Does Medicare Pay for Adult Diapers? This is a question that we get on a routine basis. And the short answer is NO; Medicare’s coverage of incontinence does not extend to absorbent products like adult diapers.
Medicare does cover other incontinence products like catheters and other external urinary collection devices for patients who have permanent urinary incontinence or permanent urinary retention. They define permanent urinary retention as retention that is not expected to be medically or surgically corrected in that patient within three months.
In many states Medicaid will pay for youth and adult diapers and pads. This will depend on the state in which you reside and whether you qualify for coverage. I will warn you that obtaining the protective pads, diapers and pull-up underwear that you need or like can be difficult as Medicaid typically limits the brands that are offered. I have heard many stories about how the products that are covered are of inferior quality. Depending on the state you live in you may only have a few places to acquire pads, diapers or pull-up underwear. For example, in Indiana there are only a few companies that the state has contracted with to provide youth and adult diapers, which is limiting for the customer and has resulted in a mini-monopoly. There are may draw backs to working with Medicaid to obtain your protective diapers, but hopefully the drawbacks are out weighted by having your diapers, pads and pull-up underwear paid for. Just do not be surprised if you receive poor customer service and inferior products.
For those that have a Health Savings Account, Flexible Spending Account or Health Reimbursement Account you can have the cost of your incontinence products reimbursed (see an earlier blog post on HSA’s, FSA’s and HRA’s for additional information.)
Your Incontinence Partner