Medicare coverage for multiple pouch sizes?

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 2 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 and so I complained and another was assigned ... wonderful nurse.
Also, a good nurse will help you with your other concerns.
Good luck.

Audrey Warren

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

Morning 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 one bag for seven days, no changing from day and night, etc.

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

Happy Friday.


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

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...

Staying Hydrated with an Ostomy with LeeAnne Hayden | Hollister
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.

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

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

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.