Breast prostheses
Medicare covers breast prostheses depending on where you get them
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.
Ask your doctor or healthcare provider how much your test, item, or service will cost.
Your doctor may recommend services that Medicare does not cover or offers too frequently. This could end up in additional costs for you. Make sure to ask your doctor about the reasons for these recommendations and what Medicare will actually cover.
Specific amounts you could owe depend on:
Other insurance you may have
How much your doctor charges
If your doctor accepts assignment
The type of facility
Where you get your test, item, or service