Medicare.gov

Breast prostheses

Medicare Part B (Medical Insurance)

 covers some external breast prostheses (including a post-surgical bra) after a mastectomy. Part A covers surgically implanted breast prostheses after a mastectomy if the surgery takes place in an inpatient setting. Part B covers the surgery if it takes place in an outpatient setting.

Your costs in Original Medicare

You pay 20% of the 

Medicare-Approved Amount

 for the doctor's services and the external breast prostheses. 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
  • If your doctor accepts assignment
  • The type of facility
  • Where you get your test, item, or service

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