Changes to telemedicine coverage for Medicare patients

Effective October 1, 2025, the telemedicine flexibilities for patients of Medicare, Medicare Advantage, Medicaid, and TRICARE programs have expired. For patients insured by these plans, this impacts any upcoming virtual visits with your healthcare provider. 

Inova's providers assess and treat the following peristomal skin complications:

  • Excoriation – red, weepy, possibly bleeding and sore areas of the skin
  • Rash – itching and redness around stoma, which may be caused by candida
  • Contact dermatitis – itching, burning or stinging, redness, and areas of moist skin surrounding the stoma
  • Ulcerations – red, weepy, and/or sore areas of the skin surrounding the stoma, which may be caused by disease process or improper use of barriers
  • Peristomal hernia – weakness in the abdominal wall that allows the bowel to protrude under the skin and appears as a bulge surrounding the stoma
  • Stoma retracted or flush with the skin – patient’s barrier seal can be improved by changing pouch type or adding products
  • Body contour changes – patients are reevaluated and pouching system used is adjusted to increase wear time

Services provided

In addition to clinical assessments and treatments, our ostomy care team provides:

  • Presurgical ostomy site marking
  • Presurgical education – patients will receive information regarding their specific type of ostomy and how to care for it. Patients will learn about pouching, as well as diet and lifestyle changes.
  • Postsurgical care – patients will receive written home instructions, educational materials and information on how to obtain supplies, including a description of the various pouching systems currently available.
  • Appliance fitting and adjustments – we offer assistance with difficult stomas. The goal is to maximize pouch wear time.

Appointments

Appointments are available at four locations:

Inova Wound Healing Center – Fair Oaks
3700 Joseph Siewick Dr.,
Suite 105,
Fairfax, VA 22033

  • Call 703-664-8025
  • Phone lines open Monday – Friday, 8 a.m. to 4:30 p.m.

Inova Wound Healing Center - Fairfax
3299 Woodburn Rd., Suite 180
Annandale, VA 22003

  • Call 703-664-8025
  • Phone lines open Monday – Friday, 8 a.m. to 4:30 p.m.

Inova Wound Healing Center - Lansdowne
44055 Riverside Pkwy., Suite 150
Leesburg, VA 20176

  • Call 703-664-8025
  • Phone lines open Monday – Friday, 8 a.m. to 4:30 p.m.

Inova Wound Healing Center - Mount Vernon
2501 Parkers Ln, 
Alexandria, VA 22306

  • Call 703-664-8025
  • Phone lines open Monday – Friday, 8 a.m. to 4:30 p.m.

To prepare for your appointment:

  • Please arrive 20 minutes prior to your scheduled appointment time.
  • Bring a picture ID and your insurance card.
  • Bring your current pouching system.
  • Should you need to cancel your appointment, please call at least 24 hours in advance.
  • Check with your insurance company before your appointment for information regarding copays and referral requirements.

Other resources:

United Ostomy Associations of America, Inc.
ostomy.org
1-800-826-0826

Ostomy Support Group of Northern Virginia
osgnv.org
703-802-3457

Wound, Ostomy and Continence Nurses Society
wocn.org
1-888-224-WOCN (9626)