Your Medicare Coverage
Is my test, item, or service covered?
Defibrillator (implantable automatic)
How often is it covered?
Medicare Part A (Hospital Insurance) or Medicare Part B (Medical Insurance) covers defibrillators for certain people diagnosed with heart failure, depending on whether the surgery takes place in a hospital inpatient or outpatient setting.
Who's eligible?
Certain people with Medicare, who are diagnosed with heart failure, are covered.
Your costs in Original Medicare
You pay 20% of the Medicare-approved amount for the doctor’s services. If you get the device as a hospital outpatient, you also pay the hospital a copayment, but no more than the Part A hospital stay deductible. For surgeries to implant defibrillators in the hospital inpatient setting covered under Part A, see Hospital Care (Inpatient). If covered by Part B, the Part B deductible applies.
Related resources
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