Medicare.gov

Breast prostheses

Medicare covers breast prostheses depending on where you get them

  • Covered by Part A
  • Covered by Part B

Coverage details

Medicare Part A (Hospital Insurance) covers surgically implanted breast prostheses after a mastectomy if the surgery takes place in an inpatient setting.

Medicare Part B (Medical Insurance) covers the surgery if it takes place in an outpatient setting. Part B also covers some external breast prostheses (including a post-surgical bra) after a mastectomy.

Costs

After you meet the Part B deductible , you pay 20% of the Medicare-approved amount for the doctor's services and the external breast prostheses.