Stoma guard and insurance

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I have been fighting with my insurance company to cover the cost of an Active Life Stoma Guard by Stoma Plex and getting no where. Anyone have any success? I have been given an 800 number for Walgreen's and will see if they can get it and bill my insurance. I do not want to pay $148 for this nice piece (it is worth it) for a couple months. But I cannot drive with my seat belt on either. Anyone have one that would like to get rid of? I know when I have my reversal, I will be giving it away to someone on here that could utilize it. Seems like a very good device. www.stomaplex.com in case someone is interested it looking into them.

Just frustrated with my insurance company at the moment and would have liked to have this guard here last week already.. but.. hopefully soon!!!

Comments

  • John23
    John23 Member Posts: 2,122 Member
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    Sam.....


    Re:
    "But I cannot drive with my seat belt on either. "

    Seat belt manufacturers tell us NOT to wear anything between
    the belt and the body.

    The reasons for that are important, since anything that interferes
    with the proper operation of the belt's intended purpose, will
    cause it to fail to keep you safe.

    At high G-force rates upon impact, the belt is designed to give
    at a very controlled rate, but it must be snug against the body
    prior to, and during the initial impact.

    A simple device placed between body and belt can become
    a dangerous implement, cutting through flesh and bone.

    And if not that, it can seriously impair the functioning and design,
    and fail to keep you safe. As much as a small pillow between
    belt and body, is enough to cause it to fail.

    My wife was a passenger in a high speed accident on Rt95
    in Florida. The belt broke her pelvis, hip and arm during impact,
    and she was wearing it properly. Her brother was thrown from
    the vehicle, landing face-down aside the roadway. He too was
    wearing his belt, and it remained intact and buckled throughout
    the entire incident. He may have neglected to fit it snugly, since
    some types allow a ratchet action to leave the belt loose upon
    the body until travel begins. The belt must fit snugly!

    Do not underestimate the power upon impact; do not be careless
    with the wearing of the belt in the manner it was intended to
    be worn. When the manufacturer instructs the wearer to avoid
    anything between belt and body, it is dangerous to do otherwise.

    I would sooner forgo the belt, rather than wear it improperly.
    The belt can kill you as easy as it can save you.

    Stay well.....

    John
  • Lovekitties
    Lovekitties Member Posts: 3,364 Member
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    Hi
    I checked out the web site and while it seems like an interesting device, I, like John, have to wonder if it would be advised to have it under a seat belt.

    You don't mention the location of your stoma. Have you tried adjusting where the lap belt of the seat belt hits your abdomen? I make sure that mine is not over the stoma.

    Have you checked with your doctor regarding this appliance? Perhaps if your stoma is located poorly he/she could write you a script for the appliance. Just a thought.

    Marie
  • sammer4u
    sammer4u Member Posts: 37
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    Hi
    I checked out the web site and while it seems like an interesting device, I, like John, have to wonder if it would be advised to have it under a seat belt.

    You don't mention the location of your stoma. Have you tried adjusting where the lap belt of the seat belt hits your abdomen? I make sure that mine is not over the stoma.

    Have you checked with your doctor regarding this appliance? Perhaps if your stoma is located poorly he/she could write you a script for the appliance. Just a thought.

    Marie

    My stoma is on the left side
    My stoma is on the left side and right at my belt line. I cannot get the seat belt to stay above the stoma, and is very bothersome. I have gotten a prescription for the guard, however my insurance is really fighting me on this since it is a convenience appliance. I am also having a problem dealing with any of the recommended companies that the insurance works with. I have given them the web site and they say they cannot get the item. I am really getting frustrated. I currently asked for a Dr. note for not wearing the seat belt because of the stoma and my infusaport which is still swollen and tender and is also located on the left side of my chest in perfect location for the belt when I am driving.

    So still frustrated after 4 weeks of fighting and getting no where. At least I have not been pulled over as of yet, and am concerned about the hassle this weekend and next week as I am sure the patrols will be stepped up!

