Prosthetic devices
Medicare Part B (Medical Insurance) covers prosthetic devices needed to replace a body part or function when a Medicare-enrolled doctor or other health care provider orders them.
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.
Your costs in Original Medicare
After you meet the Part B deductible, you pay 20% of the Medicare-approved amount for external prosthetic devices.
Things to know
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). 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.