Prosthetic devices

Prosthetic devices

How often is it covered?

 

 covers prosthetic devices needed to replace a body part or function. A doctor or other health care provider enrolled in Medicare must order the prosthetic device.

 

Prosthetic devices include:

Who's eligible?

All people with Part B are covered.

Your costs in Original Medicare

You must go to a 

 that's enrolled in Medicare for Medicare to pay for your device. You pay 20% of the 

 for external prosthetic devices, and the Part B 

 applies. Medicare will only pay for prosthetic items furnished by a supplier enrolled in Medicare. It doesn't matter who submits the claim (you or your supplier). 

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

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