Medicare may cover an implantable automatic defibrillator if you’ve been diagnosed with heart failure.  Medicare Part A (Hospital Insurance)  covers the surgery to implant a defibrillator in a hospital inpatient setting.  Medicare Part B (Medical Insurance)  covers the surgery if you get it in a hospital outpatient setting.


Your costs in Original Medicare

After you meet the Part B deductible, you pay 20% of the Medicare-Approved Amount for your doctor’s services. The Part B deductible also applies to the surgery, if you get it in a hospital outpatient setting. 

If you get the surgery in a hospital outpatient setting, you’ll also pay the hospital a copayment. But in most cases, the copayment can’t be more than the Part A hospital stay deductible.


Find out cost

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

Is my test, item, or service covered?