What Is Managed Care Medicaid?

What Is Managed Care Medicaid?

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Chances are that if you have Medicaid, you’ve probably heard the term “Managed Care.” If you’re not sure what it means, then it’s time to find out. It’s a pretty important part of your health coverage.

Managed Medicaid simply refers to how Medicaid benefits are provided to people. Here’s a list of everything you need to know about Managed Care plans.

What is Medicaid Managed Care?

Managed Care, sometimes called Managed Medicaid, means that a state has contracted with a private insurance company to provide Medicaid benefits on behalf of the state. The state pays the insurance company a set amount each month, and in return, the company provides their Medicaid members with healthcare services.

What Medical Benefits Does Managed Care Cover?

Managed Care plans cover all of the Medicaid benefits required by the federal government. Some Managed Care plans may also provide extra benefits. Since Managed Care plans are different for each state, benefits may vary. There may also be differences in the health provider networks available.

Can I Get Medical Supplies with My Managed Care Plan?

You may be eligible to receive certain medical supplies through your Managed Care plan. Coverage depends on your state and specific plan benefits. Here are some of the products you may be eligible to receive:

  • Incontinence – Bladder control pads, adult briefs, and more.
  • Diabetes – Blood glucose monitors, test strips, and more.
  • Wound Care – Gauze, tape, dressings, foam, and more.
  • Ostomy – Skin barriers, pouches, wafers, and more.
  • Urology – Catheters, lubricant, drainage bags, and more.
  • Breast Pumps – Manual and automatic models.

Does Every State Medicaid Program Have Managed Care Plans?

No, not every state offers Managed Care plans. Some states also use Fee-For Service, which means that the state itself provides healthcare benefits and pays for each individual members’ services directly. To learn more, see What Is Fee-For-Service Medicaid.

To find out if you have a Managed Care Plan or Fee-For-Service, call the number on the back of your insurance card or refer to your plan’s benefit handbook.

Getting Supplies With Managed Care

To get supplies with your insurance, call us today or enroll online for incontinence supplies. Our team of experts will explain which supplies your Medicaid plan covers. We can also set you up with monthly product deliveries if needed and bill your Medicaid plan for the cost. The process is simple:

  • Provide us with some basic information
  • We do all the insurance paperwork for you
  • Once complete, we’ll ship you monthly product orders and bill your Managed Care plan

Getting started is quick and easy. Our team will guide you through the process and work with your health plan to help minimize your out-of-pocket costs.

variety of medical supply categories diabetes incontinence ostomy wound

Living with a chronic condition that requires medical supplies?

Let us help you get the products you need — delivered discreetly to your door.

Many people manage ongoing health conditions, and the right medical supplies can make all the difference. The team at HCD works with you, your doctor, and your insurance plan to support a wide range of needs, including urological, ostomy, diabetes, and wound care. We’ll help ensure you get the supplies you need to manage your condition with confidence.

Call 866-938-3906 to see if you qualify or reach out through our Contact Us form by selecting “An individual looking to see if I or a loved one qualifies for medical supplies.”

What Is Medicaid Fee-For-Service?

What Is Medicaid Fee-For-Service?

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If you have Medicaid, you may have heard the term “Fee-For-Service.” Ever wonder what that means, and how it affects your health coverage?

Fee-For-Service simply refers to how healthcare professionals receive payment from Medicaid. Here’s a breakdown of how it works and how to use it for medical supplies.

What is Medicaid Fee-For-Service?

Fee-For-Service means that Medicaid pays doctors and healthcare professionals directly for each service they provide. Here’s a simple example:

  1. A Medicaid member visits the doctor for a check-up
  2. The doctor charges Medicaid a fee according to the state’s fee schedule
  3. Medicaid pays the doctor the fee for that check-up.

Although Fee-for-Service Medicaid pays providers directly, some Medicaid recipients may still have to pay small premiums or copays.

What Medical Benefits Does Fee-For-Service Cover?

You can receive any medical services that your Medicaid plan covers, so long as the service is medically necessary and prescribed by your doctor.

Can I Get Medical Supplies with Fee-For-Service?

Absolutely. You can get any medically necessary supplies covered by your Medicaid plan. Here are some of the products you may be eligible to receive:

  • Incontinence – Bladder control pads, adult briefs, and more.
  • Diabetes – Blood glucose monitors, test strips, and more.
  • Wound Care – Gauze, tape, dressings, foam, and more.
  • Ostomy – Skin barriers, pouches, wafers, and more.
  • Urology – Catheters, lubricant, drainage bags, and more.
  • Breast Pumps – Manual and automatic models.

Does Every State Medicaid Program Use Fee-For-Service?

