Typically Regular (Private) insurance will not pay for diapers/pull ups/briefs/etc... You can always call your insurance and ask if it is a covered item on your plan.
However, Medicaid will pay for diapers/pull ups/briefs/etc...
So if you have Medicaid, here are the steps you need to take to get diapers for your child...
#1) The child needs to be over 3 years old
#2) Call Medicaid and ask which homecare companies they will pay for.
#3) Call the homecare company and ask for their fax number for incontinence supplies
#3) Call the homecare company and ask for their fax number for incontinence supplies
#4) Ask your child's pediatrician/family Dr. for a prescription. This can be as a letter, or on a prescription paper. Make sure they include the following...(you can even write suggestions down for the Dr. and they will copy it over onto their own letter/prescription).
A) a diagnosis
B) their birthdate
B) their birthdate
C) a reason for needing the diapers (ie: due to Joey's Cerebral Palsy he will have ongoing incontinence that will require the use of diapers).
D) If you want/need a certain type or brand of diaper/pull up/brief have them include that also. For example if you want Pampers size 7, have the Dr. write that. If you need pull-ups, have the Dr. write that. If you don't know...then ignore this suggestion.
#5) Ask the Dr. to fax the prescription or letter to the homecare company and provide the Dr. with the fax number. Alternatively you can fax it/mail it yourself...but why not put the Dr. and the nurses to work?
#6) If the Dr. did not fax it while you were there, then ask them to contact you when it has been done.
#7) Measure your child's waist, homecare will want to know when you call them
#8) Once you know the prescription has been faxed to the homecare company, call the homecare company to ask if they have received it. If you have already received homecare supplies or DME from them before, they will have most of your information, if not, they will need additional information from you.
#9) If you don't know know what size/type you want, sometimes the homecare company can send you out samples for you to try. It can't hurt to ask.
Medicaid will only pay for 156 diapers (or pullups or briefs) per month. However, if you are on a medicaid waiver (such as DSPD, Travis C, Medically Complex Waiver) you can get double the amount of diapers (312) per month. Chux are counted into the total the same as a diaper.
Additional things to ask for...Medicaid will also pay for Chux (the disposable bed liners) which are great for changing diapers on and protecting bedding. The Dr. can write for them on the same prescription that he wrote for the diapers/pullups and you also get these from homecare.
So your options when your child outgrows size six diapers are as follows...
Pampers has a size 7
Pullups and overnights come in slightly larger sizes
Move up to adult diapers (called briefs). They are not as good as the commercial diapers you are used to. But you will adapt eventually.
Different homecare companies carry different brands of briefs, so if you hate 1 brand, you could theoretically switch. You can also ask homecare if they carry anything else you could try.
I like IHC homecare. Here is the way you order, you call in your order every month (you just have to say" I need a shipment of briefs") and they ship them to you out of Denver. They arrive 1-2 days later...super fast.
The brand we like is called Prevail, they are not as good as Huggies or Pampers, but they are pretty good.
If you do not have medicaid and your child still needs diapers, more than likely you qualify for the medically complex waiver and need to apply immediately.
#5) Ask the Dr. to fax the prescription or letter to the homecare company and provide the Dr. with the fax number. Alternatively you can fax it/mail it yourself...but why not put the Dr. and the nurses to work?
#6) If the Dr. did not fax it while you were there, then ask them to contact you when it has been done.
#7) Measure your child's waist, homecare will want to know when you call them
#8) Once you know the prescription has been faxed to the homecare company, call the homecare company to ask if they have received it. If you have already received homecare supplies or DME from them before, they will have most of your information, if not, they will need additional information from you.
#9) If you don't know know what size/type you want, sometimes the homecare company can send you out samples for you to try. It can't hurt to ask.
Medicaid will only pay for 156 diapers (or pullups or briefs) per month. However, if you are on a medicaid waiver (such as DSPD, Travis C, Medically Complex Waiver) you can get double the amount of diapers (312) per month. Chux are counted into the total the same as a diaper.
Additional things to ask for...Medicaid will also pay for Chux (the disposable bed liners) which are great for changing diapers on and protecting bedding. The Dr. can write for them on the same prescription that he wrote for the diapers/pullups and you also get these from homecare.
So your options when your child outgrows size six diapers are as follows...
Pampers has a size 7
Pullups and overnights come in slightly larger sizes
Move up to adult diapers (called briefs). They are not as good as the commercial diapers you are used to. But you will adapt eventually.
Different homecare companies carry different brands of briefs, so if you hate 1 brand, you could theoretically switch. You can also ask homecare if they carry anything else you could try.
I like IHC homecare. Here is the way you order, you call in your order every month (you just have to say" I need a shipment of briefs") and they ship them to you out of Denver. They arrive 1-2 days later...super fast.
The brand we like is called Prevail, they are not as good as Huggies or Pampers, but they are pretty good.
If you do not have medicaid and your child still needs diapers, more than likely you qualify for the medically complex waiver and need to apply immediately.
