PROPOSED MEDICARE COVERAGE RULE CHANGE

Replies
5
Views
222
HenryM
Aug 27, 2025 10:05 am

A member has asked me to consider commenting on the Medicare website regarding a proposed rule change that would potentially limit what ostomy supplies would be covered for Medicare reimbursement.  The comment website is: 

www.regulations.gov/commenton/CMS-2025-0242-0002

I have submitted a comment and I encourage others to do likewise.  Deadline for submission is August 29.  Just for your information, here is what I submitted:

MEDICARE RULE CHANGE PROPOSAL

IT HAS COME TO MY ATTENTION that a proposed Medicare rule change would include ostomy equipment in CBP [competitive bidding process] rounds.  This would have a major negative impact on thousands and thousands of ostomy patients.  Ostomy surgery renders the patient incontinent and totally dependent upon their ostomy supplies to live a ‘normal’ life.  Each patient is different, as each ostomy stoma is different, and each patient’s body is different.  It is medically crucial that a patient have access to whichever prosthesis device best fits his or her unique surgical circumstance.  The prospect of Medicare limiting its coverage pursuant to some non-patient-related or strictly economic standard would have a severely adverse impact that would cause untold physical problems for ostomy patients who desperately need to exercise personal independent choice re the products available from suppliers.

AlexT
Aug 27, 2025 1:54 pm

That's a good, straightforward reply. 👍

infinitycastle52777
Aug 27, 2025 2:16 pm

Good and well thought out. I am in total agreement with what you said.

ron in mich

I like MAO because i learn new things from others sharing what they use.

Hugo
Aug 27, 2025 5:42 pm

Great comment. I will be submitting mine today.

Dwild-WA
Aug 29, 2025 1:24 am

I have submitted a comment even though I do not use Medicare to pay for my supplies yet. I have friends who do, and this would be disastrous! And so dumb….

 

My Ostomy Journey: April | Hollister

Play
aTraveler
Aug 29, 2025 2:25 pm

The proposal essentially shuts out small companies that don't have the full suite of ostomy products. I think innovation will suffer. I have posted my notes on the key aspects of the proposal at the following link.

https://www.meetanostomate.org/discussion-forum/viewtopic.php?t=35599#284913

I am thankful Henry mentioned this proposal, for I was not previously aware of it.