No, not every state offers Fee-For-Service Medicaid. Some states also have Managed Care Plans, or a combination of Fee-For-Service and Managed Care plans. Managed Care means that the state contracts with private insurance companies to provide Medicaid health plans.

To find out if you have a Managed Care Plan or Fee-For-Service, call the number on the back of your insurance card or refer to your plan’s benefit handbook.

Getting Supplies with Fee-For-Service

To get supplies with your insurance, call us today or enroll online for incontinence supplies. Our team of experts will explain which supplies your Medicaid plan covers. We can also set you up with monthly product deliveries if needed and bill your Medicaid plan for the cost. The process is simple:

  • Provide us with some basic information
  • We do all the insurance paperwork for you
  • Once complete, we’ll ship you monthly product orders covered by your Medicaid plan.

It only takes 10 minutes to get started and could save you hundreds on medical supplies each month.

variety of medical supply categories diabetes incontinence ostomy wound

Living with a chronic condition that requires medical supplies?

Let us help you get the products you need — delivered discreetly to your door.

Many people manage ongoing health conditions, and the right medical supplies can make all the difference. The team at HCD works with you, your doctor, and your insurance plan to support a wide range of needs, including urological, ostomy, diabetes, and wound care. We’ll help ensure you get the supplies you need to manage your condition with confidence.

Call 866-938-3906 to see if you qualify or reach out through our Contact Us form by selecting “An individual looking to see if I or a loved one qualifies for medical supplies.”

Medicaid Benefits for Seniors and The Elderly

Medicaid Benefits for Seniors and The Elderly

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There’s no arguing that healthcare is a challenging cost for senior citizens. Research suggests that the average senior citizen will need $172,000 to cover health expenses after age 65. But if you have Medicaid, that cost could be greatly reduced.

Not everyone knows it, but Medicaid covers many health services that senior citizens need. Seniors with Medicaid can use their benefits to receive these services at little to no cost. Below are some of the benefits most applicable to seniors:

Incontinence Supplies

Many state Medicaid plans cover the cost of incontinence supplies like adult briefs, bladder control pads, and pull-on underwear. Qualifying Medicaid members can receive monthly deliveries of these products right to their door at little to no cost.

This benefit is very helpful for individuals with tight budgets. Incontinence supplies can cost between $900-$2,400 per year, with some estimates reaching $5,000 per year. Medicaid could reduce this cost, and with a supplier like Home Care Delivered, these products can be delivered discreetly to your door each month when needed. No more embarrassing trips to the store to buy supplies!

Diabetic Testing Supplies

Medicaid also covers diabetic testing supplies such as blood glucose monitors, testing strips, lancets, and test formula. Like incontinence products, diabetic supplies can be delivered at little to no cost for qualifying Medicaid members. This is a huge benefit for people with diabetes. The average cost of diabetes treatment alone averages $9,600 per year. Qualifying Medicaid plans can reduce this expense by covering the cost of testing supplies.

Programs of All-Inclusive Care for the Elderly (PACE)

Medicaid could also cover the cost of Programs of All-Inclusive Care for the Elderly (PACE). PACE programs offer a huge range of healthcare services to seniors, including dental, home care, meals, prescriptions, hospital care, and more.

PACE programs have a monthly premium. If you have Medicaid, then that premium could be covered by your benefits. This is great news, because it means qualifying members can receive a wide variety of health services at little to no cost.

Mobility Aids

Many Medicaid plans cover mobility aids. Depending on the Medicaid plan, qualifying members could receive their mobility aids at a reduced price or at no cost at all.
This is great news, as mobile aids can range in cost from hundreds to thousands of dollars. With Medicaid covering part or all of the cost, seniors can get the equipment they need to enjoy life and remain independent.

Arthritis Treatment

Medicaid also covers treatments for arthritis. This could include things like anti-inflammatory drugs, pain relief medication, and joint surgery. Qualifying Medicaid members could receive these treatments at little to no cost to them.

This benefit is perfect for individuals who need regular treatment for arthritis. Medication can be very expensive, reaching as high as $30,000 annually. Surgery can cost even more. Medicaid can reduce the cost and allow seniors to receive the treatment they need.

Other Benefits

There are many other health services that Medicaid could cover, including Medicaid benefits for people with Alzheimer’s and Dementia. Here are a few more:

  • Catheters & urological supplies
  • Lab work & X-rays
  • Bandages & wound care products
  • Home Health
  • Personal Care Assistant
  • Nursing Facility

To find out if any of these benefits are an option, call the number on the back of the Alzheimer patient’s Medicaid card.

graphic illustrating online way to see if you qualify graphic of shipping truck over an arrow pointing to delivered HCD supply box

Living with a chronic condition that requires medical supplies?

Let us help you get the products you need — delivered discreetly to your door.

