This topic is about recent changes in Medicare coverage that affect certain skin-protection products used by people with ostomies. Specifically, it discusses the frustration of a person who has had an ileostomy for 24 years and recently found out that Medicare no longer covers two products they rely on: 3M Cavilon No-Sting Barrier Film and Bard Barrier Wipes. They received a substitute product that caused skin issues and are concerned that decisions are being made by those who do not understand the needs of ostomy patients. Here are some helpful tips and insights for dealing with this situation:

1. Double-check the coverage information directly with Medicare or your Medicare-supplement or Advantage insurer. Sometimes, customer service at supply companies might provide incorrect or incomplete information.

2. Reach out to your local U.S. Representative or Senator’s office for a written explanation of the coverage change. Their staff can help investigate Medicare denials.

3. Ask your doctor to write a Letter of Medical Necessity, stating that the 3M Cavilon No-Sting Barrier Film is the only product that works for your skin. Such letters have helped others secure a one-year extension for non-formulary items.

4. If a supplier claims an item is "no longer covered," try ordering from a different distributor or attempt to reorder later. Some have found that items like 3M Cavilon and Ilesorb were covered again after initially being denied.

5. Be aware that Medicare has reportedly reduced the allowable monthly quantity of 3M Cavilon barrier wipes to 25. Ordering more than this might lead to shipment delays or denials.

6. While you are appealing, consider purchasing the necessary supplies at a lower cost through online marketplaces like eBay to cover any gaps in coverage.

7. For formal assistance or to file an appeal, use the Medicare Beneficiary Ombudsman resources available online.

8. It's interesting to note how coverage varies internationally:
- In the UK, people receive 3M Cavilon sticks, sprays, swabs, Coloplast bag extensions, pouches, powders, and medicines for free under a medical-exemption certificate.
- In New Zealand, ostomates are limited to about 10 drainable pouches and 10 seals per month, and items like Cavilon, deodorants, and wipes are self-funded and can be expensive.