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Are you here for yourself or someone else?

Myself Someone Else

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Good news! Medicaid covers incontinence supplies!

Create your profile to sign up. Your progress is saved so you can finish later if needed.

This email address should be owned by the primary point of contact, additional points of contact can be added later.

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Log In To Finish Your Order

Please log in to finish your supply order with Home Care Delivered

Your supply order can't be shipped until you finish signing up. Enter your email and password to continue where you left off

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Enter the email address you used to create an account. If you don't know what it is, search for emails from Home Care Delivered

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We've sent you an email with a link to reset your password.

If you don't see the email, check your spam folder.
For more assistance, call us at (866)-788-5181.

Next, provide your phone number

Don't worry, we'll only contact you about your orders.

Phone Number:

Is this a cell phone?

Yes No

Secondary Phone Number (Optional):

Patient Phone Number (Optional)

First, tell us who we're speaking with.

Enter the name of the person who needs incontinence supplies.

Enter your name, followed by the person who will be receiving supplies.

Patient's Date Of Birth:

Month:

Day:

Year:

Patient's Gender:

Male Female

I attest that I am authorized to act on this customer's behalf.

Medicaid Information

Please enter the Medicaid ID number of the covered individual.

Patient Medicaid ID Number:

To provide this by phone, please call
866-788-5181

Do you they have Medicare?

Yes No

Do you they have another health insurance?

Yes No

Important Notification

After completing the online enrollment process and clicking "Finish," our dedicated team will promptly contact you to confirm your order details. Please note that in accordance with your insurance plan, we are unable to initiate order processing until we have spoken with you directly. This ensures you receive the right products tailored to your needs.

The call will only take a few minutes. We will be calling from the number 804-545-4506. To help us connect with you promptly and ensure smooth processing of your order, please note this number, or save this number as a trusted contact in your cell phone.

Thank you. We look forward to speaking with you.

Great, we've got your basic information.

Finding the perfect product for you at Home Care Delivered

Now that you've shared your contact information, we'll gather details about yourtheir condition to find the most appropriate product to help you best manage your their incontinence.

We'll also collect your doctor and insurance information so we can begin the process to set up your their order for insurance-covered supplies.

Size

Please choose how you would like to provide sizing

Waist Size Height & Weight

We recommend:

Do you need more than one type of product?

(Such as pads, pull-ons or briefs)

Yes No

Do you need any accessory products?

(Such as underpads, gloves, cream or wipes)

Yes No

Because you indicated you need additional products, we need to speak with you before we ship the order. Our team will call you as soon as possible.

What type of incontinence is experienced?

Urinary Fecal Both

How would you describe the leakage?

Light
A few drops

Moderate
More than a few drops

Heavy
Longer, uncontrollable flow

Leakage occurs during...

A laugh, sneeze, or cough

A sudden urge to use the restroom

A full bladder

Without warning

Which option best describes your their mobility?

Can stand and walk by myself themselves Use a Walker/Cane Use a wheelchair Confined to bed

Where to?

We need your delivery address to mail your supplies

The next step is to enter the address where supplies should be delivered.

Doctor's Information

Please enter the doctor you've they've spoken to about incontinence

Doctor is in

Doctor's Last Name

Doctor's First Name (Optional)

Doctor isn't listed

Doctor's Information

Enter the doctor's details below

Name (Required)

Phone

Address

City (Required)

Select State (Required)

Zip

Current Medical Care

Are you they in hospice care?

Yes No

Are you they in the hospital?

Yes No

Are you they in a skilled nursing facility?

Yes No

Nearly finshed, we need more information about your doctor!

You are almost finished. The next step is to provide your doctor’s information

To complete your theirrequest for insurance-covered medical supplies, youthey will need the following information:

Your Theirdoctor's office information so that we may obtain physician approval form your order
Your Theirhealth insurance member ID card details, so that we verify yourtheir coverage and bill yourtheir insurance company for the approved medical supplies

Mailing Address

Please enter the mailing address as it appears on the insurance plan Member ID card.

Address Search:

Street

Apt/Unit number

City

State

Zip

Ship to same address

Shipping Address

Please enter the address where we should deliver the supplies.
Note: We cannot ship to PO boxes.

Address Search:

Street

Apt/Unit number

City

State

Zip

Enrollment for children must be done over the phone

Due to the complicated nature and needs of children, we can only finish enrollment over the phone.

Use the red widget in the bottom left of this screen to be called now.

If you entered the wrong birthdate, click the back button to re-enter it. If you are under 18 and are trying to get supplies for yourself, please have your parent or legal guardian call us.

Call Us - 866-788-5181

Unfortunately, we are unable to provide incontinence supplies to individuals without Medicaid.

Only Medicaid and a few private health insurance plans currently offer coverage of incontinence benefit.

*If you have private insurance, you can check to see if your plan covers incontinence products.

View Insurances

Unfortunately, we are not contracted with your state's Medicaid.

While we're always adding new health plans, we are not currently in-network with your state's Medicaid.

We may be able to help with other supplies, such as Diabetes, Urology, Ostomy, or Wound Care. To learn more, click the link below.

View More Supplies

Thanks For Signing Up! Next Steps

Important Notification

Thank you for placing your medical supply order with us. We appreciate the opportunity to serve you.

