Prosthetic devices
Medicare Part B (Medical Insurance) covers prosthetic devices when a doctor or other health care provider orders them
Description
Prosthetic devices replace a body part or function. Examples of prosthetic devices include:
- Breast prostheses (including a surgical bra).
- One pair of conventional eyeglasses or contact lenses provided after a covered cataract surgery.
- Ostomy bags and certain related supplies.
- Some surgically implanted prosthetic devices, including cochlear implants.
- Urological supplies.
Coverage details
Either Part A or Part B covers a surgically implanted prosthetic device depending on if the surgery takes place in an inpatient or outpatient setting.
Provider requirements
For Medicare to pay for your prosthetic device, you must get it from a Medicare-enrolled supplier. This is true no matter who submits the claim (you or the provider).
Costs
After you meet the Part B deductible , you pay 20% of the Medicare-approved amount .