Does Medicare Cover Vasectomy?

Medicare typically does not cover a vasectomy.

Some Medicare Advantage (Part C) plans may cover a vasectomy, though coverage is not guaranteed. Check with your Medicare Advantage plan carrier to find out if your plan will cover a vasectomy.

If you are considering a new Medicare Advantage plan and are eligible to enroll, a licensed insurance agent can help you find Medicare Advantage plans in your area that may cover vasectomies.

Call to speak with a licensed agent at TTY Users: 711, 24/7.

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Does Medicare pay for sterilization?

According to the Centers for Medicare & Medicaid Services (CMS), Medicare does not pay for most elective sterilization, such as:

  • Elective hysterectomy
  • Tubal ligation
  • Vasectomy

A vasectomy is a form of male birth control, or sterilization. It is a surgical procedure that blocks sperm from reaching the semen to make a man unable to get a woman pregnant.

A Medicare Advantage plans may offer coverage for sterilization procedures like vasectomies, but you should check with your plan carrier for more information and to find out if your vasectomy will be covered.

How much does a vasectomy cost with Medicare?

Medicare Part A and Part B do not cover vasectomies. If you have Original Medicare, you will likely be responsible for 100 percent of the cost of your vasectomy.

If your Medicare Advantage plan covers a vasectomy, the cost you are responsible for paying may vary based on your plan’s deductible, copayment or coinsurance costs and network. Speak directly with your plan carrier for more information.

Some Medicare Advantage plans offer additional benefits

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 some Medicare Advantage plans also offer additional benefits that Original Medicare doesn’t cover.

These additional benefits may include things like prescription drug coverage, routine dental and vision care and free gym memberships.

To learn more about Medicare Advantage plans in your area, your eligibility, and the benefits that they offer, call to speak with a licensed insurance agent today.

 

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Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.

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MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC and TruBridge, Inc. represent Medicare Advantage Organizations and Prescription Drug Plans having Medicare contracts; enrollment in any plan depends upon contract renewal.

Plan availability varies by region and state. For a complete list of available plans, please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.

Medicare has neither reviewed nor endorsed this information.