This topic is about navigating the challenges of getting more than the standard amount of ostomy supplies through insurance in the U.S. The person sharing their experience has faced difficulties with their insurance only allowing one box of pouches per month, requiring extra steps like a doctor's prescription and a "letter of medical necessity" to get more. They also had to guide their new primary-care doctor through the process, which often involves follow-up calls to ensure the order is shipped. Here are some helpful tips and insights:

1. If you're in the UK:
- Work with stoma nurses who can often source supplies directly from hospitals and provide recommendations for your GP.
- Be prepared with detailed descriptions of your needs and the specific products you require to speed up the approval process.
- Many patients can now request supplies online once their prescription is on file.

2. In the U.S.:
- Let your surgeon handle any new or changed prescriptions, as their orders are less likely to be questioned by insurers.

3. For those with Medicare and using large distributors:
- Be prepared for administrative issues like missing information or address mismatches. Allow extra time for these and keep spare supplies on hand.
- Even though three-month internet orders are advertised as easy, they often require follow-up calls.

4. General U.S. insurance tips:
- Ensure your physician faxes a detailed prescription and a letter of medical necessity if you need more than the standard allowance.
- Get your doctor's office involved if an order is rejected or partially filled. Persistence is key, as insurers prioritize cost control over patient needs.

5. For veterans:
- If eligible for VA benefits, you can receive free ostomy supplies. Register at your nearest VA outpatient clinic, and supplies will be mailed to your home.

6. Cost concerns:
- Two boxes of supplies can cost over $86 under Medicare, and shipping delays are common, so it's wise to keep a small emergency reserve.