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Original Medicare, Part A and B, doesn’t consider adult diapers or other incontinence supplies, such as adult briefs, pads, or liners, to be Durable Medical Equipment (DME) or supplies, and therefore doesn’t cover these items. Original Medicare only covers durable medical equipment when it meets the defined criteria established by Medicare. To meet Medicare’s criteria for DME, an item must be durable or long-lasting (not disposable); used for a medical reason; not usually useful to someone who isn’t sick or injured; and used in your home. If you are eligible for Medicaid, you may be able to get financial assistance to cover the cost of adult diapers. To apply for Medicaid or for more information, contact your state Medicaid office.
Since Original Medicare doesn’t always cover the supplies, services, and treatments you may need, you might want to consider a Medicare Advantage plan. Your health concerns will determine which plan may work for you. For help figuring this out, feel free to contact me.
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