Qualify for Catheter Insurance Coverage with Our Easy Support

Navigating the complexities of healthcare shouldn’t stand in the way of your health and independence. If you are wondering if catheters are covered by insurance, the answer is yes and Numotion is here to handle the heavy lifting for you.

We don’t just provide supplies, we act as your personal advocate. From verifying your catheter insurance benefits to coordinating with your doctor for the necessary prescriptions, our goal is to ensure you get the high-quality products you need with the lowest out-of-pocket cost possible.

Check My Insurance Coverage

Catheter Insurance Coverage: How it works

Share your Insurance

Share your provider name and ID. We work with thousands of plans across the country to verify your specific catheter insurance benefits.

Speak with a Specialist

Our experts review your plan's "Allowables." We help you understand exactly which medicare covered catheters or private insurance options are available to you.

Bill your Insurance

We contact your physician to obtain the required medical records. Once approved, we ship your supplies discreetly and bill your provider directly.

How Numotion Supports You

At Numotion our insurance specialist will take on the verification of your plan and explain your benefits so you feel informed of your options when it comes to catheter specific choice.  We will explain  your out of pocket expenses specific to your insurance coverage, as well as the daily and monthly quantity amounts your payer allows for catheter coverage.    

Keep in mind most insurance plans require medical justification for catheters, Numotion will work with your physician to obtain the supporting documentation for your product of choice. For example, if a customer is requesting a sterile environment through a catheter kit we must be able to obtain documentation of an infection.

How We Compare To Other Suppliers

Navigating Your Coverage Options

Catheter Coverage for Medicare Customers

Before buying you might wonder: “Does Medicare cover intermittent catheters?” The answer is yes. Medicare Part B typically covers catheters for those with permanent urinary incontinence or retention. There is a 20% co-pay unless you have a secondary insurance plan.

Medicare does not cover supplies while someone is in a Home Health Episode or is in the hospital. As a premier catheter distributor that accepts Medicare, Numotion ensures all documentation is perfect to prevent claim denials.

Catheter Coverage for Medicaid Customers

Does Medicaid cover catheters? Numotion services all state Medicaid plans and the majority of the Medicaid replacement plans.  These plans allow for a 30 day order each month and are not eligible for auto shipments.  There are no co-pays for Medicaid plans.

Catheter Coverage for Commercial Customers

Numotion is contracted with over 2000 commercial insurance plans. These plans typically allow for 30/60/90 orders. Most require us to make contact with the customers by phone, email, online portal, etc. to get a confirmation to ship.You will receive a thorough explanation of your coinsurance, a review of your deductible and out of pocket max to fully understand the financial aspects.

Numotion offers financial assistance for those who qualify.

Common Insurance Terminology

  • Co-pay

    This is paid after your deductible and is a fixed amount that you pay for a healthcare service, such as an MD visit, Rx medication, hospital stay, ER visit, lab tests…etc

  • Co-insurance

    This is a cost share that you take on with your insurance provider once your deductible is met. These payments are applied towards the Out of Pocket Max.

  • Deductibles

    This is an agreement that we make to pay our insurance provider a certain amount of money before the insurance plan will begin paying on a claim/claims.

  • Out of pocket max

    The amount that the policyholder must spend on healthcare costs (through deductible, copays, or coinsurance) before the insurance begins paying all claims at 100%. The amount does not include any payments made towards plan premiums.

  • Max quantity limit

    This is a set limit of items that insurance will pay for per dispensing period (typically Rx medication, disposable medical supplies) this delineates the maximum quantity that the insurance will reimburse for. Over this limit might require PAR (Prior Authorization Request). For example, Medicare will allow up to 200 intermittent catheters each month (200 is the maximum quantity allowed by MCR).

  • Capitated

    This term is used to describe a healthcare plan that pays a flat fee to providers for each patient the provider sees who is insured by this plan despite services rendered. In other words, under a capitated contract/insurance plan, an insurance provider pays a fixed amount of money for its members care directly to the healthcare provider despite the equipment/medication/service/supply provided, the fee is a flat rate paid per member.

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Catheter Insurance FAQs

You will receive a thorough explanation of your coinsurance, a review of any deductible and out of pocket max to fully understand your financial obligations. Numotion offers financial assistance for those who qualify.
The amount of catheters is dependent on medical necessity. Medicare allows for 200 per month. Other insurance coverages will vary. We will work with your insurance provider to insure that you receive your fully allotted amount.
We are contracted with most major health plans. But give us a call at (866) 381-8233 to discuss your needs.
Medicare may cover catheter-related supplies, including sterile lubricant packets, when they are deemed medically necessary and the beneficiary meets Medicare coverage requirements. Coverage for additional supplies varies based on an individual’s diagnosis and qualification under Medicare guidelines.
Medicare may provide coverage for medically necessary catheter supplies. Certain additional supplies, such as lubricant, insertion kits, and drainage bags, may also be covered when a beneficiary qualifies for them under Medicare guidelines and medical necessity requirements.
Yes, insurance plans typically require a valid prescription or physician’s order to approve catheter coverage. In most cases, supporting medical documentation and chart notes demonstrating medical necessity are also required. For Medicare and many Medicare Advantage plans, your healthcare provider will generally need to evaluate you and document the medical necessity of the catheter supplies before coverage can be approved and a claim can be processed.
Insurance plans commonly cover non-hydrophilic and hydrophilic-coated intermittent catheters when deemed medically necessary. Coverage may also extend to other intermittent catheter types, depending on an individual’s diagnosis and clinical needs. The specific catheter types and quantities approved will depend on your diagnosis, your healthcare provider’s recommendation, and the terms of your insurance plan.
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Give Numotion Medical Supply a try today!

We make it easy to switch from your current supplier or if you are just starting out with self-catheterization, our product experts will get you started.

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