Other Services
Chapter 8
Section 6.1
Medical
Supplies And Dressings (Consumables)
Issue Date: October 25, 1993
Revision:
1.0 DESCRIPTION
Medical supplies and dressings
(consumables) are those that do not withstand prolonged, repeated
use.
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.
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