Does Medicare cover back braces?
Medicare covers back braces as durable medical equipment under Medicare Part B. Your Medicare coinsurance amount for a back brace is 20% and you will have to pay the Part B deductible. You can reduce your out-of-pocket expense for a back brace with Medicare Supplement insurance, which covers deductibles and coinsurance.
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Leslie Kasperowicz
Farmers CSR for 4 Years
Leslie Kasperowicz holds a BA in Social Sciences from the University of Winnipeg. She spent several years as a Farmers Insurance CSR, gaining a solid understanding of insurance products including home, life, auto, and commercial and working directly with insurance customers to understand their needs. She has since used that knowledge in her more than ten years as a writer, largely in the insuranc...
Farmers CSR for 4 Years
UPDATED: Jun 1, 2022
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UPDATED: Jun 1, 2022
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
- Medicare covers a back brace under Part B
- You will need to pay your deductible and a 20 percent coinsurance
- The back brace must be medically necessary for Medicare to cover it
Does Medicare cover back braces? If you need a back brace and are on Medicare for your health insurance, your brace will be covered under the durable medical equipment section of Medicare Part B. You will have to pay a coinsurance amount, and the Part B deductible will also apply. A Medicare Supplement plan can help to pay for these out-of-pocket costs.
If you’d like to compare rates for a Medigap plan to help pay for Medicare back brace coinsurance and deductibles, we can help. Enter your ZIP code now for free quotes.
Are back braces covered by Medicare?
Yes, a Medicare coverage policy can cover your back brace. Under Part B of Medicare back braces are covered as durable medical equipment.
According to Medicare.gov, the back brace must have medical benefits that are medically necessary to be covered by your plan. The same medical necessity criteria apply to other braces, including neck, leg, and arm. This means you will need a prescription for the brace from your doctor.
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What is the cost of a back brace with Medicare?
The health care coinsurance amount is 20 percent of the Medicare-approved back brace amount. You will also have to pay your Medicare Part B deductible, or whatever portion remains of that deductible if any, before coverage will kick in.
If you have a Medicare Advantage plan, your coverage may vary, and you may not need to pay a deductible or have a coinsurance amount. You should check the summary of benefits for your Medicare Advantage plan to find out what coverage is available. You can also call the Medicare Advantage provider to find out.
A Medicare Supplement plan is another way to cover the out-of-pocket costs associated with a back brace under Medicare. Depending on the plan you choose, you may wind up with no deductible and no coinsurance and your back brace fully covered.
Does Medicare cover back braces? The Bottom Line
As long as your doctor has prescribed the back brace, Medicare will cover it. You will need to pay your deductible as well as a 20 percent coinsurance amount unless you have Medicare Supplement insurance.
If you’d like to compare rates on Medicare Supplement coverage so you have no out-of-pocket costs for your back brace with Medicare, enter your ZIP code now.
Are you looking for free insurance quotes?
Your one-stop online insurance guide. Get free quotes now!
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Leslie Kasperowicz
Farmers CSR for 4 Years
Leslie Kasperowicz holds a BA in Social Sciences from the University of Winnipeg. She spent several years as a Farmers Insurance CSR, gaining a solid understanding of insurance products including home, life, auto, and commercial and working directly with insurance customers to understand their needs. She has since used that knowledge in her more than ten years as a writer, largely in the insuranc...
Farmers CSR for 4 Years
Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.