Ostomy supplies
Medicare Coverage Information
Overview
Medicare provides coverage for medically necessary ostomy supplies for beneficiaries who have undergone ostomy surgery. Supplies are typically covered under Medicare Part B as durable medical equipment, with specific guidelines and potential out-of-pocket costs.
- Covered under Medicare Part B as durable medical equipment
- Requires prescription from a Medicare-enrolled healthcare provider
- Supplies must be medically necessary for patient's condition
- Covered at 80% after meeting Part B deductible
- Includes pouches, skin barriers, and related accessories
- Medicare Part B beneficiaries
- Patients who have undergone ostomy surgery
- Individuals with a documented medical necessity
- 20% coinsurance after meeting Part B annual deductible
- Beneficiary responsible for remaining 20% of approved costs
- Costs may vary depending on specific supplies and supplier
- Must be prescribed by a Medicare-enrolled physician
- Supplies must be deemed medically necessary
- Quantity limitations may apply
- Requires documentation of medical need
- Consult with your healthcare provider about ostomy supply needs
- Get a detailed prescription for required supplies
- Verify coverage with your Medicare plan
- Contact Medicare at 1-800-MEDICARE for specific questions
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare ostomy suppliesostomy coverageMedicare Part Bmedical equipmentsurgical supplies
Related Coverage Topics
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