Medicare Coverage
Prosthetics & Orthotics Covered by CVS Health / Aetna Medicare Advantage
Coverage details, documentation requirements, and copay expectations for prosthetics & orthotics equipment under CVS Health / Aetna Medicare Advantage.
CVS Health / Aetna Medicare Advantage Accepted
Verified Coverage Info
Medicare Part B Coverage
Medically necessary DME — covered when prescribed by your doctor
Annual Deductible
$240 (2024)
Medicare Pays
80% of approved amount
Your Cost
20% (may be $0 with supplement)
Coverage Overview
CVS Health / Aetna Medicare Advantage is a federal health insurance program that covers medically necessary prosthetics & orthotics equipment when prescribed by a physician.
What's Typically Covered
Medicare Part B covers medically necessary durable medical equipment (DME) including prosthetics & orthotics. Your doctor must prescribe the equipment, and you must use a Medicare-enrolled supplier.
Documentation Required
- ✓ Written order / prescription from your physician
- ✓ Certificate of Medical Necessity (CMN) for certain equipment
- ✓ Proof of medical diagnosis
- ✓ Enrollment at a participating CVS Health / Aetna Medicare Advantage supplier