Medicare coverage
Does Medicare Cover Breast Prostheses?
Yes. Medicare covers breast prostheses depending on where you get them.
Yes: Parts A and B
Source: Medicare.gov, Breast prostheses, checked October 23, 2026.
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Coverage at a glance
- Covered?
- Yes
- Which part
- Parts A and B
- Part B deductible 2026
- $283 a year (CMS). Part B premium $202.90 a month.
- Part A deductible 2026
- $1,736 per benefit period (CMS)
- Medicare.gov page
- Breast prostheses
Description
Breast prostheses replace the natural breast shape and appearance following a mastectomy (surgical removal of the breast) or other breast surgery.
From Medicare.gov, checked October 23, 2026.
Coverage details
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.
From Medicare.gov, checked October 23, 2026.
Costs
After you meet the Part B deductible, you pay 20% of the Medicare-approved amount for the doctor's services and the external breast prostheses.
From Medicare.gov, checked October 23, 2026.
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Questions
Does Medicare Cover Breast Prostheses?
Yes. Medicare covers breast prostheses depending on where you get them.
Which part of Medicare covers Breast Prostheses?
Medicare.gov lists Breast prostheses under Parts A and B.
Does a Medicare Advantage plan cover Breast Prostheses?
Medicare Advantage plans must cover what Original Medicare covers and some offer extra benefits. Check the plan's Evidence of Coverage. Rivvi does not recommend plans.
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Does Medicare Cover Breast Prostheses?
Yes. Medicare covers breast prostheses depending on where you get them.
Checked against Medicare.gov 2026-10-23. Source: Rivvi