Reimbursement 101: Ostomy supplies and insurance basics

Understanding ostomy supplies and reimbursement in the United States can be confusing. Join us to learn more about insurance coverage of ostomy supplies and the typical process to order. We’ll cover which ostomy supplies are generally reimbursed or covered, the assignment of billing for Medicare and DME suppliers, and how copays usually work.
  • Definitions of common insurance terms
  • Understanding the patient bill of rights
  • Ostomy supply coverage
  • What your supplier does and how Coloplast® Care can help
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    Kathryn Vaughn
    Coloplast Market Access Director
    Kathryn Vaughn, PT, DPT is the Director of Market Access at Coloplast. She leads a team that aims to protect and improve patient access to Coloplast products. Her professional career includes clinical work as a physical therapist and market access for a robotics company. As an individual with ulcerative colitis, she has a close understanding and strongly aligns with the mission and value of Coloplast, to make life easier for those with intimate healthcare needs.
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    Kirsten Kronholm
    Coloplast Ostomy Advisor
    I've been thrilled to be a part of the Coloplast Ostomy Care Advising Team around a year now as a bilingual English & Spanish speaking advisor. I am so thankful to be able to give back to so many ostomates daily when they are in need. I recognize it may be difficult to discuss intimate healthcare needs, and I am passionate about being able to meet people where they are at in their learning, and to help them live the lives they want to lead.
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    Disclaimer
    Information from Coloplast® Care is for educational purposes only. It is not intended to substitute for professional medical advice and should not be interpreted to contain treatment recommendations.

    You should rely on the healthcare professional who knows your individual history for personal medical advice and diagnosis.

    Call your healthcare provider if you have any medical concerns about managing your ostomy. You may also contact your Coloplast Consumer Care Advisor for product usage and availability questions at 1-877-858-2656.

    *Reimbursement Disclaimer: Coloplast Corp. provides this information for convenience and your general reference only. It does not constitute legal advice or a recommendation regarding clinical practice. Reimbursement, coverage and payment policies can vary from one insurer and region to another and is subject to change without notice. The provider has the responsibility to determine medical necessity and to submit appropriate codes and charges for care provided. Coloplast does not guarantee coverage or payment of products and Coloplast makes no guarantee that the use of this information will prevent differences of opinion or disputes with Medicare, insurers, or other payors as to the correct form of billing or the amount that will be paid. Actual amounts may vary by payer and plan. For exact amounts and actual "out of pocket" expenses, members should always contact their plan directly.