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