Prosthetic devices
covers prosthetic devices needed to replace a body part or function when a doctor or other health care provider enrolled in Medicare orders them.
Prosthetic devices include:
- Breast prostheses (including a surgical bra).
- One pair of conventional eyeglasses or contact lenses provided after a cataract operation.
- Ostomy bags and certain related supplies.
- Some surgically implanted prosthetic devices, including cochlear implants.
- Urological supplies.
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).
You must go to a supplier that’s enrolled in Medicare for Medicare to pay for your device. Part A or Part B covers surgically implanted prosthetic devices depending on whether the surgery takes place in an inpatient or outpatient setting.
Medicare will only pay for prosthetic items furnished by a supplier enrolled in Medicare, no matter who submits the claim (you or your supplier).
