Thanks Peggy. I emailed convatec and am waiting on samples. I called insurance to get a detailed list of ostomy care coverage, and they had no idea. I think they noticed my frustration on the other end, and put me on hold and called the only provider I can buy from! (my local ones are 1 hr+ away!) So, she said based on the codes, all she can tell me is it's 85% coverage after my deductible and my mouth sort of dropped. I asked.."That doesn't make a whole lot of sense because you guys wouldn't cover 300 bags a month, surely?" So they are going to have a senior executive call me back.
Now, granted, I'm used to paying around $2000/year for my own medical care out of pocket plus premiums..so my thought is if they don't cover it.. I might get a mix... order the max/month of what I can get.. and stock-pile. A little out of pocket won't kill me at this point..after all these years of forking over huge bucks anyway. Once I'm slimmed down (like next summer), I'm going to be interested in ordering some stoma caps for maybe swimming days.. I realize I'll have to be careful what I eat..but really, my output isn't horrible right now...basically 2-3x/day... but I have the edgepark catalog and it's great..that's how I found out about the moldable system. I really like the convex wafer. I've been able to change the bag a few times and not the wafer. It seems almost fool proof as far as leaks go! (knock on wood!)
Kaycie - Age: 26
Crohn's - Dx Nov 05
Failed Colozal. Failed Entocort. Failed Rowasa. Failed Steriods. Failed Steroid Enemas. Failed Remicade, Failed Clinical Trial ABT-874/Aisle 12, Failed Humira(severe reaction).
May 7th - Partial Colectomy - Sigmoid Rectal Ostomy - Partial Rectum left for possible re-connect later. Trying to get used to this new life with a bag.
IVF #1 (In-Vitro Fertilization) - Failed
IVF #2 - IVIg, Heparin, Baby Aspirin - TWIN GIRLS!!!
Reagan Dawn - 8/2/07 - Lived 1 hour 27 minutes due to Cloaca, NOT affiliated with my Crohn's
Addison Maria - 8/2/07 - 21 months old