Shirlee Zerkel to Sandy Knoesel: A question about the zero co-pay list

Sandy Knoesel to Shirlee Zerkel, August 28, 2008
Subject: RE: Question about zero co-pay list

Thank you for your question about ostomy supplies being covered under the $0 copayment for select Medicare Part B drugs. Since ostomy supplies are categorized under Medicare Part B as durable medical equipment, these supplies are coordinated through the hospital/medical plan. Ostomy supplies are not eligible for coverage under the prescription drug plan.

For your reference, Medicare defines durable medical equipment as, “Certain medical equipment that is ordered by a doctor for use in the home. Examples are walkers, wheelchairs or hospital beds.” With the exception of diabetic test strips and lancets which are not covered under the medical plan, durable medical equipment (DME) as defined by Medicare is not considered a prescription drug expense. Ostomy supplies coordinated through our medical plan, like most Medicare Part B covered DME and supplies, are not eligible for coverage consideration under the prescription drug plan.

I hope this information is helpful.

Sandy Knoesel
Deputy Executive Director – Member Benefits

From Shirlee Zerkel, August 24, 2008
Subj: Question about zero co-pay list

Dear Ms. Knoesel:

I want to thank you for the List of Medicare Part B zero co-pay drugs and supplies. It will be most helpful for the retirees. At this time I also have a question about something that is not on your list. Why aren't ostomy supplies on the list?

Sincerely,
Shirlee Zerkel