One of the characteristics/symptoms of PMS is delayed or unreliable toileting. While we are definitely in the delayed category at this point, I am hopeful someday to be in the reliable category. Until then, however, pull-ups are expensive. I contacted our lovely (private) insurance only to be denied. Apparently our (self-funded) ppo plan does not provide for incontinence care. I then turned to my beloved caseworker at the Regional Center. She had to 'staff the request'. She seemed reasonably sure that the RC will either reimburse us or provide pull-ups for him until he turns five. If he still needs them then, MediCal will provide them.