This topic is about a change in insurance coverage for ostomy supplies, specifically barrier rings. The person noticed that their insurance now only covers 10 barrier rings per month, while still covering 20 flanges and pouches. This change is puzzling, and they are curious if others have experienced the same issue.

Here are some helpful insights and advice for dealing with this situation:

1. Coverage can vary depending on your insurer and the specific contract your employer has. Even different divisions of the same insurer, like Blue Cross Blue Shield (BCBS), can have different rules.

2. Start by calling your distributor (such as EdgePark, Byram, Comfort Medical, Medical Monks, Arkansas Ostomy, etc.) to find out exactly how many of each item your plan currently allows. Then, contact your insurer to address any discrepancies.

3. Have your doctor write a new prescription that specifies "20 barrier rings per month" and explains the medical necessity, such as issues with leaks or skin damage. If the insurance limits are lower than the prescription, the supplier will need to submit a Prior Authorization, including documentation of medical need and any relevant work or environmental factors like heat and sweat.

4. Keep pushing the issue by asking to speak with the insurer’s prior-authorization or medical-policy team. Many people have found that BCBS approves 20 rings per month when pressed.

5. If your insurer refuses to increase the allowance, consider trying a different in-network distributor. Some users have reported that EdgePark imposes additional limits or delays, while Byram and Comfort Medical are known to carry SenSura Mio products.

6. Whenever possible, stockpile extra supplies and keep a close eye on your orders, as limits and back-orders can change frequently.

7. Be aware that U.S. limits are generally stricter than those in countries like Canada, the UK, or Australia, where ostomy items are often supplied without monthly caps. Advocacy for similar rules in the U.S. is encouraged by several members.

8. Regardless of your insurer, it’s important to be your own advocate throughout the process, as insurance call centers often have limited knowledge about ostomy needs.