Breast prostheses


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

Who’s eligible?

All people with Medicare are covered.

Your costs in Original Medicare

You pay 20% of the Medicare-approved amount for the doctor’s services and the external breast prostheses.
For surgeries to implant breast prostheses in a hospital inpatient setting, you pay the Part A hospital care costs.