Introduction
Managing incontinence can be a daily challenge for many adults and children. For those who qualify, Medicaid may cover pull-ups (protective underwear) at no cost. These supplies are considered medically necessary for individuals with chronic incontinence, mobility limitations, or developmental conditions.
At Finnegan Health, we help patients and caregivers across the U.S. access high-quality incontinence products—like pull-ups—through Medicaid. In this guide, you’ll learn how coverage works, who qualifies, and how to get started.
Does Medicaid Cover Pull-Ups?
Yes, Medicaid can cover pull-ups for eligible individuals. However, coverage varies by state and depends on:
- A physician’s diagnosis or medical justification
- Evidence of medical need (e.g., daily incontinence)
- The age of the patient (most states require the patient to be at least 3 or 4 years old)
Pull-ups are commonly covered for children with developmental delays and for adults with mobility or cognitive challenges. These products are categorized as Durable Medical Equipment (DME) under Medicaid.
Who Qualifies for Free Pull-Ups?
Eligibility generally includes:
- Medicaid enrollment (state-specific plans)
- Diagnosis of incontinence, neurogenic bladder, Alzheimer’s, or developmental disabilities
- Patients age 3 and older who are not toilet trained due to a medical condition
Patients will typically need documentation from a doctor stating that incontinence products are medically necessary for daily living and hygiene.
How to Get Pull-Ups Covered Through Medicaid
Here are the general steps:
- Visit your healthcare provider and discuss incontinence needs
- Get a prescription or Letter of Medical Necessity (LMN)
- Work with a Medicaid-approved supplier like Finnegan Health
- We handle prior authorizations and insurance verification
- Receive your products monthly, delivered directly to your home
Depending on the state and medical condition, coverage may allow for a certain number of pull-ups per month (e.g., 180 per month for severe incontinence).
What Pull-Up Brands Are Covered by Medicaid?
Medicaid may cover:
- Prevail
- Attends
- Tena
- Covidien
- Generic medical-grade brands
Availability depends on your state’s formulary. Finnegan Health helps you select products that meet Medicaid’s criteria while ensuring comfort and performance.
How Finnegan Health Makes It Easy
We specialize in helping patients access incontinence supplies through Medicaid. Here’s how we simplify the process:
- Insurance Verification: We confirm your Medicaid eligibility and check what products your plan covers
- Doctor Coordination: We request any documentation or prescriptions needed
- Home Delivery: Discreet and reliable shipping straight to your doorstep
- Ongoing Support: We handle reorders and help you navigate coverage changes
FAQs About Free Pull-Ups Through Medicaid
1. Can adults get pull-ups for free with Medicaid?
Yes. Adults with a diagnosis of incontinence or a related condition can qualify for Medicaid-covered pull-ups with proper documentation.
2. What about children with special needs?
Children over the age of 3 may qualify if they are not toilet trained due to a medical condition. Medicaid generally requires a prescription or medical justification.
3. How many pull-ups can I get per month?
Most Medicaid plans allow a specific quantity per month (often between 120–200). The exact number depends on your state and level of need.
4. What happens if Medicaid denies my request?
Finnegan Health can help you appeal or find an alternative product that is covered. We also offer affordable cash-pay options if needed.
5. How do I start the process?
Contact us or submit your information through our website. We’ll take it from there.
Conclusion
If you or your loved one needs incontinence supplies, you may be eligible to receive pull-ups for free through Medicaid. At Finnegan Health, we make the process easy, from verifying your insurance to delivering your products right to your door.
Start today by visiting our insurance coverage page or browsing our incontinence product offerings.
