Best Ostomy Suppliers That Accept Medicare (2024)
Find the best ostomy suppliers accepting Medicare for reliable products and exceptional customer care. Access comprehensive profiles, user reviews, and convenient ordering options. Take charge of your ostomy needs and discover the perfect supplier to meet your unique requirements. Begin your search now and prioritize your comfort and peace of mind.
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Kristen Gryglik
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Kristen is a licensed insurance agent working in the greater Boston area. She has over 20 years of experience counseling individuals and businesses on which insurance policies best fit their needs and budgets. She knows everyone has their own unique needs and circumstances, and she is passionate about counseling others on which policy is right for them. Licensed in Massachusetts, New Hampshire,...
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UPDATED: May 28, 2023
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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.
UPDATED: May 28, 2023
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
Welcome to our comprehensive guide on finding the best ostomy suppliers that accept Medicare. If you’re in need of reliable ostomy products covered by Medicare, you’ve come to the right place.
In this article, we provide valuable insights into selecting the best ostomy suppliers who accept Medicare. We cover essential topics such as understanding Medicare coverage for ostomy supplies, tips for choosing the right supplier, and the importance of quality products and exceptional customer service.
To ensure you have access to the best ostomy supplies and competitive rates, enter your ZIP code now and compare offerings from the top insurance providers in your area. Take control of your ostomy care today and find the supplier that meets your specific needs.
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
What is an ostomy?
An ostomy is a surgical procedure in which an opening is created in the abdomen to allow for the passage of waste materials. The opening is called a stoma, and a pouch is worn over it to collect waste.
What are ostomy supplies?
Ostomy supplies include the pouches, wafers, and other products needed to manage the stoma and collect waste.
How can I find the best ostomy suppliers that accept Medicare?
There are several ways to find the best ostomy suppliers that accept Medicare, including:
- Searching online directories of suppliers that accept Medicare
- Asking for referrals from your healthcare provider or ostomy support group
- Contacting Medicare directly for a list of approved suppliers
What should I look for when choosing an ostomy supplier that accepts Medicare?
When choosing an ostomy supplier that accepts Medicare, consider factors such as their experience, reputation, availability of products, and customer service. It’s also important to ensure that the supplier is in-network for Medicare to avoid additional out-of-pocket costs.
What ostomy supplies are covered by Medicare?
Medicare typically covers ostomy supplies such as pouches, wafers, skin barriers, and belts. The specific items covered will depend on your individual Medicare coverage and the terms of your plan.
How do I order ostomy supplies with Medicare?
To order ostomy supplies with Medicare, you will need to have a prescription from your healthcare provider. You can then contact an approved Medicare supplier to place your order. Some suppliers may offer automatic shipments or online ordering options for added convenience.
How much do ostomy supplies cost with Medicare?
The cost of ostomy supplies with Medicare will vary depending on the specific items needed and the terms of your Medicare coverage. While many ostomy supplies are covered by Medicare, some may require out-of-pocket costs such as copayments or deductibles. It’s important to review your specific Medicare coverage and discuss any potential costs with your healthcare provider or supplier.
Can I switch ostomy suppliers if I’m not satisfied with the service?
Yes, you can switch ostomy suppliers at any time if you’re not satisfied with the service or products provided. However, it’s important to ensure that the new supplier is in-network for Medicare to avoid additional out-of-pocket costs. You can contact Medicare or your healthcare provider for a list of approved suppliers.
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.
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.
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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Kristen Gryglik
Licensed Insurance Agent
Kristen is a licensed insurance agent working in the greater Boston area. She has over 20 years of experience counseling individuals and businesses on which insurance policies best fit their needs and budgets. She knows everyone has their own unique needs and circumstances, and she is passionate about counseling others on which policy is right for them. Licensed in Massachusetts, New Hampshire,...
Licensed Insurance Agent
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.