Does Medicare Cover Different Sizes of Pouches?

Replies
7
Views
612
gingerlee54
Aug 11, 2022 7:14 pm

Hi, I am 7 weeks post-surgery and just now starting to order supplies through my pharmacy and bill through Medicare. I was wondering if anyone knows if Medicare will pay for two different pouch sizes? During the day, I have a 400 cc unit pouch and at nighttime, I would like the 600 cc or mL pouch. Does anyone do this and is it covered?

Thanks, Ginger

Audrey Warren
Aug 11, 2022 9:40 pm

Ginger, my surgeon has to approve my appliance orders so insurance covers them. I would contact your surgeon and/or your home health care nurse to get your different size pouches.
My first health care nurse was incompetent, so I complained and another was assigned ... wonderful nurse.
Also, a good nurse will help you with your other concerns.
Good luck.

Audrey Warren

Gray Logo for MeetAnOstoMate

Why Join MeetAnOstoMate?

First off, this is a pretty cool site with 38,413 members who truly UNDERSTAND YOU.

But, it's not all about ostomy. We talk about everything.

Many come here for advice or to give advice, others have found good friends, and some have even found love. Most importantly, people here are honest and genuinely care.

Privacy is very important - there are many features that are only visible to members.

Create an account and you will be amazed by the warmth of this community.

  38,413 members
Homie With A Stomie NS
Aug 12, 2022 11:02 am

Morning, Ginger... my thoughts are it may be too early to pre-order as stoma sizes will change with time, etc., and pouches will be determined if you will be able to use a flat type flange or require a convex type flange, etc. Myself, I use 1 bag for 7 days, no changing from day to night, etc.

Kudos for being proactive; you got this, girl... we are here for you.

Happy Friday,

Tracy

Ritz
Aug 12, 2022 1:35 pm

I was told that example ... I'm allowed 60 pouches. Get 30 of one and 30 of the other.

gingerlee54
Sep 23, 2022 5:43 am
Reply to Audrey Warren

Thank you, Audrey. Slowly catching on how to find replies when mates reply to me...

 

Getting Support in the Ostomy Community with LeeAnne Hayden | Hollister

Play
gingerlee54
Sep 23, 2022 5:48 am
Reply to Homie With A Stomie NS

Aw, thank you.

I'm just now 3 months later finding out how to read the replies from ostomates. Mercy, so glad to read the replies...

Good to know.

dscarlos
Dec 26, 2022 7:46 am
Reply to Homie With A Stomie NS

I would order the size now because, as NS said, the size may change. I am on Medicare but have never ordered two sizes before.

cebontorno
Jan 04, 2023 2:00 am

Use Edgepark. They have a complete collection of products. You can also get free samples from all the different suppliers so you can try them out first. Good luck. I am new. Hope it helps.