Catheter Insurance Guide

Catheter insurance coverage can vary by plan, but understanding the basics may make the process easier. This guide explains how coverage for intermittent catheters may work for certain plans. 

Reach out to us to have your insurance verified, and we can help you navigate your insurance-covered catheter options.

Are Catheters Covered by Insurance?

Many insurance plans cover catheters when they are medically necessary and prescribed by a healthcare provider.

However, every insurance plan is different. Your catheter coverage may depend on your plan, diagnosis, prescription, documentation, and any authorization requirements.

Medicare Insurance Coverage for Catheters

Medicare Part B covers up to 200 sterile/single-use intermittent urinary catheters per month.

However, the number of catheters you are eligible to receive monthly depends on your doctor’s written prescription and treatment plan. For example, if your healthcare provider’s prescription recommends self-cathing twice a day, you may be eligible to receive up to 60 catheters every 30 days.

Medicare requires a prescription and related doctor’s notes to cover catheter supplies. 180 Medical works with your healthcare provider’s office to obtain any needed documentation, and we are fully accredited with Medicare and the ACHC.

In certain circumstances, Medicare may also cover coudé catheters or closed system catheters with proper documentation and medical necessity.

For more details about Medicare coverage for intermittent catheters, read our complete guide.

Medicaid Coverage for Catheters

Coverage and allowable amounts vary by state for intermittent catheters and related urological supplies.

Just contact us to find out what your state’s plan covers. 180 Medical is in-network with many state Medicaid programs.

In many situations, you may be able to get your catheters at low or no cost after Medicaid covers its portion. Other states may have a spend-down requirement, and some may only cover a certain number of catheters per month.

The best way to know for sure what your state Medicaid program will cover is to call 180 Medical at 1-877-688-2729. We’ll work quickly to verify your Medicaid plan and let you know what your coverage allows.

Private Insurance Catheter Coverage

Many private insurance plans will cover intermittent catheters. Some may also cover advanced products such as ready-to-use travel catheters, hydrophilic catheters, and closed systems. It depends on the company and your specific plan's coverage.

Contact 180 Medical today to find out what your insurance plan covers. You're just a call away from getting top-quality catheter supplies discreetly delivered to your home.

The 180 Medical Difference

When you call 180 Medical, you’ll speak with a knowledgeable, trained Catheter Product Specialist who cares about you and your needs.

We accept a wide variety of private insurance plans, and that number is growing all the time. We're in-network with BlueCross® BlueShield®, UnitedHealthcare®, AARP®, Humana, Covenant Health, Aetna®, Tricare®, MultiPlan®, Cigna®, and hundreds more!

Curious if we accept your particular insurance plan? We can verify your plan's catheter coverage. Then we'll reach back out to you to discuss your catheter supply options based on your insurance benefits and prescription.

When you choose 180 Medical as your catheter supplier, you get:

• Friendly, reliable service
• Free catheter samples
• Easy reordering and ongoing support
• Free, discreet shipping right to your door

Experience the service that our customers review so highly. Contact us to start the process of getting your catheter supplies from a company that cares.

 

Contact 180 Medical