Your Medicare Coverage
Is my test, item, or service covered?
Prosthetic devices
How often is it covered?
Medicare Part B (Medical Insurance) covers prosthetic devices needed to replace a body part or function when ordered by a doctor or other health care provider enrolled in Medicare.
Prosthetic devices include:
- Medicare-approved corrective lenses needed after a cataract operation (eyeglasses/contact lenses)
- Ostomy bags and certain related supplies
- Breast prostheses (including a surgical bra) after a mastectomy
- Surgically-implanted prosthetic devices in a hospital inpatient setting (Part A) and in a hospital outpatient setting (Part B)
Who's eligible?
All people with Medicare are covered.
Your costs in Original Medicare
You must go to a supplier that's enrolled in Medicare for Medicare to pay for your device. You pay 20% of the Medicare-approved amount for external prosthetic devices, and the Part B deductible applies.
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