Medicaid options

[mattk]

I used to get plastic-backed diapers through Medicaid, but the Tranquility Select brand I used is no longer available. Does anyone here know of any good alternatives, or sparing that, what the best cloth-backed options are for those of us on medicaid, or at least anything to ask my supplier about? I am in Illinois.

 

[nwm]

I gave up on Medicaid diapers long ago honestly.
Besides the backing, they just seemed to get lower and lower quality (even if it is a known brand).
But HAD to have something - it was hard at first due to income - but eventually managed to get cloth diapers that I use most of the time - and keep around some really good plastic backed disposables for times when cloth is not practical at all (like out all day, in the hospital, ex.).
UNFORTUNATELY no Medicaid will not pay for that, but once you get past the initial investment - it really is not bad (yest cloth does eventually ware out, but they do not all ware out at once, and at least the ones I use, seems to be about a 2 year min. on usage time, longer if you don't mind doing some trimming on warn parts.
Really that's the kind of thing I feel people should be complaining about there. In the long run, that way costs WAY less than they were paying for total garbage! - Even if you go 100% disposable - if you get high-quality, the long-term cost is WAY lower than those garbage ones. - But that never seems to be bought up by anyone - not in anyway that has the potential to change anything anyway.

 

[GabeG30]

I gave up on Medicaid diapers long ago honestly.
Besides the backing, they just seemed to get lower and lower quality (even if it is a known brand).
But HAD to have something - it was hard at first due to income - but eventually managed to get cloth diapers that I use most of the time - and keep around some really good plastic backed disposables for times when cloth is not practical at all (like out all day, in the hospital, ex.).
UNFORTUNATELY no Medicaid will not pay for that, but once you get past the initial investment - it really is not bad (yest cloth does eventually ware out, but they do not all ware out at once, and at least the ones I use, seems to be about a 2 year min. on usage time, longer if you don't mind doing some trimming on warn parts.
Really that's the kind of thing I feel people should be complaining about there. In the long run, that way costs WAY less than they were paying for total garbage! - Even if you go 100% disposable - if you get high-quality, the long-term cost is WAY lower than those garbage ones. - But that never seems to be bought up by anyone - not in anyway that has the potential to change anything anyway.

I also gave up on medicaid when I told my Dr that I had issues making to the bathroom cause of my C.P. he recommend I wear diapers. then I told him that the diapers were getting expensive he wrote me a prescription but my local pharmacy said it's better I buy them myself (the lady was no help at all) so I turned to this diaper company that takes medicaid and the diapers they sent me were garbage because they were useless when you tried to put them on too small and instant tape rip. so I said screw this I will just buy from north shore my usual. so I said to the diaper company that took medicaid I no longer want to be with you and they terminated my account. it's weird that insurance pays for diapers but they are garbage

 

[Diaperman95]

I also gave up on medicaid when I told my Dr that I had issues making to the bathroom cause of my C.P. he recommend I wear diapers. then I told him that the diapers were getting expensive he wrote me a prescription but my local pharmacy said it's better I buy them myself (the lady was no help at all) so I turned to this diaper company that takes medicaid and the diapers they sent me were garbage because they were useless when you tried to put them on too small and instant tape rip. so I said screw this I will just buy from north shore my usual. so I said to the diaper company that took medicaid I no longer want to be with you and they terminated my account. it's weird that insurance pays for diapers but they are garbage

Yeah they should just have a monthly allowance that they reimburse you and let us choice what we want. I have a medicare elite plan and it wont pay at all. But I use to have medicaid before getting my SSD and they re rubbish's.

 

[GabeG30]

Yeah they should just have a monthly allowance that they reimburse you and let us choice what we want. I have a medicare elite plan and it wont pay at all. But I use to have medicaid before getting my SSD and they re rubbish's.

I agree

 

[nwm]

Yeah they should just have a monthly allowance that they reimburse you and let us choice what we want. I have a medicare elite plan and it wont pay at all. But I use to have medicaid before getting my SSD and they re rubbish's.

I have been saying basically the same thing for YEARS (obviously means nothing, at least not to the right people).
But obviously their goal is to pay as little as possible - but we want (actually NEED decent quality) - but not really that hard to satisfy both...
Just don't lock in to speciffic brands, types, ex. And FORGET your silly contracts, ex. Just we will pay up to $x per month for that product - get them wherever you like, and if the price is more than $x, that's fine just you cover the excess - but we will still pay the $x

 

[Diaperman95]

I have been saying basically the same thing for YEARS (obviously means nothing, at least not to the right people).
But obviously their goal is to pay as little as possible - but we want (actually NEED decent quality) - but not really that hard to satisfy both...
Just don't lock in to speciffic brands, types, ex. And FORGET your silly contracts, ex. Just we will pay up to $x per month for that product - get them wherever you like, and if the price is more than $x, that's fine just you cover the excess - but we will still pay the $x

Well if it makes good since than the government is not going going to do it. I have often wondered why they cant put a cap on what doctors and hospitals are allowed to charge for a procedure or test. I know MRI machines are expensive but they don't have to pay them off with the first 20 people they bill.
Instead of fining tax payers for not having insurance why not stop the over billing these places do in the first place. Then maybe people can afford insurance plans. I had surgery in Dec of 2021 to place a gastric stimulator. I spent 2 days in the hospital and they billed my insurance company $453,000. My Humana paid them $12,500. What is up with that?
It is all a racket and these companies selling these disposable products that won't hold a wet fart are making a killing selling crap that causes bed sores and even worse health issues.

Why is it that someone with chronic fecal incontinence gets no real help with products, but people that have a ostomy get their products paid for? Neither person can control their bowel movement. They literally force some folks into a colostomy that don't want or need a dangerous surgery.

My insurance paid 100% for a $7000 set of hearing aids but yet I can not get my teeth pulled. I am very thankful for the hearing aids because I know most insurance don't pay for that either. Just to much BS to name all the fucked up things with our health system.
Everyone that has moderate incontinence or more deserves the dignity to wear the best products made. I just spent $220 bucks at NorthShore today.

 

[Edgewater]

Fully agree with what has been said above!

The medical diapers are made to government specifications and price points, the results is clear, junk!! Well, unless you lay in bed all day/night and do not move unless the diaper is being changed. Within that definition, they work! But, that is not life or living.

You are in Illinois and North Chicago is where a great little company is with a truly wonderful customer service group. Bring all your paperwork together, what your true rate of use is (both day and night) and your activity level. They will bring together options that attempt to meet your defined needs. Northshore Diaper Supplies will get you to their website and you can pre-review their offerings prior to calling. Yes, their top end diapers can get costly depending on your needs.

It is rare in this World to find a company with people that care.