Our team will be reaching out to you shortly from 804-545-4506 to confirm your order details. This ensures you receive the right products to meet your specific needs. Your prompt response is appreciated.

If you should have questions or need to add additional supplies to your order, please feel free to call us directly at (804) 545-4506 or toll-free (866) 788-5181. We are available Monday through Friday from 8 am to 6 pm Eastern Time.

Thank you.

Here's What To Expect: How to finish ordering:

Step 1:

We are verifying your their insurance and will collect the paperwork from your their doctor.

We need to speak with you to see what other products you are eligible to receive.

Step 2:

We'll send you them updates about your their order.
Look for our email in a few minutes (be sure to check the spam folder).

We will verify your insurance and will collect the paperwork from your doctor.

Step 3:

Once complete, your their order of will be shipped to you. them.

While we review your their information, learn more about our process:

What To Expect

Because you indicated you need additional products, we need to speak with you before we ship the order. Our team will call you as soon as possible.

Finish My Order

Thank you for choosing Home Care Delivered!

You’ve Already Signed Up!

Our team is working on your supply order now. For questions about your order's progress, please call us at 1-866-788-5181.

Business Hours:
M-F: 8am-6pm, ET

Unfortunately we cannot provide supplies at this time

Home Care Delivered cannot provide incontinence supplies to individuals receiving hospice care. These supplies are typically provided by the facility. If supplies are not provided as part of the hospice care, please contact the facility administrator.

Please contact us if there are any questions.

Call 866-788-5181

Please contact us if you have questions or need assistance

Are You A Current Customer?

It looks like we already have your information on file. If you have any questions or need assistance, please contact us.

Contact Us

Unfortunately, we cannot provide incontinence supplies at this time

Medicaid does not cover incontinence supplies for people in a hospital or nursing facility, where these supplies are already available.

However, we can provide supplies once they've been discharged. To speak with someone about getting supplies at that time, use the link below.

Talk To A Specialist About Supplies

Call 866-788-5181

Get monthly deliveries of incontinence products covered by your Medicaid plan

Are you currently an HCD customer?

Sign up in 5 minutes No credit card required We handle the paperwork

Let's Get Started!

Are you here for yourself or someone else?

Are you they enrolled in a Medicaid plan?

We accept state Medicaid and Managed Medicaid plans (not Medicare).

In which state are you they enrolled with Medicaid?

Create Your Profile

Log In To Finish Your Order

Your supply order can't be shipped until you finish signing up. Enter your email and password to continue where you left off

Reset Password

Reset Password

Check Your Email

We've sent you an email with a link to reset your password.

If you don't see the email, check your spam folder. For more assistance, call us at (866)-788-5181.

Next, provide your phone number

Don't worry, we'll only contact you about your orders.

Phone Number:

Is this a cell phone?

Would you like to receive text alerts about your order?

Message and data rates may apply. Text STOP to opt out, or HELP for help. Msg frequency varies.

Secondary Phone Number (Optional):

Is this a cell phone?

Would you like to receive text alerts about your order?

Message and data rates may apply. Text STOP to opt out, or HELP for help. Msg frequency varies.

Patient Phone Number (Optional)

First, tell us who we're speaking with.

Patient's Gender:

Medicaid Information

Please enter the Medicaid ID number of the covered individual.

To provide this by phone, please call 866-788-5181

Do you they have Medicare?

Do you they have another health insurance?

Important Notification

Great, we've got your basic information.

Size

Please choose how you would like to provide sizing

We recommend:

You've Selected:

Something went wrong - please call us at 866-788-5181 to complete your enrollment

What type of incontinence is experienced?

How would you describe the leakage?

Leakage occurs during...

Which option best describes your their mobility?

Where to?

The next step is to enter the address where supplies should be delivered.

Doctor's Information

Doctor's Information

Current Medical Care

Are you they in hospice care?

Are you they in the hospital?

Are you they in a skilled nursing facility?

You are almost finished. The next step is to provide your doctor’s information

To complete your theirrequest for insurance-covered medical supplies, youthey will need the following information:

Mailing Address

Shipping Address

Enrollment for children must be done over the phone

Call Us - 866-788-5181

Unfortunately, we are unable to provide incontinence supplies to individuals without Medicaid.

Unfortunately, we are not contracted with your state's Medicaid.

Thanks For Signing Up! Next Steps

Important Notification

Here's What To Expect: How to finish ordering:

Step 1:

Step 2:

Step 3:

While we review your their information, learn more about our process:

Because you indicated you need additional products, we need to speak with you before we ship the order. Our team will call you as soon as possible.

Thank you for choosing Home Care Delivered!

You’ve Already Signed Up!

Unfortunately we cannot provide supplies at this time

Please contact us if there are any questions.

Are You A Current Customer?

Unfortunately, we cannot provide incontinence supplies at this time

Talk To A Specialist About Supplies

Trusted for over 20 years

A wide selection of high quality products.

We do the paperwork so you don't have to.

We do the paperwork so you don't have to.

Sign up in 5 minutes

No credit card required

We handle the paperwork

If you don't see the email, check your spam folder.
For more assistance, call us at (866)-788-5181.

To provide this by phone, please call
866-788-5181