out-of-pocket options that work for your budget. Let us help make the process easy, affordable, and convenient for you. Give us a call at 800-319-2336 today so we can help get the process started.