medicare part A and ostomy supplies...

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Glad Bag
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Date Joined Mar 2007
Total Posts : 699
   Posted 11/12/2007 6:17 PM (GMT -7)   
I recently learned I am still eligible for Medicare Part A. (i was on SSD before, but returned to work a few years ago). Does anyone know if Part A covers the costs of ostomy supplies? I have private ins. with Healthnet, but they don't cover the whole cost. Just wondering, i would love to be able to save some coin..
"All we need is love....love is all we need"


JudyK89
Veteran Member


Date Joined Dec 2006
Total Posts : 1986
   Posted 11/13/2007 8:22 AM (GMT -7)   
Geez, it's been so many years, but I think it's the Part B that pays for it. A call to your supplier should clear that up.

I have Healthnet too, how are yours covered? I have a yearly maximum, and a small co-pay each month (that just started about a year ago).
Judy
Crohn's Disease   
Too many surgeries, ileostomy6MP for maintenance.
 
 


Glad Bag
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Date Joined Mar 2007
Total Posts : 699
   Posted 11/13/2007 3:18 PM (GMT -7)   
i pay some kind of percentage.....it's around $80-100 my cost for twenty bags and and twenty wafers/flanges. I am not sure what my yearly maximum is. What sucks is the "contracted suppliers" are so much more expensive than other suppliers who don't contract with HMOs. I saw a ten pack of flanges for $49 on one site, on edgepark the same stuff was $122! it still ends up being cheaper using Edgepark since they accept my ins.
"All we need is love....love is all we need"


JudyK89
Veteran Member


Date Joined Dec 2006
Total Posts : 1986
   Posted 11/14/2007 7:46 AM (GMT -7)   
You know, I complained about Edgepark to my insurance because they would get many months behind on billing, then send me a huge bill because my insurance maximum was met and I owed whatever percentage of my monthly order. Health Net changed me to Byram, who only charges me a fraction of what Edgepark did, and when my maximum is reached, they give me the "contracted" price that my insurance pays (which is almost as low as the cheapest web site I've found). My EOB shows what they can charge me, and it's the same as the contracted price the insurance company pays. Because the contracted price is so low, my yearly maximum is reached much later also.

You should really look at your EOB's, see if you're being ripped off. Byram still gets behind on their billing (which they all do), but they are much more affordable, the contract with Healthnet is much better for us.
Judy
Crohn's Disease   
Too many surgeries, ileostomy6MP for maintenance.
 
 


Glad Bag
Veteran Member


Date Joined Mar 2007
Total Posts : 699
   Posted 11/14/2007 10:22 AM (GMT -7)   
thanks for the feedback....i will definitely check into that.
"All we need is love....love is all we need"

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