Insurance Grief

So my insurance in all it's lovely splendor has decided to give me for christmas a reduction in the amount of wafers I can get a month down to 10 from 20 but they are willing to give me 20 bags and 20 rings. Make sense of that? What am I going to do with 20 bags and 20 rings and only 10 wafers. I need at least 15 wafers a month to cover how often I change my bag. Anybody elses insurance this daft? 20 bags, 20 rings and only 10 wafers. The doctor wrote the script for 20 wafers, 20 bags and 20 rings. Doctor's orders. But insurance is being stupid.

Did you try contacting your insurance company 🤔

Are you on Medicare?  Is this something new?  That is not good.  I second the question:  Have you tried to talk to your insurance company yet?

You change your wafer every other day? No idea how Medicare works if that’s what you have but I’d think it’s all arguable with a doctor’s recommendation. 

its medicaid not medicare. medicaid used to pay for 20 wafers and said nothing about it, now all the sudden they have a issue with it? i change every 2 to 3 days. the bag breaks down. i have to change it. and i don;t want the wafer to get weak and leak. otherwise i would just change the bag without changing the wafer. but the wafer has to do a lot to stick and to not leak. when i take it off i see near leaks so i need to change it that often.

Living with Your Ostomy | Hollister

I think my mom is going to try to figure it out. I don't know what she is going to do or who she will talk to about it. It's medicaid. And it's always been medicaid. and medicaid had no problem before now providing me with what the doctor ordered. 

trying to contact medicaid is like trying to scream out the window and hope they hear.

The problem with Medicaid is it is not uniform in every state like Medicare. Getting in touch with them is only part of the problem, getting someone that can help is a different matter. You have a technique that sort of works for you but you may want to start experimenting with other appliances and accessories that may last longer.

Order any extra you need from Medical Monks or another, they only accept credit cards.

In the meantime learn what your doing wrong that your not keeping a wafer on for 3-7 days at a time.

Problem resolved. 😊

I can keep it for 3 days but then the bag turns yellow and starts breaking down.

The problem with  medicaid is you can get a person who says problem fixed and then you go to order something and then find out medicaid says no. even if the person from medicaid said yes. that happened with the covid and flu vaccine they said yes i qualify to get them and then i'd go to the pharmacy to get them and it would be like they said no. and finally i went to the health board and got the shots there and medicaid paid for it. stupid really. 

Medicare give you 20 wafers per month also.  I guess, if you use more, your on you own.  You know, that is another gripe about healthcare. It is not like you wanted a nose job.  You/we need these things.  And, yes, trying to get some government offices on the phone ( I don't do anything on the net), is murder. I recently heard that only 1 to 6% of government workers actually show up in an office. The rest "work" from home.  I wish you luck, I really do.  We are held hostage when our problem should not become bigger than it is.

You should try other appliances, the bag/pouch should not turn yellow after 3 days.

Exactly what I just thinking. Yellow? Defect? Odd indeed. 

When u say..wafer.. what size do u need? In a pinch Kas a member could help.  I got donated some stuff too.

And forgive me.  When u say wafer that's the o ring  "thingamajig" 😊 right? 

I know like I need one more problem. I am still trying to figure out who is going to pay for my surgery. Medicaid or Medicare. I have Medicare part A. Hospital stays. But does that include surgery?? I don;t know. I really don't. It's so confusing and I don't want to be left with the bill.

Maybe my output is too acidic or something? 

They are good products. Holister products. I like them.

No, I have rings. They give me 20 of those. And 20 bags. The wafer is the thing that sticks to your skin. 

Forgive again. I never heard it called  this. 

U have the rings..the bags.

Haha only thing left is flange plate or mounting plate. Which now i am schooled.. thinking it's also called a  wafer. ? 

So yur process from tummy outwards is.1st wafer..then o- ring..then bag?

Mine is...outwards from tummy...flange- mounting plate first. O ring 2nd..

Bag last. With of course extender c strips..