If you’re in need of a back brace (lumbosacral orthosis) due to back pain, you may be wondering if Medicare will cover it.
Medicare will cover back braces as long as they are deemed medically necessary durable medical equipment (DME) and prescribed by a doctor. Medicare Part B covers 80% of the cost, while you cover 20% plus any Part B deductible that is left. A Medigap plan can help you cover your part of the cost.
If you have Medicare Advantage, your coverage should work the same. Contact your plan to see what amount will be covered for your back brace.
Reasons you might need a back brace
There are many reasons one might need a back brace, including:
- Lower back pain
- Recovering from surgery
- Compression fractures
- Alleviating pressure on the spine
- Supporting weakened muscles
- Helping with good posture
When Medicare covers DME
Medicare Part B covers durable medical equipment (DME) as long as the equipment:
- Is durable
- Can last at least 3 years
- Is used at home
- Provides therapeutic use for the medical condition it is used for
- Is deemed medically necessary by your doctor
Back brace scams and Medicare
Be aware that there are many scams occurring surrounding back braces and Medicare. These include ads on TV and unsolicited callers who will offer you a back brace and ask for your Medicare information.
Do not fall for these traps. Be sure to get a back brace through a reputable, Medicare-approved supplier recommended by your doctor. These scammers are simply collecting money from Medicare and running with it.
For more information on what’s covered under Medicare, keep up with us at Medicare World.
