Medicare coverage · Ostomy
Does Medicare cover ostomy supplies?
Short answer: Yes — Medicare Part B covers medically necessary ostomy supplies under the prosthetic device benefit if you've had a colostomy, ileostomy, or urinary ostomy (urostomy).
Source: medicare.gov · CMS Policy Article A52487 / LCD L33828.
Coverage information verified against Medicare (CMS) sources · Last updated July 2026. Educational information, not medical advice — talk with your physician about what's right for you.
Who qualifies?
Medicare covers this when your records show all of the following. Your prescriber's documentation is what establishes each point:
- You have a surgically created stoma — a colostomy, ileostomy, or urinary ostomy (urostomy).
- Your treating provider has ordered the supplies as medically necessary.
Not sure if you qualify?
Check your Medicare coverage in one step, or talk to an intake specialist. We verify your benefits and coordinate the order with your prescriber — no cost or commitment to check.
What Medicare covers
- Pouches, wafers/skin barriers, and related ostomy supplies in medically necessary quantities under the prosthetic device benefit.
- Medicare Part B generally pays 80% of the Medicare-approved amount after you meet the annual Part B deductible; the remaining share is your responsibility (or a secondary plan's, such as Medicaid or a supplement).
- Coverage is billed to Medicare by an enrolled DMEPOS supplier — like us.
Coverage details and amounts are set by CMS and can change each year. We confirm your current, specific coverage before anything is ordered.
See ostomy supplies we provideCommon questions
How many ostomy supplies will Medicare cover?+
Medicare covers medically necessary quantities based on your ostomy type and needs; usual maximum amounts apply, and higher quantities can be covered with documentation from your provider.
Do I qualify if I have a urostomy?+
Yes — a urinary ostomy (urostomy) is one of the three ostomy types Medicare covers supplies for, along with colostomy and ileostomy.
What do I need to get started?+
Your treating provider's order and documentation that you meet the criteria above. Start the eligibility check or call an agent — we confirm your benefits and coordinate the order and paperwork with your prescriber's office. There's no cost or commitment to check.
Have a question?
Three fields, real payer data, plain-English answer. Or talk to a person — we're fast.