Reimbursement Guide – LP Shield® | Medical-Grade Male Protection & Recovery

Using Your FSA or HSA for LP Shield®

LP Shield® is a male urinary leakage guard designed for management of post-void dribbling and light urinary incontinence. When deemed medically necessary by a licensed healthcare provider, LP Shield® may be eligible for reimbursement through:

Flexible Spending Accounts (FSA)
Health Savings Accounts (HSA)
Certain Insurance benefit plans

Coverage varies by individual plan.

Product Classification Reference

For billing or reimbursement purposes, LP Shield® may fall under:

HCPCS Code: T4535

Disposable incontinence product, liner/shield, each. Final coding determination is subject to provider documentation and insurer review.

Step 1 – Purchase LP Shield®

Retain your detailed receipt showing:

Product name
Quantity
Date of purchase
Purchase amount

Step 2 – Obtain a Letter of Medical Necessity (If Required)

Many plans require documentation from a licensed provider confirming medical necessity. Download the LP Shield® Letter of Medical Necessity form and provide it to your healthcare provider for completion.

Step 3 – Submit Required Documentation

Option A

Many LP Shield customers have successfully received reimbursement through their HSA or FSA provider. In many cases, no doctor's letter was required.

Simply:

Complete your purchase.
Save your receipt.
Submit the receipt to your HSA/FSA administrator with a brief explanation that LP Shield is used to manage urinary incontinence.

Option B

Submit Required Documentation.

Submit to your plan administrator:

Itemized receipt
Completed Letter of Medical Necessity
Any required claim forms

Submission methods vary by administrator.

Important Notice

LP Shield® does not guarantee reimbursement. Eligibility is determined solely by your plan administrator or insurance provider based on medical necessity and plan guidelines.