Yes. Apparel Med does not accept any 3rd party billing methods (Medicare or other insurance). Our customers must pay for their products via credit card, PayPal or Money Order. Customers may then submit their invoice as proof of payment for their goods to their respective insurance provider. Apparel Med makes no guarantees that the items the customer purchases are subject to reimbursement. Medicare has assigned a reimbursement code to the Phoenix Ostomy Support System. The code is: HCPCS 4396 (Ostomy belt with peristomal hernia support) which will be listed on your invoice.