Best Ostomy Suppliers That Accept Medicare in 2023
Bynam, Hollister, and ConvaTec are some of the best ostomy suppliers that accept Medicare. On average, you can pay as low as $60/mo at ostomy suppliers that take Medicare and a $203 deductible. However, you may get a better deal with a private Medicare Advantage Plan from an insurance company.
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Written by
Chris Tepedino |
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Reviewed by
Laura Walker
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UPDATED: Jun 28, 2022
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Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.
Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.
UPDATED: Jun 28, 2022
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
- You may pay up to 20% for ostomy supplies if you have Medicare
- Medicare Part B can cover ostomy supplies, but there’s a $201 deductible
- Always check various ostomy suppliers to make sure you get a company that’s networked with Medicare
Are you searching for ostomy suppliers that take Medicare? Ostomy supplies are necessary for people who’ve had surgery and need ostomy equipment to remove waste.
But how much are ostomy supplies? And which ostomy suppliers accept Medicare and health insurance?
Read this guide to learn about the best ostomy suppliers that accept insurance and Medicare.
After you learn everything about ostomy suppliers that accept Medicare, enter your ZIP code in the free online quote tool above to compare multiple companies near you.
Which ostomy suppliers accept Medicare?
The United Ostomy Associations of America, Inc. lists 14 ostomy suppliers on their website, but they don’t show which suppliers accept Medicare. However, our research found four ostomy suppliers that do.
Here’s a list of ostomy suppliers that take Medicare.
- Hollister
- CyMed by Cufluent
- ConvaTec
- Coloplast
- Bynam
Generally, Byram’s ostomy supplies are the best in the market. Bynam has been around for over 50 years and is networked with Medicare.
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How much do I have to pay for ostomy supplies when Medicare is accepted?
If you have Medicare Part B, you’ll have to pay the $203 deductible in addition to the 20% that Medicare doesn’t cover for ostomy supplies.
Medicare pays 80% for ostomy supplies. On average, ostomy supplies cost $300 to $600 a month. You’ll pay $60 to $120 a month if you have Medicare.
What ostomy supplies can I receive with Medicare?
Your doctor or physician prescribes the ostomy supplies you need. Check out this list of ostomy supplies to see what Medicare may cover from ostomy manufacturers.
| Code | Description | Usual Medicare Maximum Quantities |
|---|---|---|
| A4357 | Bedside drainage bag | 2 per month |
| A4362 | Solid skin barrier 4x4 inches | 20 per month |
| A4367 | Ostomy belt | 1 per month |
| A4368 | Ostomy pouch filter, any type | No maximum listed |
| A4369 | Skin barrier, liquid or spray, per ounce | 2 ounces per month |
| A4371 | Skin barrier, powder, per ounce | 10 ounces every 6 months |
| A5102 | Bedside drainage bottle with or without tubing, rigid or expandable | No maximum listed |
| A4388 | Ostomy drainable pouch with extended wear barrier | No maximum listed |
| A4389 | Ostomy drainable pouch with a barrier, convex | No maximum listed |
| A4394 | Ostomy pouch liquid deodorant | 8 ounces per month |
| A5120 | Skin barrier wipes or swabs | 150 each, every 6 months |
| A5073 | Urinary pouch for use on barrier with flange, two-piece | 20 for each piece every month |
| A5057 | Ostomy drainable pouch with extended wear barrier, convex, filter, one-piece | 40 per month |
| A4396 | Support belt | No maximum listed |
| A4404 | Ostomy ring | 10 per month |
| A4405 | Ostomy paste (non-pectin based) | 4 ounces per month |
| A4406 | Ostomy paste (pectin based) | 4 ounces per month |
| A5071 | Urinary pouch with barrier | 20 per month |
| A5063 | Ostomy drainable pouch with flange, non-filter | 20 per month |
| A5061 | Ostomy drainable pouch with barrier attached; one piece | 20 per month |
| A5056 | Ostomy drainable pouch with extended wear barrier, filter, one-piece | 40 per month |
| A4407 | Skin barrier with flange, extended wear, convex (4x4 inches or smaller) | No maximum listed |
| A4409 | Skin barrier with flange, extended wear (4x4 inches or smaller) | No maximum listed |
| A5055 | Stoma cap | 31 per month |
| A4412 | HOPO w filter > 750ML | No maximum listed |
| A4413 | HOPO w filter > 750ML | No maximum listed |
| A4414 | Skin barrier with flange, standard wear (4x4 inches or smaller) | 20 per month |
| A4415 | Ostomy standard wear skin barrier greater than 4x4 inches | 20 per month |
| A4416 | Ostomy closed end pouch with filter | 60 per month |
| A4417 | Ostomy closed end pouch with a barrier, convex, filter, one-piece | 60 per month |
| A4419 | Ostomy closed end pouch with a filter on non-locking system | 60 per month |
| A4423 | Ostomy closed end pouch for the locking system, with filter | 60 per month |
| A4424 | Ostomy drainable pouch with a barrier, filter, one-piece | 20 per month |
| A4433 | Ostomy urinary pouch for locking system | 20 per month |
| A4425 | Ostomy drainable pouch for a non-locking system, with filter | 20 per month |
| A4427 | Ostomy drainable pouch for the locking system, with filter | 20 per month |
Sometimes Medicare may restrict the number of supplies you can receive or restrict specific supplies altogether. If there’s something you need, your doctor may be able to help you.
What should I do if Medicare denies my ostomy supply claim?
The first thing you should do is file an appeal. Review your denial letter from Medicare. Take your following Medicare claim to a healthcare professional who’s familiar with ostomy supplies and Medicare ostomy claims.
To learn more about denied Medicare claims, contact Medicare toll-free at 1-800-633-4227.
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Are ostomy supplies covered by insurance?
The answer is yes. Private insurance companies that provide Medicare Advantage Plans must meet the same standards as federal government Medicare (Original Medicare).
Medicare plans from private companies have more benefits but contain more restrictions, also.
Check out our best insurance companies article to find out more.
Ostomy Supplies That Accept Medicare: The Bottom Line
Ostomy supplies are essential for those who’ve had surgeries recently and need ostomy supplies to get rid of waste and other fluid from their body.
Surgeons usually write prescriptions for ostomy supplies. And you can generally pick these up from a pharmacy.
But sometimes, you’ll have to get ostomy supplies from a manufacturer. Without Medicare, you could spend hundreds of dollars per month.
However, you can secure cheaper rates if you have Medicare or have a Medigap from a private insurance company.
Now that you know more about ostomy supplies that accept Medicare, use our free online quote tool to compare multiple companies in your area to find the best deal.
Frequently Asked Questions: Ostomy Supplies That Accept Medicare
Do you want to know more about ostomy? Read these answers to frequently asked questions to learn more.
#1 – What is an ostomy?
An ostomy is a surgery that creates an opening from areas inside the body to the outside. Ostomy supplies are the devices that remove the waste.
#2 – What do ostomy systems treat?
Ostomy supplies and systems are used to treat digestive and urinary diseases. They’re usually temporary if a person has organs that are recovering, but they’re permanent for people who don’t have organs to manage bodily waste.
#3 – Does the United States receive ostomy supplies for free?
The answer is no. Ostomy supplies are available for free in several countries, but not in the United States.
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Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.
|
Written by
Chris Tepedino |
|
Reviewed by
Laura Walker
|