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Oct 21, 2022

Need advice on changing ostomy supplier with Medicare coverage

This topic is about finding a Medicare-covered supplier for ConvaTec moldable skin barriers, which are part of a two-piece ostomy system. The person currently uses Burman Medical for their urostomy supplies, but Burman doesn't carry the specific moldable skin barrier they need. They've been buying small amounts online but are looking for a more sustainable solution through Medicare.

Here are some helpful steps and insights:

1. Start by contacting ConvaTec's customer service. They can help you find distributors that carry the moldable skin barrier and work with Medicare.

2. Reach out to Medicare or your insurance provider to get a list of in-network suppliers. Then:
- Call each distributor with the exact product numbers from your ConvaTec samples to confirm they have them in stock.
- Once you find a suitable supplier, place your order. The new supplier will handle the prescription or authorization from your doctor. Expect the first shipment to take 2-3 weeks and be aware of monthly quantity limits.

3. Switching suppliers is generally simple:
- Register with the new company.
- Send them your supply list.
- Have your doctor write or transfer the prescription. It's wise to slightly overestimate your needs to avoid running short within Medicare’s allowable quantities.

4. Some suppliers have received positive feedback:
- Better Health Supplies, Inc. (offers Hollister and other major brands)
- 180 Medical (works well with ConvaTec)
- Mercy Surgical (quick shipping for urostomy supplies; Medicare accepted)
- Comfort Medical (good experience under previous insurance)

5. Be cautious with suppliers that have mixed or negative feedback:
- Edgepark: Some find them helpful, but others report issues with shipping, supply gaps, and billing.
- Prism: Some complaints about substituting products unless paid out-of-pocket.

6. General tips:
- Most national ostomy distributors should stock major brands like ConvaTec, Coloplast, Hollister, and Safe N Simple.
- Keep backup supplies on hand in case of administrative delays when changing suppliers.
See full discusison
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