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:
- One pair of conventional eyeglasses or contact lenses provided after a cataract operation
- Ostomy bags and certain related supplies
- Urological supplies
- Breast prostheses (including a surgical bra) after a mastectomy
- Cochlear implants and certain other surgically implanted prosthetic devices
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