Medicare may cover an implantable automatic defibrillator if you’ve been diagnosed with heart failure. Medicare Part A (Hospital Insurance) pays if the surgery takes place in a hospital inpatient setting. Medicare Part B (Medical Insurance) pays if the surgery takes place in a hospital outpatient setting.
You pay 20% of the Medicare-Approved Amount for your doctor’s services. If you get the device as a hospital outpatient, you also pay the hospital a copayment . But, the copayment won't be more than the Part A hospital stay deductible .
For Part A-covered surgeries to implant defibrillators in the hospital inpatient setting covered under Part A, see Inpatient hospital care. If Part B covers the device, the Part B deductible applies.