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.