If you’re on Medicare and need surgery, you might be wondering about coverage. Well, we’re here with your guide to Medicare coverage for your surgery. First, if your surgery is inpatient, Part A benefits apply. But, if your surgery is outpatient, Part B benefits apply.
Now, let’s go over some more specific details on surgery coverage.
Does Medicare Cover Surgical Procedures
If surgery is medically necessary, you’ll have coverage. Many surgeries are elective, while some require prior authorization. Medicare Part A and Part B pay for 80% of the bill. To avoid paying the 20%, you can buy Medigap.
Below, we’ll explain which procedures get coverage and which you’ll have to pay yourself.
Does Medicare Cover Heart Surgery?
Heart surgery, including open-heart surgery, receives coverage when medically necessary. Coverage is for those with cardiovascular disease as well as those with other heart conditions. Part B covers outpatient heart procedures, such as angioplasties and stents.
Also, with new technology, robotic cardiac surgery is on the rise. When FDA-approved and medically necessary, robotic surgery will have coverage.
Does Medicare Cover Joint Replacement Surgery?
Does Medicare Cover Plastic Surgery?
If you’re getting cosmetic surgery to make changes to your looks, you’ll pay for the procedure yourself. But, Medicare covers a portion of costs for plastic surgery if it’s necessary. Examples of this are reconstruction surgery after an accident or severe burns.
Or, blepharoplasty if drooping skin blocks your eyes and your vision suffers. Also, to keep your costs lower, we suggest making sure your doctor accepts Medicare assignment. There are several other examples of coverage for plastic surgery that will be approved due to medical necessity. In some cases, your doctor needs to write a letter to explain the procedure’s medical necessity.
Does Medicare Cover Weight Loss Surgery?
Many American adults struggle with obesity and the health complications it causes. Weight loss surgery, such as bariatric surgery, can be the answer for the morbidly obese. Luckily, certain FDA-approved weight-loss surgeries have coverage. However, the surgeries get approval or denial on a case-by-case basis.
Does Medicare Cover Anesthesia?
Does Medicare Cover Other Surgeries?
Does Part A cover outpatient surgery?
Usually, Part A doesn’t cover outpatient surgery. Part A is inpatient, hospital insurance. Since it’s an outpatient service, Part B will cover this type of surgery if medically necessary.
Will my Medigap cover my surgery?
Medicare Supplements cover the same services covered by Part A and Part B. A Medigap plan pays for the remaining 20% that Medicare doesn’t cover. In other words, if Medicare covers the surgery, then your Medigap plan will pick up the remaining cost.
How to Get Extra Medicare Coverage for Your Surgery
If you’d like 20% extra coverage in the form of a Medigap plan, give us a call at the number above. We have agents in every state, waiting to help. Also, we can help you compare plan options in your area. We’re committed to finding the best plan for your needs and budget.
Another option is to fill out our online rates form to see your rates now.