Medicaid-covered bladder control and incontinence products

Medicaid-covered bladder control
and incontinence products at
little to NO COST to you.^*

Ask if you qualify for a
FREE product sample.

HAVE MEDICAID? NEED BLADDER CONTROL SUPPLIES?

Get Incontinence Supplies Through Medicaid for Little to NO COST Out-Of-Pocket to You^*

Check Eligibility by Calling 1-888-273-4535
Incontinence Experts Available Monday – Friday, 8AM – 7PM CT

Medicare and most commercial/private insurance plans NO NOT cover bladder control and incontinence supplies.

Since 1997, ActivStyle has been the trusted leader in home delivery of quality bladder control and incontinence supplies. Each month, we assist tens of thousands of seniors, disabled adults, and special needs children nationwide with these medically necessary supplies.

What products may be available to you?

Eligible Medicaid plans may cover products like:

adult diapers/briefs
protective underwear/pull-ups
bladder control pads/liners
male guards
booster pads
underpads (chux)
gloves, and more!

These supplies may be available at little to NO COST out-of-pocket to you, if you have an eligible Medicaid plan.^*

Ask us about a free product sample to try.
Product samples are available to those who have an eligible Medicaid plan.

Get supplies in 3 easy steps!

Provide your information on the form to the right. Then we will call you to get your Medicaid and doctor information.
We’ll handle the prescription with your doctor, the insurance paperwork, and bill your insurance on your behalf.
Finally, you’ll get supplies shipped discreetly to your home!

Call us today for a personal, no-obligation consultation to check eligibility.

Call toll-free 1-888-273-4535

Speak to an Incontinence Expert Monday – Friday, 8AM – 7PM CT

Note: Medicare and most private insurance DO NOT cover incontinence supplies.

New customer inquiries only, please complete the form below.

Patient's Name*
First Last
Name of person submitting this form*
First Last
YOUR Relationship to Patient*
Contact Email
Contact Phone*
Patient's Address*
Street Address Address Line 2 City State Zip
Patient's Date of Birth
Month
Day
Year
Depending on their Medicaid plan, patient must be at least 3 to 5+ years old to be eligible.
Insurance Type (check all that apply)*
- Medicaid
- Medicare (does not cover incontinence supplies)
- Other
Which supplies do you need? (Select all that apply. Prescription required.)*
- Incontinence or Bladder Control Products (pullups, diapers, pads, gloves, underpads/chux, etc.)
- Urological Supplies (catheters and associated supplies)
- Ostomy Supplies
- Other (please explain in comments below)
Comments (comments here are optional)
Comments in this field are optional
Acknowledgment*
- I acknowledge that I am either a new patient or an authorized agent coordinating care of a new patient, and the new patient is aware that ActivStyle will be contacting them.

Submit the form and we will call you back within 2 business days.

By clicking “Submit”, you authorize an ActivStyle representative to contact you via phone, text, or email using the information provided above. You can revoke this consent by notifying ActivStyle via webform located here. You agree to the Terms of Use and Privacy Policy. Your personal information will never be sold or shared.

Discover the ActivStyle advantage:

Affordable – Little to NO COST out-of-pocket to Medicaid-eligible clients.^*
Free Sample – Ask about a free product sample to try for proper fit and performance.^**
Quality of Our Products – High quality name brands like Rely^® and Prevail^®.
Convenient – No more inconvenient trips to the store for incontinence supplies. ActivStyle delivers directly to your home via UPS.
Discreet – Your order is shipped in discreet, brown boxes.
Expertise – Our compassionate, trained Product Experts can help you select the best bladder control and incontinence products for your needs.
Easy – Let ActivStyle handle the details. We contact your doctor for the required prescription, process all the insurance paperwork, bill insurance, and even remind you each month when it’s time to reorder.
Get-It-Right Guarantee – We guarantee you will be satisfied with our product’s performance, quality, comfort, and fit or we will make it right.
Accredited – ActivStyle is nationally recognized by ACHC (Accreditation Commission for Health Care) which validates our commitment to high quality patient care and service.
Superior Customer Service – 94% of customers surveyed would recommend ActivStyle to a friend, family, or colleague and 95% of customers surveyed were satisfied with ActivStyle’s customer service.

* Patient financial responsibility is determined by health plan eligibility and patient meeting qualifying medical necessity criteria. Estimated out-of-pocket costs will be discussed prior to service. ** Product sample, for sizing and performance, available to eligible patients with first order. Product availability may vary by state. Offer not available to current ActivStyle clients.

Here’s what real customers say about ActivStyle

“It’s just the greatest thing to have ActivStyle for my active life. I tried several different kinds of pullups before ActivStyle, but when I got the pullups from ActivStyle, they just fit. That’s a wonderful thing to have them fit like regular underpants. ActivStyle has really helped me because I’m an active person. Now I can get out and go and not worry about having embarrassing accidents in public.”
Diann – ActivStyle Customer

“I’ve been using ActivStyle about three years now. ActivStyle has given me freedom. I can go out and do things without any worries, about any leaks happening. And the pullups, I love the comfort, a slim design, I can wear anything with them without feeling uncomfortable or anything. When I go out, I feel really protected.”
Connie – ActivStyle Customer

Call now for a personal consultation to determine eligibility.

Call 1-888-273-4535, Monday – Friday 8:00 AM to 7:00 PM CST.

We are committed to making your life easier

We have high-quality bladder control and incontinence products to help keep you dry and comfortable.

ActivStyle offers a full range of incontinence products for adults and special-needs children, including protective underwear (pullups), diapers/briefs, pads, liners, male guards, booster pads, underpads (chux), and male external catheters.

Baby Diapers

Youth Pullups

Training Pants

Protective Underwear (Pullups)
Moderate to Heavy Absorbency

Adult Diapers (Briefs)
Heavy Absorbency

Liners, Pads, and Guards
Light to Moderate Absorbency

Underpads (Chux)
Protection for Beds, Chairs, and other Furniture

Booster Pads
Increases Absorbency for Protective Underwear and Diapers

Male External Catheter
Condom Catheter

ACHC Accredited

ActivStyle is nationally recognized by the Accreditation Commission for Health Care, Inc. (ACHC). This designation demonstrates our commitment to continued compliance with ACHC’s high standards and the continued education of our employees regarding the policies and procedures that govern a medical supply company.

Medicaid-covered bladder control and incontinence products at little to NO COST to you.*