At ActivStyle, we’re here to help you when you need medical supplies. Many people have general questions about eligibility for incontinence supplies. Below we have compiled a list of Frequently Asked Questions (FAQs) to help with some of the most common questions you may have about getting incontinence supplies from ActivStyle.
If you have specific questions or want to check your eligibility, please call ActivStyle at 1-888-280-8632, Monday-Friday, 8AM-7PM Central Time.
What is Medicare?
Medicare is a federal insurance program that provides health coverage if you are 65+ or under 65 and have a disability, no matter your income.
Does Medicare cover incontinence supplies?
This is a common question that we hear from seniors every day. Unfortunately, the answer is no. Medicare does not cover incontinence supplies.
What is Medicaid?
Medicaid is a state and federal insurance program that provides health coverage if you have a very low income.
Does Medicaid cover incontinence supplies?
In most states, the answer is yes. There are a few states that do not cover incontinence supplies or will only cover supplies for pediatric patients.
Can someone be eligible for both Medicare and Medicaid?
Yes. If you are eligible for both Medicare and Medicaid (dually eligible), you can have both. They will work together to provide you with health coverage and lower your costs. Also know that while Medicare and Medicaid are both health insurance programs administered by the government, there are differences in covered services and cost-sharing. You can call 1-800-MEDICARE or contact your local Medicaid office to learn more about Medicare and Medicaid costs and coverage, especially if you are a dual-eligible.
Does Medicaid have to be my primary provider?
No. Incontinence products can be provided for beneficiaries who have Medicaid as their primary or secondary provider.
What kind of incontinence supplies can I get from ActivStyle?
ActivStyle offers a range of incontinence supplies to meet your needs. Generally, supplies you may be eligible to receive through Medicaid include protective underwear (pull-up style), Adult diapers, bladder control pads (liners, pads, & guards), booster pads, underpads (chuxs). It is important to note; however, that not all products are available in all states because Medicaid plans vary from state to state.
Does ActivStyle have products for men?
Yes, ActivStyle has a range of incontinence products specifically for men including male guards (bladder control pads for men) and condom catheters. We also have protective underwear, adult diapers, booster pads, and other products to address the incontinence needs of men.
Do I need to see my doctor about my incontinence before I contact ActivStyle?
It’s also a good idea to let your doctor know that you are working with ActivStyle to receive incontinence supplies through Medicaid. Most doctors will not provide a prescription for supplies unless they have seen you recently (i.e. within the past 6-12 months). A prescription will be required for you to receive supplies from ActivStyle through your Medicaid plan.
Do I need a prescription from my doctor to get incontinence supplies from ActivStyle?
Yes, in order for a Medicaid plan to cover incontinence supplies, they must be considered “medically necessary”. Your physician must provide a prescription to ActivStyle. Each Medicaid program has different requirements about which incontinence products are considered medically necessary, so the supplies covered will vary from state to state.
Once we determine that you are eligible to receive incontinence supplies from ActivStyle, our Document Management Team we will contact your doctor for a prescription and any required medical information. There are a variety of reasons that this step in the process can take a while:
Why was I not eligible to receive supplies from ActivStyle?
There several reasons why you may not be eligible to receive supplies from ActivStyle:
Can I get incontinence supplies paid for by Florida Medicaid?
Florida Medicaid does not cover adult incontinence supplies. However, Florida Medicaid does cover incontinence supplies for pediatric patients who are age 4 to 20.
Can I get incontinence supplies paid for by Georgia Medicaid?
Georgia Medicaid does not cover adult incontinence supplies. However, Georgia Medicaid does cover incontinence supplies for pediatric patients who are age 4 to 20.
Can I get incontinence supplies paid for by Louisiana Medicaid?
Louisiana Medicaid does not cover adult incontinence supplies. However, Louisiana Medicaid does cover incontinence supplies for pediatric patients who are age 4 to 20.
If I am in a hospital, nursing home, hospice or other skilled nursing facility, can I get incontinence supplies from ActivStyle?
No. ActivStyle can only deliver supplies to your home. We are not able to supply incontinence supplies to individuals residing in a skilled nursing facility.
What is QMB Medicare?
A Qualified Medicare Beneficiary is a person for whom the government must cover certain health care costs, including premiums, deductibles and copays. The Qualified Medicare Beneficiary (QMB) program is a Medicare Savings Program that helps qualified individuals meet the costs of Medicare premiums and deductibles. To qualify, people must be eligible for Medicare and meet income and asset guidelines.
Does QMB Cover Incontinence Supplies?
Generally, the only supplies you can receive are those covered by Medicare. Incontinence supplies are not covered by Medicare. In order to have incontinence supplies covered, you must qualify for full Medicaid benefits.
Does ActivStyle only provide incontinence supplies?
Besides incontinence products, ActivStyle also offers urology supplies and catheters, pediatric supplies, ostomy supplies, some wound care, and nutritional drinks.