2.0 POLICY
2.1 Medical
supplies and dressings (consumables) are covered when related directly
to a covered medical condition and obtained from a medical supply
company, a pharmacy, or authorized institutional provider. Examples
of covered medical supplies and dressings include disposable syringes for
diabetics, colostomy sets, irrigation sets, elastic bandages, TED®
hose, and external surgical garments designed for use following
a mastectomy.
2.2 Generally,
the allowable charge of a medical supply item will be under $100.
Any item over this amount must be reviewed to determine whether
it would not qualify as a Durable Equipment
(DE) item. If it is, in fact, a medical supply item and does not
represent an excessive charge, it can be considered for benefits
under this policy.