    Wishing you all a Merry Christmas!
  • John23
    John23 Member Posts: 2,122 Member
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    sammer4u said:

    My stoma is on the left side
    My stoma is on the left side and right at my belt line. I cannot get the seat belt to stay above the stoma, and is very bothersome. I have gotten a prescription for the guard, however my insurance is really fighting me on this since it is a convenience appliance. I am also having a problem dealing with any of the recommended companies that the insurance works with. I have given them the web site and they say they cannot get the item. I am really getting frustrated. I currently asked for a Dr. note for not wearing the seat belt because of the stoma and my infusaport which is still swollen and tender and is also located on the left side of my chest in perfect location for the belt when I am driving.

    So still frustrated after 4 weeks of fighting and getting no where. At least I have not been pulled over as of yet, and am concerned about the hassle this weekend and next week as I am sure the patrols will be stepped up!

    Wishing you all a Merry Christmas!

    sammer4u -

    Welcome to the Wonderful World of Ostomates!

    Most people have no idea of the design of seat belts,
    and less knowledge of how they should -not- be used.

    I guess we all take them for granted, until we're involved
    in an accident where we learn in a really cold and blunt
    manner, about the hazards of wearing them improperly.

    A seatbelt worn improperly, can cause more damage than
    if not worn at all (the manufacturers state that loud and clear!).

    The air-bags were a great invention, until it was realized that
    they can kill an infant sitting in the front seat. A passenger
    or driver can have eyeglasses driven into their brain, if an
    airbag deploys improperly..... Life, is not without it's perils.

    So, what we might think is safe can be a major hazard.... but
    hey... how many of us even think about it? The gubberment
    passes legislation, and we follow it, cuz it's the law.
    (wow, what a Holiday rant, ehh?)(sorry)

    So anyway, I can't wear a seatbelt unless I want to end up
    with a pouch full of blood.

    What physician in his/her right mind would sign a form that
    exempts the patient from wearing one? In this litigious society,
    an accident where the patient dies would bring lawsuits from
    the surviving family, regardless if the absence of a belt was a
    concern or not.....

    During a random stop, the officer accepted my explanation
    for not wearing the belt. Mitigating circumstances should always
    prevail, along with common sense... your mileage will vary.

    Do what you feel is best -for you-!

    Best wishes for best health!

    John
  • Kenny H.
    Kenny H. Member Posts: 502 Member
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    John23 said:

    sammer4u -

    Welcome to the Wonderful World of Ostomates!

    Most people have no idea of the design of seat belts,
    and less knowledge of how they should -not- be used.

    I guess we all take them for granted, until we're involved
    in an accident where we learn in a really cold and blunt
    manner, about the hazards of wearing them improperly.

    A seatbelt worn improperly, can cause more damage than
    if not worn at all (the manufacturers state that loud and clear!).

    The air-bags were a great invention, until it was realized that
    they can kill an infant sitting in the front seat. A passenger
    or driver can have eyeglasses driven into their brain, if an
    airbag deploys improperly..... Life, is not without it's perils.

    So, what we might think is safe can be a major hazard.... but
    hey... how many of us even think about it? The gubberment
    passes legislation, and we follow it, cuz it's the law.
    (wow, what a Holiday rant, ehh?)(sorry)

    So anyway, I can't wear a seatbelt unless I want to end up
    with a pouch full of blood.

    What physician in his/her right mind would sign a form that
    exempts the patient from wearing one? In this litigious society,
    an accident where the patient dies would bring lawsuits from
    the surviving family, regardless if the absence of a belt was a
    concern or not.....

    During a random stop, the officer accepted my explanation
    for not wearing the belt. Mitigating circumstances should always
    prevail, along with common sense... your mileage will vary.

    Do what you feel is best -for you-!

    Best wishes for best health!

    John

    Intresting. I try to fasten
    Intresting. I try to fasten my belt where comes across just above my stoma.
  • mamadawg
    mamadawg Member Posts: 17
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    sammer4u said:

    My stoma is on the left side
    My stoma is on the left side and right at my belt line. I cannot get the seat belt to stay above the stoma, and is very bothersome. I have gotten a prescription for the guard, however my insurance is really fighting me on this since it is a convenience appliance. I am also having a problem dealing with any of the recommended companies that the insurance works with. I have given them the web site and they say they cannot get the item. I am really getting frustrated. I currently asked for a Dr. note for not wearing the seat belt because of the stoma and my infusaport which is still swollen and tender and is also located on the left side of my chest in perfect location for the belt when I am driving.

