Braces (arm, leg, back, & neck)

Medicare Part B (Medical Insurance)

covers arm, leg, back, and neck braces when

medically necessary

Your costs in Original Medicare

You pay 20% of the

Medicare-Approved Amount

for your doctor's services, and the Part B

deductible [glossary]

applies.

note:

To find out how much your test, item, or service will cost, talk to your doctor or health care provider. The specific amount you’ll owe may depend on several things, like:

Other insurance you may have
How much your doctor charges
Whether your doctor accepts assignment
The type of facility
Where you get your test, item, or service

Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS) Competitive Bidding Program

If you live in or visit a competitive bidding area and need an off-the-shelf back or knee brace that’s included in the DMEPOS Competitive Bidding Program, you generally must use specific suppliers called “contract suppliers” if you want Medicare to help pay for the item. Contract suppliers are required to provide the item to you and accept assignment as a term of their contract with Medicare.

Visit Medicare’s supplier directory to see if you live in or are visiting a competitive bidding area, or to find suppliers who accept assignment.

Braces (arm, leg, back, & neck)

note:

Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS) Competitive Bidding Program

Is my test, item, or service covered?

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