Parameters for coverage

Disposable diapers and liners:

  • covered for treatment of incontinence only medical need is documented by the ordering practitioner and maintained in the patient's clinical file.
  • up to 250 disposable diapers and/or liners are allowed per month (provides for 8 changes per day)
    • Claims for any combination of diapers and/or liners over 250 per month will be denied.

Diapers

  • Size Small/Medium: 96/box
  • Size Large: 72/box
  • Size XL: 60/box

Chux

  • 150/box
  • Only allowed 300 per month