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Underpads for the Elderly Bed

Protect the mattress, the sleep, and the skin โ€” find the right underpads and coverage through 1-800-MEDIGAP.

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Quick answer

Underpads (chux) protect an elderly person's bed from leaks by placing an absorbent, waterproof layer between the body and the mattress. They come in disposable and washable versions and various sizes and absorbencies. Original Medicare doesn't cover them, but Medicaid and many Medicare Advantage plans do. Call 1-800-MEDIGAP for covered options.

Underpads are a simple, essential layer of protection for seniors with overnight incontinence. Here's how to choose between disposable and washable types and get them covered.

What are underpads and why use them?

Underpads โ€” also called chux, bed pads, or incontinence pads โ€” are flat absorbent sheets placed on the bed beneath a senior to catch leaks that escape absorbent garments. They protect the mattress, sheets, and furniture from urine, extending their life and simplifying cleanup. Used as a second line of defense alongside overnight underwear or briefs, they help keep the senior dry, protect skin from prolonged moisture, and reduce the disruption of middle-of-the-night linen changes. Underpads also work on chairs, recliners, and car seats. They come in a range of sizes and absorbencies, and in disposable or washable forms. Call 1-800-MEDIGAP to find covered underpads for your needs.

Should I choose disposable or washable underpads?

Both have clear trade-offs. Disposable underpads are convenient and hygienic โ€” used once and tossed โ€” making them ideal for heavy needs, travel, or when laundry is difficult; they cost more over time and create waste. Washable (reusable) underpads have a higher upfront cost but save money long-term and are more comfortable and breathable, with a soft top layer that's gentler on skin; they require laundering and a backup supply for rotation. Many caregivers use both: washable pads for daily use and disposables for travel or extra-heavy nights. Match the pad's size and absorbency to the bed and the senior's needs. Call 1-800-MEDIGAP to find covered options.

More on Incontinence & Daily Living

Frequently asked questions

What size underpad do I need for a bed?+

For a bed, choose a large underpad โ€” commonly 30x36 inches or larger โ€” so it covers the hip-to-knee area where leaks pool, even if the senior shifts during sleep. Larger pads (36x54) offer more coverage for restless sleepers. Match size to bed width. Call 1-800-MEDIGAP to find covered underpads.

Are washable underpads better than disposable?+

It depends on needs. Washable underpads cost less over time, feel more comfortable, and reduce waste, but require laundering. Disposable underpads are more convenient and hygienic for heavy needs or travel. Many caregivers use both. Call 1-800-MEDIGAP to find covered options of either type.

Do underpads replace adult diapers?+

No. Underpads are a secondary layer that protects the bed and furniture; they don't replace absorbent garments worn on the body. Use them together โ€” overnight briefs or underwear plus an underpad โ€” for the best protection against leaks and skin issues. Call 1-800-MEDIGAP for a complete supply plan.

Does Medicare cover underpads for the bed?+

Original Medicare does not cover underpads. Medicaid covers them in most states with a doctor's order, and many Medicare Advantage plans cover them through OTC or supplemental benefits. Coverage and quantities vary by plan and state. Call 1-800-MEDIGAP to verify your coverage.

How do I keep underpads from sliding on the bed?+

Choose underpads with a non-slip or tuck-tail design that secures under the mattress, or use washable pads with a brushed backing that grips sheets. Smoothing the pad flat and placing it over a snug fitted sheet also helps. Call 1-800-MEDIGAP to find the right product.

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