Best Ostomy Suppliers That Accept Medicare in 2021

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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Chris Tepedino is a feature writer that has written extensively about home, life, and car insurance for numerous websites. He has a college degree in communication from the University of Tennessee and has experience reporting, researching investigative pieces, and crafting detailed, data-driven features. His works have been featured on CB Blog Nation, Flow Words, Healing Law, WIBW Kansas, and C...

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Laura Walker graduated college with a BS in Criminal Justice with a minor in Political Science. She married her husband and began working in the family insurance business in 2005. She became a licensed agent and wrote P&C business focusing on personal lines insurance for 10 years. Laura serviced existing business and wrote new business. She now uses her insurance background to help educate...

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Reviewed by Laura Walker
Former Licensed Agent

UPDATED: Nov 19, 2021

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The Rundown

  • 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.

Ostomy Supplies Covered by Medicare, By Type and Quantity
CodeDescriptionUsual Medicare Maximum Quantities
A4357Bedside drainage bag2 per month
A4362Solid skin barrier 4x4 inches20 per month
A4367Ostomy belt1 per month
A4368Ostomy pouch filter, any typeNo maximum listed
A4369Skin barrier, liquid or spray, per ounce2 ounces per month
A4371Skin barrier, powder, per ounce10 ounces every 6 months
A5102Bedside drainage bottle with or without tubing, rigid or expandableNo maximum listed
A4388Ostomy drainable pouch with extended wear barrierNo maximum listed
A4389Ostomy drainable pouch with a barrier, convexNo maximum listed
A4394Ostomy pouch liquid deodorant8 ounces per month
A5120Skin barrier wipes or swabs150 each, every 6 months
A5073Urinary pouch for use on barrier with flange, two-piece20 for each piece every month
A5057Ostomy drainable pouch with extended wear barrier, convex, filter, one-piece40 per month
A4396Support beltNo maximum listed
A4404Ostomy ring10 per month
A4405Ostomy paste (non-pectin based)4 ounces per month
A4406Ostomy paste (pectin based)4 ounces per month
A5071Urinary pouch with barrier20 per month
A5063Ostomy drainable pouch with flange, non-filter20 per month
A5061Ostomy drainable pouch with barrier attached; one piece20 per month
A5056Ostomy drainable pouch with extended wear barrier, filter, one-piece40 per month
A4407Skin barrier with flange, extended wear, convex (4x4 inches or smaller)No maximum listed
A4409Skin barrier with flange, extended wear (4x4 inches or smaller)No maximum listed
A5055Stoma cap31 per month
A4412HOPO w filter > 750MLNo maximum listed
A4413HOPO w filter > 750MLNo maximum listed
A4414Skin barrier with flange, standard wear (4x4 inches or smaller)20 per month
A4415Ostomy standard wear skin barrier greater than 4x4 inches20 per month
A4416Ostomy closed end pouch with filter60 per month
A4417Ostomy closed end pouch with a barrier, convex, filter, one-piece60 per month
A4419Ostomy closed end pouch with a filter on non-locking system60 per month
A4423Ostomy closed end pouch for the locking system, with filter60 per month
A4424Ostomy drainable pouch with a barrier, filter, one-piece20 per month
A4433Ostomy urinary pouch for locking system20 per month
A4425Ostomy drainable pouch for a non-locking system, with filter20 per month
A4427Ostomy drainable pouch for the locking system, with filter20 per month
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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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