Artificial eyes & limbs
Medicare Coverage Information
Overview
Medicare provides coverage for medically necessary artificial eyes and limbs through Part B. Prosthetic devices are covered when prescribed by a healthcare professional to help restore function or mobility for beneficiaries.
- Covers medically necessary artificial limbs and eyes
- Requires physician documentation of medical necessity
- Prosthetics must be prescribed by a Medicare-approved healthcare provider
- Covers both external and internal prosthetic devices
- Includes repair and replacement of prosthetic equipment
- Medicare Part B beneficiaries
- Individuals with a medical condition requiring prosthetic devices
- Must have a prescription from a Medicare-approved healthcare provider
- Beneficiaries typically pay 20% of Medicare-approved costs after meeting Part B deductible
- Medicare covers 80% of approved prosthetic device expenses
- Additional costs may vary based on specific device and Medicare plan
- Must be deemed medically necessary by a healthcare professional
- Cosmetic prosthetics may not be fully covered
- Requires pre-authorization from Medicare in some cases
- Coverage may differ between Original Medicare and Medicare Advantage plans
- Consult with your healthcare provider about prosthetic needs
- Get a detailed prescription documenting medical necessity
- Contact Medicare or your plan administrator to confirm specific coverage
- Verify in-network providers and potential out-of-pocket costs
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare prostheticsartificial limbs coverageMedicare prosthetic devicesmedical equipment benefitsMedicare Part B prosthetics
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