Article
Urology

PureWick™ System: Understanding Out-of-Pocket Costs and Payment Options

Angela Breslin, RN
October 10, 2024
0
min read

PureWick cost out of pocket is a common concern for many dealing with urinary incontinence. If you're looking for a quick answer, here's the core of it:

  • Initial Costs: Around $534 for the starter set.
  • Monthly Costs: About $500 for the external catheters.
  • Discounts and Payment Plans: Available through suppliers like ProMed DME.

Now, let's dive into a more detailed view.

The PureWick™ System is a groundbreaking solution designed to manage urinary incontinence non-invasively. It's a relief for many who want to avoid more invasive options like indwelling catheters. Given its benefits, understanding the costs involved is crucial, especially since it might mean out-of-pocket expenses for many users.

Managing the costs associated with purchasing and using the PureWick™ System is important for those faced with high medical bills. From the initial purchase of the starter set to the recurring costs of replacement wicks, navigating these expenses without the cushioning of insurance coverage can be daunting.

For those dealing with this challenge, it often becomes a matter of weighing the benefits of maintaining comfort and dignity against the financial implications. ProMed DME offers options like discounts, payment plans, and assistance with insurance coordination, aiming to make this advanced system more affordable and accessible to those in need.

PureWick System Costs Breakdown Infographic - purewick cost out of pocket infographic infographic-line-3-steps-neat_beige

What is the PureWick™ System?

The PureWick™ System is an innovative solution for managing female urinary incontinence. This system provides a non-invasive alternative to traditional methods like indwelling catheters, offering comfort and convenience to users.

Urine Collection

At the heart of the PureWick™ System is its urine collection mechanism. It uses a low-pressure suction device to draw urine away from the body. This ensures that the skin stays dry, reducing the risk of irritation and infections. It's a gentle and effective way to manage urine collection without intrusive procedures.

External Catheter

The system features a female external catheter, which is a soft, flexible wick made of fabric. This wick is placed between the labia and gluteal muscles. It efficiently channels urine away from the body into a collection canister. The design prioritizes user comfort, making it suitable for both short-term and long-term use.

Non-Invasive Solution

One of the standout features of the PureWick™ System is its non-invasive nature. Unlike traditional catheters that need insertion, the PureWick™ external catheter simply rests against the body. This reduces the risk of urinary tract infections and other complications associated with invasive devices.

Female Incontinence

The PureWick™ System is specifically designed to address female urinary incontinence. It provides a reliable and easy-to-use solution for women who struggle with this condition. By offering a non-invasive method, it helps improve the quality of life for many users, allowing them to manage incontinence discreetly and effectively.

female urinary incontinence - purewick cost out of pocket

Understanding these components helps in grasping the overall value of the PureWick™ System. It's not just about collecting urine; it's about providing a dignified and comfortable solution for women dealing with incontinence.

Next, we'll explore the costs associated with this system, including initial purchase and ongoing expenses.

PureWick Cost Out of Pocket

Understanding the PureWick cost out of pocket is crucial for potential buyers. Let's break down the expenses associated with this innovative system, focusing on both initial and ongoing costs.

Initial Purchase Costs

When you first purchase the PureWick™ System, you'll encounter some initial costs. The starter set is a significant part of this. It includes the urine collection system and a box of 30 external catheters.

  • With Battery: The starter set with a battery option costs around $608.70. This version offers the added convenience of portability and flexibility.

  • Without Battery: For those who prefer a more economical choice, the starter set without a battery is available for $538.70.

Both options include the essential components: a suction pump, a 2000cc collection canister, pump tubing, collector tubing, and a power cord. These components ensure the system functions efficiently right out of the box.

Ongoing Costs

After the initial purchase, you need to consider the ongoing expenses. These primarily involve replacement wicks and accessory kits.

  • Replacement Wicks: The wicks are single-use and need regular replacement. A box of 30 replacement wicks costs approximately $195. Depending on usage, you might need to replace them every 8 to 12 hours, potentially leading to a monthly expense of $500 if used continuously.

  • Accessory Kit: The accessory kit, which includes a new collection canister, pump tubing, and collector tubing, costs $49.99. It's recommended to replace these components every 60 days, or sooner if they show signs of wear.

These ongoing costs are essential to maintain the system's effectiveness and hygiene. By understanding these expenses, users can better plan their budget and manage the cost of using the PureWick™ System.

In the next section, we'll dig into insurance and Medicare coverage options to help you explore potential financial assistance.

Insurance and Medicare Coverage

Exploring insurance and Medicare coverage is vital for anyone considering the PureWick™ System. Understanding what's covered can help reduce the PureWick cost out of pocket. Let's explore the details of Medicare, Medicaid, and private insurance options.

Medicare Coverage

Medicare is a federal program mainly for individuals aged 65 and older. When it comes to medical devices like the PureWick, understanding Medicare's structure is key.

Medicare Part B is the part that typically covers Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). Unfortunately, the PureWick external catheter does not fall under the current coverage criteria, as it is not deemed "reasonable and necessary" by Medicare standards. This means that beneficiaries need to look elsewhere for coverage options.

For other urological supplies that might be covered, Medicare requires:

  • A documented diagnosis of a relevant condition.
  • A prescription from a healthcare provider.
  • Compliance with supplier requirements, including proper billing codes.

