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MedicallyModern

Urological & Ostomy Care

Catheter & Ostomy Supplies, Covered by Insurance

Yes, and usually far more per month than patients are actually receiving. Intermittent and Foley catheters, drainage bags, irrigation supplies, and complete ostomy systems, billed at your full allowance and delivered discreetly anywhere in New York.

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Sterile intermittent catheters and ostomy pouching supplies covered by Medicare, packed for monthly delivery

Key takeaways

  • After the Part B deductible, patients generally owe 20% of the Medicare-approved amount unless secondary coverage pays it. We verify your current benefits and provide an estimate of your expected out-of-pocket cost before shipment. Benefit information is not a guarantee of payment; final coverage and patient responsibility are determined when your plan processes the claim.
  • 2 urological & ostomy care bundles available, billed to Medicare, New York Medicaid, and major commercial plans.
  • Same-day benefit verification, with your expected out-of-pocket sent to you in writing before anything ships.
  • Delivery across the five boroughs, Long Island, Westchester, Putnam County, Dutchess County including Poughkeepsie, and all of New York. Eligible supplies can be shipped statewide. Items requiring measurement, customization, fitting, or adjustment are handled through an in-person delivery or fitting process.

What we offer

Catheters and ostomy supplies covered by Medicare

  • Urinary Catheters, Drainage Bags & Irrigation Supplies

    Straight, hydrophilic, and closed-system intermittent catheters plus Foley kits, leg and night bags, and irrigation trays, for retention, neurogenic bladder, or post-surgical management.

  • Ostomy Pouching Systems & Resupplies

    One- and two-piece systems with barriers, rings, pastes, powders, and belts for colostomy, ileostomy, and urostomy patients, matched to your stoma and your skin.

Coverage explained

Medicare catheter and ostomy coverage, explained

Catheters and ostomy supplies are covered as prosthetic devices under Medicare Part B and by nearly all commercial and Medicaid plans. Quantity limits are generous, most patients are entitled to far more than they've been receiving.

  1. 1

    Prescription and diagnosis

    We collect a prescription documenting your condition, urinary retention, neurogenic bladder, or your ostomy type and surgery date.

  2. 2

    Quantity you're actually entitled to

    Medicare allows up to 200 intermittent catheters per month as a ceiling, not a default, the exact quantity is individualized and set by your doctor's order and plan documentation, generally one per catheterization, plus lubricant. Ostomy allowances cover barriers and pouches at clinically appropriate change frequencies. We bill the full quantity your documentation supports.

  3. 3

    Product trials for fit and skin

    Sterile closed systems, hydrophilic coatings, barrier shapes, small differences change everything. We send samples so you can find what works before committing a full month.

  4. 4

    Monthly refills you confirm

    We track when you may be eligible for a refill and contact you before each cycle. Nothing ships until you or your representative confirms that it is needed. Each check-in is also a chance to flag skin issues and leaks.

What patients typically pay

After the Part B deductible, patients generally owe 20% of the Medicare-approved amount unless secondary coverage pays it. We verify your current benefits and provide an estimate of your expected out-of-pocket cost before shipment. Benefit information is not a guarantee of payment; final coverage and patient responsibility are determined when your plan processes the claim.

Want the specifics for your plan? Read how our insurance process works or check your coverage.

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Why Medically Modern

Why patients choose Medically Modern for urological & ostomy care

Patients switch to us because their old supplier shorted their monthly count or refused sample trials. We bill your full allowance and we help you find the product that stops the leaks.

  • In-network with all major insurances

    Medicare, Medicaid, and the major commercial carriers. We verify your current benefits and provide an estimate of your expected out-of-pocket cost before shipment. Benefit information is not a guarantee of payment; final coverage and patient responsibility are determined when your plan processes the claim.

  • White-glove, high-touch service

    A named care coordinator who contacts your doctor's office and handles prior authorization. We support or submit an appeal where permitted and authorized. You never sit on hold chasing paperwork.

  • Product matching, with leak and skin-issue escalation

    We trial catheter types and barrier shapes with you before committing a full month, and when leaks or skin breakdown start we escalate to your clinician and adjust the products on file.

Urological & Ostomy Care covered by the plans we bill every day

  • Medicare A&B
  • NY Medicaid
  • Aetna
  • Humana
  • Fidelis
  • NYSHIP Empire
  • Anthem BCBS
  • MagnaCare
  • UnitedHealthcare

Participation varies by plan and product, we verify your specific plan before anything ships.

Plus most regional Medicaid, Medicare Advantage, and commercial plans. Not sure? We'll check for you.

Urological & Ostomy Care FAQ

Catheter and ostomy coverage questions

Official coverage sources

Read the payer rules directly, then let us verify what your own plan allows.

Yes. Medicare Part B covers intermittent catheters, Foley catheters, insertion trays, and drainage bags as prosthetic devices when retention, neurogenic bladder, or another qualifying condition is documented.

Up to 200 sterile intermittent catheters per month, one per catheterization, plus sterile lubricant when a non-coated catheter is used. Many patients have been receiving far fewer than they are entitled to.

Yes, when documentation supports it, such as two documented urinary tract infections while using a straight catheter. We collect the notes that justify the upgrade.

Yes. Pouches, barriers, rings, pastes, powders, and belts are covered under Part B, with monthly limits tied to how often you change your system, commonly around 20 pouches and 20 barriers for a one-piece system. Colostomy bags are covered the same way.

Nearly all commercial and Medicaid managed care plans cover catheters and ostomy supplies. Cost depends on your deductible and coinsurance, which we confirm in writing before shipping.

Yes. We supply catheter and ostomy patients across the five boroughs, Long Island, Westchester, Putnam County, Poughkeepsie, and all of New York, with discreet monthly delivery and sample trials for fit.

Usually, yes. We review your prescribed catheterization frequency and bill your plan's full allowance with the documentation to support it.

See what your plan covers for urological & ostomy care

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Other ways we help

Explore all nine categories

One supplier, nine insurance-covered product lines.