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Intermittent Catheters

A Better Choice Medical Supply has the best catheter supply service you will find anywhere. We bill most insurance companies for the cost of your catheter supplies including: Medicare, Blue Cross Blue Shield, Medicaid, and most other commercial insurance companies. We handle all of the insurance paperwork for you and ship the catheter supplies directly to your front door. Our goal is to get you the catheter supplies you need when you need them. We realize how important they are to you and that you need you supplies on time!

A Better Choice Medical Supply is a fully accredited company which allow our patients to have the piece of mind that there catheter supply needs will be in compliance with medicare standards.

Insurance Processing

No matter what kind of insurance you have we will verify your coverage for medical supplies. If you have a secondary insurance we will also verify that as well. In most cases you will have little to no out of pocket costs. Each time you order your supplies we will ship them to you and bill your insurance. If you have deductibles or co-pays we will let you know how much they are at the time of service.

Required Documentation from your Healthcare professional

In order for A Better Choice Medical Supply to bill your insurance we will need a physician order form from your doctor. All this paper work will be processed for you by our staff. We will resend and follow up with your doctor to make sure we have what is needed by your insurance company before we send you your supplies. This will eliminate any confusion and reduce claim errors. Once the correct documentation is received your insurance claim will be submitted for you.

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Can I really stop reusing and cleaning old catheters?

YES, Medicare will cover sterile single use catheters in quantities up to 200 per month with individual packets of lubercation. These quantities will be determined by your doctor. Please see table below

Medicare Guidelines for Sterile Catheterization

1

Intermittent Catheters Single-Use(Coude and Straight Tip)

  • The basic coverage criteria of permanent urinary incontinence or retention must be met. Medicare members may receive quantities of catheters as ordered by their doctor to meet their specific needs.
  • Your prescription must clearly state the frequency of catheterization, as well as the quantity of catheters required on a monthly basis.
  • Clinical documentation is required to get more than 200 catheters per month.
  • The number of times per day that an individual performs self-catheterization should be clearly documented in your medical record.
2

Closed System Intermittent/Sterile Technique Intermittent

“Medicare will cover closed system intermittent catheters or sterile intermittent catheters with insertion kits when the member has permanent urinary incotinence & there is documentation that individuals meet 1 of the following”

  • The Medicare member has 2 distinct, recurrent UTI’s while on a program of sterile intermittent catheterization (sterile catheters with sterile lubricant) within 12 month of each other; or
  • The Medicare member resides in a nursing facility or,
  • The patient is immuno suppressed; or
  • The patient has a radiologically documented vesico-ureteral re-flux while on a program of intermittent catheterization; or
  • The patient is a spinal-cord injured pregnant female with a neurogenic bladder.
2

Urinary Tract Infections (UTI) Documentation

How does medicare define UTI documentation?

Urine Culture with > 10,000 CFU (colony Forming Units) of a urinary pathogen and concurrent documented presence in the urine culture of only of the following.

  • Fever (oral temperature > 100.4 degrees F)
  • Pyuria, elevated while blood cell count (wbc)>5
  • Change in urinary urgency, frequency or incontinence
  • Appearance of new or increase in autonomic dysreflexia
  • Physical signs of prostatitis, epididymitis, orchitis
  • Increased muscle spasms

A Better Choice Medical Supply Advantages

  1. Little or No out-of-pocket cost
  2. Fully Accredited Company
  3. Medicare, BCBS and other Commercial Insurances accepted
  4. Re-Order Reminders
  5. Discrete Home Delivery

We offer FREE SAMPLES from all the leading Brands

Catheter Rule Change:

Up until 2008 if you had to use a catheter most insurance companies would only pay for 4 catheters each month. This meant catheter users had to clean and reuse the same catheter over and over again. The problem with cleaning and reusing your catheters was a higher risk of Urinary Tract Infections. As recently as 2008 Medicare will now pay for up to 200 intermittent catheters every month. This means catheter users can now use a new catheter every time that the have to cath.

*Co-pay and deductables apply; coverage by insurance may vary based on individual policy

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