Trying to afford incontinence supplies is a tough challenge, but if you live in North Carolina and have Medicaid, there’s good news for you. North Carolina Medicaid offers coverage of incontinence supplies.
Does North Carolina Cover Incontinence Supplies?
North Carolina Medicaid is currently one of 45 state programs that offers incontinence product coverage as a benefit. If you live in North Carolina and you have Medicaid, you may be able to get adult briefs, bladder control pads, or protective underwear at little to no out-of-pocket expense.
North Carolina Medicaid Incontinence Coverage Requirements
North Carolina Medicaid only covers incontinence supplies when they are medically necessary. For products to be medically necessary, a doctor must confirm that they are needed to treat or manage a condition. Only a doctor or other qualified medical professional can make this determination.
In some cases, North Carolina Medicaid might require that they pre-approve the incontinence products before you can receive them.
North Carolina Medicaid Incontinence Coverage Details
North Carolina Medicaid coverage is offered through Fee-For-Service.
Types of Benefit:
Requirements for Coverage:
- A doctor or qualified medical professional must confirm that incontinence supplies are medically necessary as part of treatment.
- Products are only covered for recipients over the age of 3.
- Pre-approval from Medicaid may be required in order to get supplies.
HCD participates can provide coverage to Fee-For-Service Customers!
How to Get Your Supplies
To use North Carolina Medicaid to get supplies, you must first go to a doctor and get a diagnosis. A diagnosis from a doctor is required in order for your supplies to be considered medically necessary. Once a need for incontinence has been confirmed by a doctor, you may be able to use North Carolina Medicaid to get supplies.
After you’ve visited the doctor, call us to set up your orders. Each month, we’ll send you the supplies you need and bill Medicaid on your behalf. Our team will also handle the paperwork for you, so you don’t have to worry about any of the complicated details.
If you’re a Medicaid recipient in another state, you can find out more about your coverage options in our Guide to State Medicaid Coverage of Incontinence Supplies.