Many people manage ongoing health conditions, and the right medical supplies can make all the difference. The team at HCD works with you, your doctor, and your insurance plan to support a wide range of needs, including urological, ostomy, diabetes, and wound care. We’ll help ensure you get the supplies you need to manage your condition with confidence.

Call 866-938-3906 to see if you qualify or reach out through our Contact Us form by selecting “An individual looking to see if I or a loved one qualifies for medical supplies.”

Medicaid Benefits for Alzheimers and Dementia

Medicaid Benefits for Alzheimers and Dementia

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Providing care for someone with Alzheimer’s or Dementia can be challenging on a tight budget. Luckily, Medicaid provides many benefits that can make care more affordable.

If you’re caring for someone with Medicaid or a waiver, there may be some benefits that could help. Not everyone knows about these benefits, so we’ve highlighted some of them here.

Incontinence Supplies

Many don’t know it, but most state Medicaid plans currently provide coverage of absorbent incontinence supplies. Medicaid recipients may be eligible to receive products like adult diapers at little to no cost.

For caregivers, that means less money spent out of pocket on supplies. Incontinence products can be expensive, costing on average $5,000 per person annually. Using Medicaid benefits to get supplies from a provider (like Home Care Delivered) ensures you have products available when you need them.

In-Home Assistance

Depending on the state, Medicaid could also cover In-Home Assistance. In-Home Assistance covers the cost of an aide to help with Activities of Daily Living (ADLs) such as bathing, cleaning, and eating. In-Home Assistance is great for caregivers with busy schedules. Not only does it provide additional care for the patient, but it also helps with the cost, making quality care more affordable.

Adult Day Care Centers For Alzheimer’s and Dementia (ADCC)

Medicaid could also cover the cost of an Adult Day Care Center (ADCC) that specializes in Alzheimer’s and Dementia. Adult Day Care Centers are facilities that supervise and support elderly and disabled adults during the day.

The cost of Adult Day Care Centers can be expensive. The average cost can be as high as $27,000 per year. Medicaid can make adult day care centers affordable for professional-level support when it’s needed most.

Home Health Services

Many Medicaid plans provide coverage of Home Health Services. With this benefit, people with Alzheimer’s or Dementia may qualify for a range of medical services while at home.

Home Health care can cost between $4,000 and $6,700 per month, depending on location and level of care. That adds up to $48,000–$80,000 per year, which is more than many families can afford. Fortunately, Medicaid can significantly reduce or even eliminate these costs for eligible individuals, making it a crucial resource for families managing dementia care at home.

Close up photo of home health nurse helping senior woman walk

Respite Care

Medicaid could also cover respite care for friends and family members who are caring for the individual. Respite care covers the cost of providing care for a few hours a day/week.

Respite care is great for caregivers who have many responsibilities to manage. It provides them with more time to handle their own needs while ensuring their loved ones are getting the quality care they need.

Medical Transportation

Medicaid also could cover transportation to and from doctor’s visits or other healthcare appointments. For disabled individuals, this can also include help with mobility needs, such as getting to and from a vehicle.

This benefit allows patients to get the care they need even when their caregivers are not available to transport them. It also reduces the cost of transportation, which can anywhere from $50 to $200 per trip.

Other Medicaid Benefits Helpful to Alzheimer’s and Dementia Patients

There are many other benefits that Medicaid could provide, including Medicaid benefits for seniors and the elderly. Some of the additional benefits available for people with Alzheimer’s and Dementia may include:

  • Catheters & urological supplies
  • Lab work
  • X-rays
  • Bandages & wound care products
  • Dentures
  • Diabetic supplies
  • Prescriptions
  • Nursing Facility

Of course, it is also important to consider when it might be time for an Alzheimer’s patient to require more attention that what may be available at home. While caring for someone with this condition, watch out for signs that they may not be able to live alone.

To find out if any of these benefits are an option, call the number on the back of the Alzheimer patient’s Medicaid card.

graphic illustrating online way to see if you qualify graphic of shipping truck over an arrow pointing to delivered HCD supply box

Living with a chronic condition that requires medical supplies?

Let us help you get the products you need — delivered discreetly to your door.

Many people manage ongoing health conditions, and the right medical supplies can make all the difference. The team at HCD works with you, your doctor, and your insurance plan to support a wide range of needs, including urological, ostomy, diabetes, and wound care. We’ll help ensure you get the supplies you need to manage your condition with confidence.

Call 866-938-3906 to see if you qualify or reach out through our Contact Us form by selecting “An individual looking to see if I or a loved one qualifies for medical supplies.”

What Is Incontinence? Types and How To Manage It

What Is Incontinence? Types and How To Manage It

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What Is Incontinence?

Incontinence is the involuntary release or loss of urine or feces.

