Defibrillators
Medicare may cover an implantable automatic defibrillator if you’ve been diagnosed with heart failure.
Medicare Part A (Hospital Insurance)
covers the surgery to implant a defibrillator in a hospital inpatient setting.
Medicare Part B (Medical Insurance)
covers the surgery if you get it in a hospital outpatient setting.
Your costs in Original Medicare
After you meet the Part B deductible, you pay 20% of the Medicare-Approved Amount for your doctor’s services. The Part B deductible also applies to the surgery, if you get it in a hospital outpatient setting.
If you get the surgery in a hospital outpatient setting, you’ll also pay the hospital a copayment. But in most cases, the copayment can’t be more than the Part A hospital stay deductible.