    So still frustrated after 4 weeks of fighting and getting no where. At least I have not been pulled over as of yet, and am concerned about the hassle this weekend and next week as I am sure the patrols will be stepped up!

    Wishing you all a Merry Christmas!

    same dilemma
    I wish you the best in resolving this issue. I too have a colostomy stoma on my left side at belt line (transverse colon). I had reversal back in Nov. But due to a fistulait was unsuccessful and I had to have a new coloatomy done. It was done in original location and has now prolapsed, so as if it wasnt difficult enough originally, I now have 3 inches of intestine hanging out into bag that I have to worry about. There is no way of getting a seatbelt over this, so I risk it and go without. I was glad to see I was not alone in this dilemma. Wishing you the best with your reversal.
  • sammer4u
    sammer4u Member Posts: 37
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    mamadawg said:

    same dilemma
    I wish you the best in resolving this issue. I too have a colostomy stoma on my left side at belt line (transverse colon). I had reversal back in Nov. But due to a fistulait was unsuccessful and I had to have a new coloatomy done. It was done in original location and has now prolapsed, so as if it wasnt difficult enough originally, I now have 3 inches of intestine hanging out into bag that I have to worry about. There is no way of getting a seatbelt over this, so I risk it and go without. I was glad to see I was not alone in this dilemma. Wishing you the best with your reversal.

    Stikll trying to figure it out
    I have a letter in case I am pulled over that states that I have the ostomy and more importantly the port for the chemo pump. I do not wear the seat belt while on the pump as it pushes against it as it is on the left side. If I am not driving it is not an issue. I am still not able to get insurance to pay for the "convenience item" in their eyes. So not sure what I am going to do now!
  • steve g
    steve g Member Posts: 58 Member
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    Seat belts and ostomy
    I knew that the seat belt issue would be a problem so I went to DMV and asked if I could get an exemption stated on my license. I was told that Florida made no such exemption and should get a letter from my doctor. I wear coveralls which do not have a belt and my thoughts were, if a cop wasn't smart enough to recognize that I couldn't wear a belt then what good would a letter be. I have been stopped twice in New York, the first time I had to explain, the second time the officer asked if there was a reason for not wearing a seat belt. When I answered yes, he said medical and I answered yes, that was the end of it. I still have a port so in addition to the lap section covering my stoma the shoulder belt rubs on the port making it impossible to wear a belt when driving. As a passanger the port is not a problem but still have the stoma issue. I have used a loose belt on the passanger side but after reading John's post, I will rethink that, Thanks John.......... Steve
  • toddi1973
    toddi1973 Member Posts: 41 Member
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    steve g said:

    Seat belts and ostomy
    I knew that the seat belt issue would be a problem so I went to DMV and asked if I could get an exemption stated on my license. I was told that Florida made no such exemption and should get a letter from my doctor. I wear coveralls which do not have a belt and my thoughts were, if a cop wasn't smart enough to recognize that I couldn't wear a belt then what good would a letter be. I have been stopped twice in New York, the first time I had to explain, the second time the officer asked if there was a reason for not wearing a seat belt. When I answered yes, he said medical and I answered yes, that was the end of it. I still have a port so in addition to the lap section covering my stoma the shoulder belt rubs on the port making it impossible to wear a belt when driving. As a passanger the port is not a problem but still have the stoma issue. I have used a loose belt on the passanger side but after reading John's post, I will rethink that, Thanks John.......... Steve

    Stoma Guard
    I am using one of the Stoma Guard 'belts' and I am wearing it under my seatbelt. Reason for that is simple physics. The way the stomaguard is built is that it uses layers of neoprene (thick and wide) around the stoma so there is a large surface area that is on my 'normal' skin around the Stoma. That together with the brass cover (also wide and right under the seatbelt) gives almost as much surface contact to the skin as I would have without the stomaguard.

    I live in South Florida where we frequently get voted as 'most terrible drivers', so I wouldn't take the risk of driving without the seatbelt - ever.

    Is there a risk that the stomaguard might do damage ? there probably is. But is there a chance of instant death on the highway without a seatbelt ? Absolutely !
    So I am taking my bets and use a decent device with a lot of rubbercushioned padding that might hurt me vs. a certain death on I-95 any day.

    Hope everybody had a good start into this year and god bless !

    Toddi