Ostomy Supplies
Ostomy supplies are covered for use on patients with a surgically created opening (stoma) to divert urine, or fecal contents outside the body. Ostomy supplies are appropriately used for colostomies, ileostomies or urinary ostomies. Use for other conditions will be denied as noncovered.
The quantity of ostomy supplies needed by a patient is determined to a great extent by the type of ostomy, its location, its construction, and the condition of the skin surface surrounding the stoma. Medicare covers the amount of supplies the doctor says you need based on your condition.
There will be variation according to individual patient need and their needs may vary over time. Patients can get up to a three month's supply for home use. That includes pouches, wafers, caps, lubricants, pastes, wipes and other accessories.
You must purchase ostomy supplies. For an item to be covered by Medicare, an order (prescription) must be on file with the supplier. It must be signed and dated by the treating doctor.If the supplier bills for an item without first receiving the completed order, the item will be denied as not medically necessary.
