Coverage
Does Medicare Cover Vasectomy?
- January 12, 2024
- Reviewed by John Krahnert
Medicare typically does not cover a vasectomy.
Some Medicare Advantage (Part C) plans may cover benefits not found in Original Medicare. 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.
Learn More About Medicare
Join our email series to receive your free Medicare guide and the latest information about Medicare and Medicare Advantage.
By clicking "Sign me up!” you are agreeing to receive emails from MedicareAdvantage.com.
Call to speak with a licensed agent at TTY Users: 711, 24/7.
Does Medicare cover vasectomies?
No. 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.
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.
Medicare Advantage plans may offer different 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 other benefits that Original Medicare doesn’t cover.
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.
Compare Medicare Advantage plans in your area
Compare PlansOr call TTY Users: 711 24/7 to speak with a licensed insurance agent.
About the author
Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.
Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.
Christian has written hundreds of articles for MedicareAvantage.com that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.
Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.
A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism.
If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at Mike@tzhealthmedia.com.
