Defibrillators
Medicare may cover an implantable cardioverter defibrillator
Coverage details
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.
Who's eligible
Medicare may cover an implantable cardioverter defibrillator if you’ve been diagnosed with heart failure.
Costs
- 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.