Prosthetic devices
covers prosthetic devices needed to replace a body part or function when a 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 for external prosthetic devices.
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
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.