Ordering guide
How to order ostomy supplies with Scotts
What happens between the first call and the first delivery, what your prescriber has to document, and how resupply runs afterward. Written for patients and the people helping them.
Key takeaways
- Three things have to line up: a need, a prescriber’s order, and documentation in your chart. We handle the third with your prescriber so you do not have to.
- We verify coverage before anything is delivered and tell you what your plan says your share is.
- Resupply runs on the policy’s schedule, tracked by us and confirmed with you before each shipment.
How it works, step by step
- Tell us what you need. Call (800) 304-7030, start in the order wizard, or have your clinician send a referral with the documents attached. If you already use a product, the manufacturer code on the box is the most useful thing you can give us: it settles size, style and fit without guesswork.
- We verify your benefits first. Medicare Part B, Florida Medicaid, Medicare Advantage and most commercial plans. Before anything ships you hear what the plan covers and what your share is, and if it is not covered we say so and quote a private-pay option instead.
- We collect the order and the documentation from your prescriber. For ostomy supplies that usually means:
- A written order from your prescriber identifying the ostomy and the supplies needed
- Documentation in your chart of the ostomy (surgical history is usually enough)
- Your current product references — the manufacturer code from the box is the fastest thing you can give us; it removes all guesswork about size, convexity and coupling
- Delivery or shipping. Delivered and set up across South Florida, or shipped across Florida, with the instructions you need and a phone number for the questions that come later.
- Resupply, if it applies. Supplies that recur are tracked on the policy’s schedule. We check in before each shipment; nothing ships that you did not ask for. How automatic resupply works.
What Medicare looks for
Ostomy supplies is covered under Medicare policy LCD L33828, Ostomy Supplies. In plain words, the chart has to show this: Surgically created opening documented. quantities per the applicable payer schedule and the product actually used. Medicare policy quantities can differ, and over-schedule use needs contemporaneous medical-record support. The diagnoses it names include encounter for attention to ileostomy, encounter for attention to colostomy, encounter for fitting/adjustment of urinary device, ileostomy status, colostomy status. Resupply under the policy is monthly, ongoing.
Policies change and plans differ; the link above is the current text. We do not publish allowances or quantity limits here because the number that applies to you depends on your plan and your chart. Ask us and we will tell you yours.
Products people order
The manufacturers’ own photographs, shown under our dealer agreements. Pick one to check coverage and order it; sizes and pack counts come next.
HollisterHollister Flextend CTF
HollisterNew Image Cut-to-Fit FlexWear Skin Barrier, Floating Flange, Blue
Nu-Hope Laboratories7" Nu-Form™ Cool Comfort Support Belt, medium oval right side opening, XL
HollisterHollister Convex Tape (898xx CTF)
Coloplast®SenSura® Mio Convex Soft One Piece Opaque Drainable Pouch, pre-cut, 1-1/8"
Coloplast®SenSura® Mio One-Piece Opaque Convex Drainable Urostomy Pouch, pre-cut 11/16", 10/boxBrands we carry
Hollister, Coloplast, ConvaTec, Nu-Hope Laboratories, Marlen Manufacturing, Salk, Cymed.
Questions people ask
My current supplier keeps substituting a different brand. Can you match what I actually use?
How many pouches am I allowed each month?
My skin around the stoma is sore. Can you help?
Related
About this guide
This is general information written to be useful, not medical advice, and it is not a coverage determination. It does not replace what your own clinician has told you about your own situation — where the two differ, follow your clinician.
We deliberately publish no prices, allowables or fee-schedule figures. Those vary by plan, state and year, and a stale number is worse than none. Call (800) 304-7030 and we will verify your actual benefit.
Not sure where to start?
Call us and tell us what happened — a surgery, a new diagnosis, a discharge date, a supply you keep running out of. We will tell you what is usually needed, check your benefits, and ask your prescriber for the order if you do not have one yet.
