Type of catheters that are covered by Medicare and the amount of catheters you are allowed through Medicare coverage.
How do you know if you are covered for urological catheters through Medicare?
In order to meet basic coverage criteria, an individual must have permanent urinary incontinence or urinary retention.
Did you know?
Catheters (Intermittent and foley) are actually considered under Medicare as a prosthetic Benefit. This means, they replace all or part of an internal body organ or part of the function of a permanently inoperative or malfunctioning internal organ).
What Types of Catheters are covered?
- Straight tip (200/month)
- Coude (curved) (200/month)
- Condom Catheters (35/month)
- Foley Catheters (1/month)
Whether you are looking to order intermittent, external or indwelling catheters, documentation of medical necessity usually will be necessary from your physician so double check before purchasing your medicare catheters.
What about urinary drainage bags and insertion trays?
When under Medicare coverage, one insertion tray will be covered per episode of indwelling catheter insertion.
Also, under Medicare coverage, a catheter user will be supplied drainage bags 2/month.
Important to note:
Effective April 1, 2008—The Medicare policy for intermittent catheterization recognized catheters as single-use devices, meaning doctors can prescribe catheters for single use, and users are reimbursed for each covered catheterization. The policy changes will likely reduce UTI (Urinary Tract Infection) risk and make more choices available to people living with incontinence or who have permanent conditions requiring bladder care and management programs.