There are two basic categories:

  • Urinary incontinence (also called bladder leakage) is the accidental loss of urine. It’s the most common type, especially among women.
  • Fecal incontinence is the accidental loss of a bowel movement. People who experience fecal incontinence often experience urinary incontinence as well.

Lots of things can cause incontinence, such as weakened muscles, nerve issues, and cognitive disorders.

Types of Urinary Incontinence

There are four basic types of urinary incontinence:

  • Stress Incontinence occurs when the pelvic and sphincter muscle weaken, making it difficult to contain urine.
  • Urge Incontinence occurs when there’s a quick, sudden urge to use the bathroom that’s followed by leakage.
  • Overflow Incontinence occurs when the bladder does not empty properly, causing it to overflow and leak urine.
  • Functional Incontinence occurs when another medical or physical condition prevents an individual from reaching a bathroom in time.

Managing Incontinence with Absorbent Supplies

Absorbent incontinence supplies are discreet products that absorb urine and stool. They’re filled with a special polymer that pulls leakage away from the skin, keeping it clean and dry. Incontinence products are very thin and can be worn under clothing without notice.

There are three basic types of incontinence products:

  • Bladder control pads
  • Disposable protective underwear (Pull-Ons)
  • Adult briefs

Each one is designed to handle different types of leakage. To learn more, read this article about types of incontinence products.

Affording Incontinence Supplies

Incontinence supplies can be expensive, costing as much as $900-$4,000 per year. Here are some ways to help reduce the cost of getting the supplies you need.

Medicaid

Many people don’t realize it, but most Medicaid plans cover incontinence supplies. If you have Medicaid, you may be eligible to receive monthly supplies delivered and covered by your benefits.

Each state has its own requirements and coverage. To learn more about your state’s coverage, visit our Medicaid Coverage of Incontinence Supplies Guide.

Diaper Banks

Diaper banks provide incontinence supplies to people who can’t afford them. The supplies are usually donated, which means that the same products may not always be available.
For more ways to afford incontinence supplies, read our guide to incontinence supplies for lower incomes.

graphic illustrating online way to see if you qualify graphic of shipping truck over an arrow pointing to delivered HCD supply box

You or a loved one dealing with incontinence?

Let us help you get the supplies you need to feel supported, comfortable, and confident.
If you’re managing bladder or bowel incontinence — from light to heavy needs — our team at HCD will work with you, your doctor, and your insurance plan to deliver a personalized product solution that fits your specific situation.

Call 866-938-3906 or share your information through our online enrollment form to get started.

Online Enrollment for Medicaid-Covered Incontinence Supplies

Online Enrollment for Medicaid-Covered Incontinence Supplies

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In today’s digital world, you can sign up online to get just about anything you need: Razors, groceries, and for the first time ever, Medicaid-covered incontinence supplies.

That’s why HCD offers online enrollment for Medicaid-covered incontinence products, so you can start the process anytime, from anywhere.

If you have Medicaid, you can now enroll for free monthly delivery of supplies 24 hours a day, 7 days a week.

Why Online Enrollment Matters

Traditional enrollment often means long phone calls, inconvenient hours, and sharing personal details over the phone. This can cause a lot of frustration and discomfort.

Online enrollment gives you flexibility and privacy by letting you start the process when it works for you. You choose when you start enrollment, and also when you finish it.

How Does Online Enrollment Work?

HCD Online Enrollment Benefits

  • Start anytime, 24/7
  • Complete the form at your own pace
  • Quick confirmation call — no long phone conversations
  • Mobile-friendly, so you can enroll from anywhere
  • 100% private & discreet
  • No credit card required
  • Mobile friendly – sign up anywhere!

Getting started is easy and designed to fit your schedule. Simply click the button below and follow the step-by-step instructions. Once you submit the form, our team will handle the next steps—like verifying your insurance and coordinating with your doctor.
How It Works:

  • Fill out the online form at your convenience. What You’ll Need:
    1. Medicaid member ID
    2. Doctor’s contact information
    3. Your contact details
  • We’ll verify your insurance coverage right away if you provide your Medicaid ID.
  • Our team will follow up with a quick confirmation call to make sure your product and size are right for your needs.
  • We’ll work with your doctor to collect any required documentation.

We’ll also give you a quick confirmation call to make sure your product and size are right for your needs. After everything is confirmed, your supplies will be shipped discreetly to your door.

graphic illustrating online way to see if you qualify graphic of shipping truck over an arrow pointing to delivered HCD supply box

You or a loved one dealing with incontinence?

Let us help you get the supplies you need to feel supported, comfortable, and confident.
If you’re managing bladder or bowel incontinence — from light to heavy needs — our team at HCD will work with you, your doctor, and your insurance plan to deliver a personalized product solution that fits your specific situation.

Call 866-938-3906 or share your information through our online enrollment form to get started.

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