Medicare coverage for multiple pouch sizes?

Replies
7
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528
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 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 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 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.

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...

 
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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, like 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.