Page 1 of 2 12 LastLast
Results 1 to 10 of 14

Thread: Help with purchasing catheters

  1. #1

    Help with purchasing catheters

    I have United Healthcare Virginia insurance that will not pay for catheters (United Healthcare doesn't pay for disposable medical supplies.... strange isn't it?), I'm wondering if anyone was in a similar situation and could tell me what did you do to solve this problem. Also, is there anyone who pays for hydrophilic catheters out of pocket? If so, please give me information where I can buy it for a reasonable price....this is urgent.

  2. #2
    I've bought my own a few times, to keep a buffer supply. Here's where I've purchased some in the past.

  3. #3
    I can still only get medicaid to pay for a single foley catheter monthly even after a kidney abscess. Everything else I get by paying out of pocket at a local surgical supply store

  4. #4
    The one time I bought catheters I went with the cheapest ones I could find and ended up buying PVC caths. They are pretty stiff and I ended up bloodying myself with them, so I'd say avoid those even if you find them cheap.

    I use the clear plastic type catheters. They are flexible but not as much as the red rubber ones. The reason I like the clear ones is that you can see the urine in them and spot any cloudiness that might signal an infection early.

    Good luck! Buying catheters out of pocket is a pretty big expense, easily $1500/yr. Many people have luck washing and reusing catheters but in my experience I can't avoid infection that way.

  5. #5
    Senior Member
    Join Date
    Jan 2009
    Location
    california
    Posts
    186
    if u need catheters i have a boatload of them due to my huge bladder capacity, etc. anyway let me know and i could ship em to you. i've got unisex bards 14s that are connected to a bag as it's the only thing i've ever used since re-hab days.

  6. #6
    kel13, what a generous offer. Infinitely cool of you. Hope they can work out for PKF.

    PKF -- check out this thread by MarkB701, who asked this same question last fall. In the replies are good suggestions for what to do (appeal the decision, monthly if necessary; get a case manager at UHC -- they act as internal advocates for you; if your employer offers another option for insurance, switch).

    There's also a list of users in that thread who have fought UHC and won (you could message them for help on how they did it) and lost (ask them where they buy affordable caths).

    If your insurance still won't cover, look into setting up a Flexible Spending Account for Health Care. A FSA allows you to put up to $5k of pre-tax dollars in a savings account, and then use that money to pay for medical expenses like caths, health insurance premiums, etc. It doesn't change your OOP costs but the money you put into the FSA account isn't counted against your wages for income tax purposes so you could end up paying less fed/state income taxes.

    Best of luck! Hope you get something that works for you right away.
    It is easier to find men who will volunteer to die, than to find those who are willing to endure pain with patience.

    ~Julius Caesar


  7. #7
    Quote Originally Posted by PKS View Post
    I have United Healthcare Virginia insurance that will not pay for catheters (United Healthcare doesn't pay for disposable medical supplies.... strange isn't it?), I'm wondering if anyone was in a similar situation and could tell me what did you do to solve this problem. Also, is there anyone who pays for hydrophilic catheters out of pocket? If so, please give me information where I can buy it for a reasonable price....this is urgent.
    My urologicals supplier, Phil Dye @ UTI Medical, called me this morning about my next order and while I had him on the phone I read him your post. He had an interesting insight as to how you might be able to get your catheters covered through UH, as he's come across your situation before. You can reach him at 877-786-7884.

  8. #8
    Senior Member rdf's Avatar
    Join Date
    Jul 2001
    Location
    Someplace between Nowhere and Goodbye
    Posts
    12,973
    If you have Medicare as secondary, don't they pay for 200 catheters per month? If you didn't keep Medicare, or were never on it, the point is moot.
    Please donate a dollar a day at http://justadollarplease.org.
    Copy and paste this message to the bottom of your signature.

    Thanks!

  9. #9
    Senior Member
    Join Date
    Jan 2009
    Location
    california
    Posts
    186
    not how it works in CA rdf.
    I was on Medi-Cal for 2 yrs then automatically got Medicare as primary, Medi-Cal as secondary.
    anyway I always got 150caths, had medical documentation for 180 for a while but now that Medicare is primary they REFUSE to Up me to 200 caths/month.
    I'm not going to fight w/ them as my bladder is huge but I always have UTIs but oh well life is short and I'm not one to deal with insurance headaches!

  10. #10
    Senior Member soonerborn's Avatar
    Join Date
    May 2008
    Location
    Yukon Oklahoma
    Posts
    235
    With UHC insurance you may be able to do a carve out policy that will include Catheters or allow disposable equipment. I work for a DME supplier and verify insurance and only run into UHC paying for caths in a blue moon. The Health Savings Account is a good idea if you need to have hydro's.

    Kel13-- as long as you have the proper paperwork from your dr as to why you need to cath,(not just paralyzed) then medicare will cover. If you have any troubles with it let me know. Our company is trying to get in with Medi-cal but is having issues with them right now. We deal with a lot of medicare pt's. you can check them out on the web. 180medical.com. The founder of the company is a T7 Para and is very understanding. We ship all over the U.S.

Similar Threads

  1. Purchasing a side of beef
    By LooseCannon in forum Food
    Replies: 24
    Last Post: 01-31-2010, 06:19 PM
  2. Can we pool our purchasing power?
    By paramoto in forum Equipment
    Replies: 4
    Last Post: 07-15-2008, 06:15 PM
  3. Purchasing pain meds
    By shelia back in forum Pain
    Replies: 3
    Last Post: 11-08-2006, 05:36 PM
  4. Advise on purchasing new car?
    By shoc13 in forum Equipment
    Replies: 4
    Last Post: 09-05-2005, 05:09 PM
  5. ? about purchasing a used van
    By Shannon in forum Life
    Replies: 5
    Last Post: 04-20-2003, 12:18 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •