Medicare typically does cover hysterectomies that are deemed medically necessary by a doctor. The part of Medicare (Part A or Part B) that covers your hysterectomy will depend on the type of facility in which you undergo surgery.
Medicare Advantage (Part C) plans can also cover a hysterectomy that is deemed medically necessary by your doctor, and they also include an annual out-of-pocket spending limit. This can potentially save you money in Medicare costs for your hysterectomy.
Original Medicare does not include an out-of-pocket spending limit.
A hysterectomy is a surgical operation that removes all or part of the uterus and can help treat several medical conditions related to a woman’s health.
Depending on where you undergo hysterectomy surgery, Medicare Part A or Part B may cover some of your costs:
Even if Medicare covers your hysterectomy, there are some out-of-pocket costs you should expect to pay, which may include:
The Medicare Part A deductible is $1,364 per benefit period in 2019.
The Part A deductible is not annual, and you could experience more than one benefit period in a given calendar year.
After you meet your Part A deductible in a benefit period, you could face Part A coinsurance costs:
Once you use your lifetime reserve days, they are gone. You cannot accrue any additional reserve days.
The Medicare Part B deductible is $185 per year in 2019.
After your Part B deductible is met, you typically pay 20 percent of the Medicare-approved amount for most doctor’s services.
There is no annual limit on how much you could pay for the Part B coinsurance in a given year.
We recommend speaking with your doctor directly for specific cost and coverage information.
Medicare Advantage plans are sold by private insurance companies as an alternative to Original Medicare (Medicare Part A and Part B).
Every Medicare Advantage plan must cover everything that Part A and Part B covers, and most Medicare Advantage plans cover prescription drugs.
Some Medicare Advantage plans also offer additional benefits, such as:
If your hysterectomy is covered by Original Medicare, it will also be covered by a Medicare Advantage plan.
A licensed insurance agent can help you find Medicare Advantage plans in your area.
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