Single-use medical equipment like intermittent catheters is pricey if you don’t have health insurance. It worries many people when their doctor prescribes intermittent catheterization. The good news is that your health insurance plan can pay for your catheter supplies in whole or part. Learn more about catheter insurance coverage by keeping reading this post.

Does Insurance Cover Catheters?

Yes, insurance covers catheter supplies. That means you can get insurance-covered catheters, whether you have Medicaid, Medicare, or private insurance like Tricare or Blue Cross Blue Shield. But if your insurance covers them, you still have options for purchasing inexpensive catheters. Check out manufacturers such as Active Life Medical Products for amazing deals on diapers, incontinence products, intermittent catheters, and more.

Do I Have To File My Own Health Insurance Claim?

No, you don’t have to file your health insurance claim if you purchase your materials from a reputable supplier. The supplier can handle your claim submissions and insurance provider on your behalf as a part of superior customer care. Additionally, it guarantees that you’ll never have to worry about paying for your catheter supplies in advance and then having to wait weeks for your purchase. For instance, companies like Active Life Medical Products are Medicare-accredited. You can rely on its services and products to follow guidelines and ensure compliance. 

Does Medicaid Pay For Catheters?

You’ll typically be able to get your catheters for little to no money. Medicaid coverage for catheter supplies varies from state to state. Some states may have a deductible or a monthly benefit cap. Additionally, Medicaid eligibility for some catheter types is limited in certain states. Before paying for your medical supplies, you need to meet the spend-down requirement.  

Medicaid is often more confusing than Medicare; you should check your insurance coverage options before placing an order. 

Does Medicare Pay For Catheters?

Medicare (Part B) offers coverage for 200 sterile lubricating packets and intermittent catheters monthly. Typically, your doctor’s prescription determines the number of catheters your insurance will cover.  For instance, you need to cath four times a day per your doctor’s prescription; you can get coverage for 120 catheters a month. After you’ve paid your annual deductible, Medicare will cover 80% of the cost of your intermittent catheters. If you have a private insurance policy in addition to Medicare, it may cover the remaining 20%.

Does Private Insurance Pay For Catheters?

Private insurance policies vary depending on the provider and the plan you choose. Verifying your insurance makes it easier to estimate your out-of-pocket expenses accurately because each plan has different out-of-pocket limits and annual deductibles. Once your deductible is met, most private insurance plans apply a different percentage to your disposable urinary incontinence tools. Fortunately, many private insurance policies offer coverage for the latest catheter products. You get hydrophilic catheters, closed system catheters, or travel catheters ready to use. The coverage of your particular plan and the company play a significant role.

How Many Catheters Will My Insurance Cover?

Remember that you need a doctor’s prescription to purchase catheters, whether you have insurance or not. A prescription is a requirement for all insurance policies, but many insurers also demand extra paperwork.

For instance, Medicare needs a doctor’s prescription and other information to demonstrate the number of catheters you would require throughout 30 days. Medicare offers coverage for 200 single-use catheters per month, sufficient to self-catheterize sterilely 6–7 times daily for 30 days. Your prescription alone will determine how much you can get to this cap.

How Much Do Catheters Cost?

A catheter’s retail price might range from $1.00 to $1.50. If you utilize a hydrophilic catheter or another closed-system option, the cost ranges from $2 to $5 per catheter. Make sure you purchase standard catheters and lubricants to lessen discomfort and difficulties during insertion. The price is high if you will need intermittent self-catheterization in the future.  Let’s assume you choose standard catheters and use the restroom twice daily; this works out to almost $6 each day, $42 per week, and more than $2,000 annually. The cost can pile up rapidly and become difficult to manage. Your insurance providers cover the cost of your catheter supplies. You only need to choose a credible provider and catheter supplier to deal with the insurance coverage.

How Active Life Medical Products Can Help With Catheter Supplies  

You need a trusted catheter supplier when you require catheter supplies. Active Life Medical Products makes ordering the entire catheter supply process easy. Our Product Specialists can help you get your prescribed catheter covered through most insurances. Everything will be delivered directly to your front door.

Call Active Life Medical Products at (800) 319-2336 to place your order.

Find out more about incontinence covered by Medicaid here.


Popular Catheters Covered by Medicare and Medicaid:

                   Hydrophilic Catheters

                   Straight Catheters