We Handle All Insurance BillingFor Medicare, Medicaid & Private Insurance

UroMed provides products and services for individuals that are covered by Medicare, Medicaid, and Private Insurance Plans. UroMed will accept the assignment of your insurance*, handle all of the paperwork, work with your insurance carrier, and send products directly to your home, often within 24 hours.

*All insurance plans will be verified prior to shipment.

We are a Medicare provider in most states.
Click here for the list of states where we are a Medicaid provider.



UroMed Insurance Processing

If you are covered by Medicare, Medicaid or private insurance, UroMed will handle all of your insurance verification for your medical supplies. For each of your monthly medical supply shipments, UroMed will bill your insurance provider for you. If you have secondary private insurance coverage, UroMed will also coordinate the supplemental billing for your secondary coverage. Depending on your policy plan, your supplies may be completely covered after your annual deductibles.

UroMed Coordinates With Your Healthcare Professional

Our UroMed Customer Care Representatives will coordinate all the necessary documentation to get your supplies covered as much as possible with your insurance providers. To do this, UroMed will gather all of your documentation from your physician to ensure that you meet your insurance provider's current guidelines for coverage. It is necessary for UroMed to gather this information directly from your physician, including doctors notes containing documentation of the Permanent nature of the condition, Diagnosis, and Frequency.

Would you like UroMed to verify your insurance? Click here to Get Started!

Catheter Supplies: What Does Medicare Cover?

Medicare will cover sterile single-use intermittent catheters in quantities up to 200 per month with individual packets of lubricant. These quantities will be determined by the prescribing physician. Please see the table below for more information.

Medicare Sterile Technique Catheterization Guidelines



SINGLE-USE INTERMITTENT CATHETERS

Medicare will cover sterile single-use intermittent catheters in quantities up to 200 per month with individual packets of lubricant.

  • The basic coverage criteria of permanent urinary incontinence or retention must be met. Medicare members may receive quantities of catheters as ordered by their physicians 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 support quantity or frequency of use that is greater than 200 per month or 6 per times per day.
  • The number of times per day that an individual performs self-catheterization should be clearly documented in your medical record.

CLOSED-SYSTEM INTERMITTENT CATHETERS/STERILE INTERMITTENT CATHETERS WITH INSERTION KITS

Medicare will cover closed system intermittent catheters or sterile intermittent catheters with insertion kits when the member has permanent urinary incontinence, and there is documentation that individuals meet one of the following criteria:

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

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 one (1) of the following:

  • Fever (oral temperature > 100.4 Degrees F)
  • Pyuria; elevated white blood cell count (wbc) > 5
  • Change in urinary urgency, frequency or incontinence
  • Appearance of new or increase in autonomic dysreflexia (sweating, low heart rate, elevated blood pressure)
  • Physical signs of prostatitis, epididymitis, orchitis
  • Increased muscle spasms

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Medical Update

Attention Catheter Users:

Medicare, the Veterans Administration and the FDA all agree that catheters should NOT be re-sterilized and reused, as a standard rule to lower your risk for urinary tract infections.

Learn More...

Positive Experiences

My life has changed beyond my wildest dreams. I sleep all night, even after a late night beverage. Your home delivery service is excellent and your staff are a joy to speak with!

- Frank D., Bridgewater, NJ

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