Medicare typically does cover ostomy supplies that are deemed medically necessary by a doctor if you’ve had a colostomy, urinary ostomy or ileostomy.
Medicare Advantage (Part C) plans can also cover ostomy supplies if they are medically necessary.
Ostomy supplies are covered by Medicare as prosthetic devices. Other prosthetic devices that can be covered by Medicare in certain instances include catheters, cardiac pacemakers and artificial limbs.
The ostomy supplies that Medicare Part B (medical insurance) may cover include:
Medicare will cover only the amount of ostomy supplies that you need, as determined by your doctor and based on your condition.
If Medicare Part B covers your ostomy supplies, you will likely be responsible for paying the following out-of-pocket costs:
Medicare Advantage plans are sold by private insurance companies as an alternative to Original Medicare (Part A and Part B). These plans are required to offer at least the same benefits that are covered by Original Medicare.
If your ostomy supplies are covered by Original Medicare, they will also be covered by a Medicare Advantage plan.
Most Medicare Advantage plans cover prescriptions.
Some Medicare Advantage plans may also offer additional benefits, such as:
A licensed insurance agent can help you compare Medicare Advantage plans in your area that may cover your ostomy supplies. Learn more and find a plan that fits your needs if you’re eligible to enroll.
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Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.