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Health Insurance Plan who have undergone a permanent colostomy, ileostomy or urostomy of which the permanent nature is attested to by a medical certificate.

It is therefore important to keep all proof of purchase.

Sexual relationships and intimacy are important and fulfilling aspects of your life that should continue after ostomy surgery. Your attitude is a key factor in re-establishing sexual expression and intimacy.

Ostomy surgery may present more concerns for single people.

It is important that you enclose the relevant original documents (bills, proof of payment, medical documents, etc.) and you specify the matter being contested, and any facts and dates to be corrected.

If you need more space than that provided on the form, attach a separate, signed sheet.

In its original form this document was written by the United Ostomy Association, Inc.