Medicare does cover some external catheters, but these are generally for male use, leaving a gap for female patients seeking similar solutions.

Private Insurance Options

If Medicare doesn't cover your needs, private insurance might offer a solution. Coverage can vary significantly between different insurance plans, so it's crucial to check with your provider.

Key Considerations for private insurance:

  • Prescription Requirements: Some insurance plans require a doctor's prescription to cover the PureWick system.

  • Documentation: Ensure all necessary documentation is in place. This includes proof of medical necessity and any specific forms your insurer may require.

  • Coverage Limitations: Each plan has its own set of limitations and exclusions. Contact your insurer to understand what is covered and what isn't.

Additionally, Medicaid may offer coverage for the PureWick system in some states, but this varies widely. It's essential to check with your state's Medicaid office for specific details.

Navigating these options can be complex, but understanding them is crucial for managing costs effectively. In the next section, we'll look at ways to manage out-of-pocket expenses, including discounts and financing options.

Managing Out-of-Pocket Costs

When tackling the PureWick cost out of pocket, it's crucial to explore all available options to ease the financial burden. Let's explore some practical strategies.

Discounts and Promotions

ProMed DME offers several ways to save on PureWick purchases. Here are some options you can take advantage of:

  • First-Time Buyer Discounts: New customers often receive discounts on their initial purchase, making it more affordable to start using the PureWick system.

  • Bulk Purchases: If you plan to use the PureWick system long-term, buying in bulk can reduce costs. Suppliers sometimes offer reduced prices per unit when you buy larger quantities.

  • Seasonal Promotions: Keep an eye out for special promotions that may occur during certain times of the year. These promotions can offer significant savings.

These discounts can make a substantial difference, especially when combined with other financial strategies.

Payment Plans and Financing

For those who find the upfront costs challenging, payment plans can offer a solution. Here's how:

  • Financing Options: ProMed DME provides financing options that allow you to spread the cost of the PureWick system over time. This can make it more manageable, especially if you're on a fixed income.

  • Spreading Out Costs: By breaking down the total cost into smaller payments, you can better incorporate the expense into your monthly budget.

  • HSA/FSA Funds: If you have a Health Savings Account (HSA) or Flexible Spending Account (FSA), you can use these funds to purchase the PureWick system. These accounts use pre-tax dollars, which can effectively reduce the overall cost.

Using these strategies can make the PureWick cost out of pocket more manageable and accessible for many users. ProMed DME is committed to helping customers steer these options to find the best fit for their financial situation.

Next, we'll address some frequently asked questions about the PureWick system, including its costs and insurance coverage possibilities.

Frequently Asked Questions about PureWick Cost Out of Pocket

How much does the PureWick cost?

The PureWick cost out of pocket can vary depending on the components you choose and where you purchase them. A complete starter set, which includes the PureWick Urine Collection System and a box of 30 external catheters, generally ranges from $300 to $600. ProMed DME offers a starter set with a battery for $608.70, and without a battery for $538.70. Replacement wicks are an ongoing cost, with prices typically ranging from $10 to $20 each.

Keeping an eye out for discounts and promotions can help reduce these costs. For example, opening a PureWick account online can get you a 10% discount on certain starter sets.

Will insurance pay for PureWick?

Unfortunately, Medicare does not cover the PureWick Female External Catheter for home use, and this is also true for most commercial insurance plans. This means that these items are typically sold on a cash basis. However, some private insurance plans might offer partial coverage based on medical necessity. It's essential to contact your insurance provider directly to inquire about coverage possibilities and to understand their specific requirements, such as needing a doctor's prescription or additional documentation.

How long does the PureWick system last?

The longevity of the PureWick system depends on how often it is used and the maintenance of its components. The PureWick Female External Catheters should be replaced every 8 to 12 hours to ensure hygiene and effectiveness. The accessory kits, which include the collection canister and tubing, should be replaced every 60 to 90 days, depending on use and signs of wear.

Regular replacement is crucial to maintain the system's efficiency and prevent potential issues such as blockage or mechanical failure.

For more details on managing costs and understanding insurance options, continue exploring ProMed DME's resources.

Conclusion

Navigating the costs of the PureWick™ System can seem daunting, but ProMed DME is here to make it easier. We pride ourselves on offering exceptional customer service, ensuring that you receive the support and guidance you need at every step.

Free Shipping is a significant benefit we provide to all our customers. This means you can receive your PureWick supplies without worrying about additional delivery fees. It's just one of the ways we make your experience as hassle-free as possible.

When it comes to insurance coordination, we help you understand your coverage options and assist with the necessary paperwork. While Medicare doesn't cover the PureWick system, some private insurance plans might offer partial reimbursement. Our team works with most insurance providers to help minimize your out-of-pocket expenses. We guide you through the process of gathering documentation and understanding the steps involved in seeking reimbursement.

By choosing ProMed DME, you are not only getting top-quality medical supplies but also a dedicated partner in your healthcare journey. We invite you to explore our comprehensive range of urology products and find how we can assist you in managing your medical needs effectively.

For more information on our offerings and to start your journey with us, visit our Urology Page today. Together, we can find the best solutions for your health and well-being.

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