Medicare.gov

Breast prostheses

Medicare Part A (Hospital Insurance) covers surgically implanted breast prostheses after a mastectomy if the surgery takes place in an inpatient setting. Medicare Part B (Medical Insurance) covers the surgery if it takes place in an outpatient setting. Part B also covers some external breast prostheses (including a post-surgical bra) after a mastectomy. 

Your costs in Original Medicare

You pay 20% of the Medicare-approved amount for the doctor's services and the external breast prostheses. The Part B deductible applies.

 

Find out cost

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
  • If your doctor accepts assignment
  • The type of facility
  • Where you get your test, item, or service

Related resources

Is my test, item, or service covered?