Medicare Covered Products For Ostomy Supplies
Medicare covers ostomy supplies for beneficiaries with a surgically created opening (stoma) to divert urine, or fecal contents outside the body. Ostomy supplies are appropriately used for colostomies, ileostomies, or urinary ostomies, use for other conditions will be denied as non-covered.
Medicare Covered Products & Allowables
Ostomy Product
- Pouches (Closed)
- Pouches (Drainable)
- Pouches (Urinary)
- Wafers (4 x 4)
- Wafers (6 x 6)
- Wafers (8 x 8)
- Stoma Cap
- Lubricant
- Irrigation cone/bag
- Irrigation Sleeve
- Stomahesive Paste
- Adhesive
- Adhesive Remover (liquid)
- Adhesive Remover (wipes)
- Convex Inserts
- Ostomy Belt
- Appliance Cleaner
- Tape (depending on width)
- Skin Barrier Wipes
- Ostomy Deodorant
- Drainage Bottle
- Drainage bag
- Ostomy absorbent packets
- Non sterile gauze
Qty Allowed
- 60 per month
- 20 per month
- 20 per month
- 20 per month
- 20 per month
- 20 per month
- 31 per month
- 4 oz. per month
- 1 every 3 months
- 4 per month
- 4 oz. per month
- 4 oz. per month
- 8 oz. every 3 months
- 50 per month
- 10 per month
- 1 per month
- 16 oz per month
- 1-2 rolls per month
- 3 Boxes/50 every 6 months
- liquid or tablet no set allowable amount
- 1 every 3 months
- 2 per month
- 90 per month
- 16 sq in or less 60 per month
