Part III: Tips For Medical ReimbursementContinence Care Management: What A Family Caregiver Needs to Know

From The National Association For Continence

Reimbursement for Absorbent Products and Catheters

• Medicare and Medicaid coverage

• Private insurance

• Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs)

Private Insurance

• Coverage varies across the board– Depends on:

• Company

• Structure of the policy

• Diagnosis and care protocol

• Upon request, your provider may have you fill out a form that you send back to the provider or the payer

• Sometimes costs are completely, partially, or not covered

HSAs and FSAs

• Coverage varies

• Most likely:

– Send in a purchase receipt of the cost you want reimbursed

– Wait for the savings plan administrator to decide

– If so, you will usually receive a check for the price on the receipt

Medicaid and Medicare

• Medicare covers the monthly costs of qualified patients with retention or voiding dysfunction for:– Up to 200 single-use disposable catheters – One sterile urological catheter and one packet of

lubricant in each individual package

• Medicaid coverage varies from state to state, some with complete and some with partial coverage of products– Visit the federal and state Medicaid and Medicare

websites to see if you are eligible