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About Prosthetics & Orthotics
Prosthetic devices replace missing limbs while orthotic devices support, align, or correct musculoskeletal conditions. Medicare covers custom-fabricated and prefabricated prosthetics and orthotics when prescribed by a physician and provided by certified practitioners. DME suppliers and certified orthotists/prosthetists provide comprehensive evaluation, custom fitting, fabrication, and ongoing adjustments to restore function and improve quality of life.
Does Medicare Cover Prosthetics & Orthotics?
- ✓ Medicare Part B covers prosthetics & orthotics when prescribed as medically necessary
- ✓ You typically pay 20% of the Medicare-approved amount after your annual Part B deductible
- ✓ The supplier must be enrolled in Medicare and accept assignment
- ✓ A doctor's written order and documentation of medical necessity are required