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Ostomy Supplies

Covered by Medicare

Coverage

Ostomy supplies and accessories can help ensure a secure seal after a procedure such as a colostomy, ileostomy, or urinary ostomy. Ostomy accessories are used to further protect the stoma, secure a tight seal, and keep the skin around the stoma separate from bodily waste.

Medicare does not usually cover all costs when it comes to ostomy products, but it will cover 80 percent of each order. You are responsible for the remaining 20 percent. However, if you have a Medicare supplemental insurance plan or a replacement plan that covers all expenses, you may be able to get your ostomy supplies entirely free, with no out-of-pocket costs.

Costs

You will be responsible for paying 20 percent of the Medicare-approved amount for your doctor’s services and supplies, and the Medicare Part B deductible applies.

What to Know

There are several different types of ostomy supplies. Each one does something specific and the Medicare coverage may vary on how often and how much you can purchase it.

  • Pouching Systems
  • Pouch Support
  • Stoma Paste
  • Barrier Rings and Seals
  • Skin Prep
  • Odor Control

Medicare By State

Medicare is regulated by the federal government. However, private insurance companies are allowed to offer various parts of Medicare, and these plans can differ from state to state.

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