Defibrillators

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.

Your costs in Original Medicare

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 [glossary]

.

For 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.

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
Whether your doctor accepts assignment
The type of facility
Where you get your test, item, or service

Defibrillators

note:

Is my test, item, or service covered?

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