Incontinence Coverage

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Bright Medical Incontinence Coverage

Incontinence supplies are covered by the following insurances; please note the max monthly quantities. If additional quantities are needed, please send a letter of medical necessity for authorization.

Keystone First

Aetna Better Health *

United Healthcare Community Plan

Medicaid

Health Partners

Diapers/Pull-Ups

250

300

Combined Products

300

Combined Products

300

Combined Products

200

Liners

192

192

Gloves

4

2

2

2

2

Underpads

150

60

150

60

150

Reusable Underpads

4

4

4

4

4

Bladder Control Pads

180

180

180

60

180

Wipes

N/A

300

N/A

N/A

576*

*Needs authorization—please send script and letter of medical necessity.

Length of Need: For recurring supplies, please indicate length of need for 12 months.

Brand Name: If patient requires a brand supply due to skin irritation or other condition, please hand write "Brand Necessary" on script.

Diagnosis: Please include all diagnoses on script; one must include R32-urinary incontinence.

Fax All Orders to 215-725-7630

If you have any questions, please call 215-725-6337 and ask to speak to one of our incontinence specialists.

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