This topic is about navigating Medicare coverage for ordering two different sizes of ostomy pouches. After surgery, the person is starting to order supplies through a pharmacy and wants to know if Medicare will cover both a smaller pouch for daytime use and a larger one for nighttime. Here are some helpful tips and insights:

1. Prescription/Approval Requirement
- Medicare usually covers supplies if they are authorized by your surgeon or prescribing clinician. It's a good idea to ask your surgeon or home-health ostomy nurse to write a prescription that specifies both pouch sizes.

2. Quantity Limits and Split Orders
- Medicare typically allows for 60 pouches per month. Suppliers can split this allowance, such as providing 30 smaller pouches and 30 larger ones, as long as the total number does not exceed the limit.

3. Timing and Stoma Changes
- In the weeks following surgery, your stoma and the area around it may change, which can affect the type of flange and pouch you need. Some people suggest waiting before ordering large quantities of different sizes.

4. Supply Sources and Samples
- Companies like Edgepark offer a wide range of ostomy products and can handle Medicare billing. You can also contact manufacturers directly to request free samples, allowing you to try different pouch sizes and styles before making a decision.

5. Ongoing Professional Support
- A knowledgeable WOC (wound-ostomy-continence) nurse can be invaluable in helping you choose the right products, adjust your orders, and address any other care concerns. If you find your assigned nurse isn't helpful, don't hesitate to ask for a different one.