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Does Medicare Cover Knee Replacements?

Does Medicare cover knee replacement? Before getting the procedure, find out if your Medicare covers knee replacements and other issues that may affect your health.

Christian Worstell

by Christian Worstell | Published October 27, 2023 | Reviewed by John Krahnert

The Centers for Medicare and Medicaid Services provides coverage for surgeries like knee replacements, as long as they are deemed medically necessary by your doctor. Both parts of Original Medicare — Part A and Part B — may contribute to different aspects of your care related to the procedure.

To find out how Medicare Supplement Insurance could help with some your out-of-pocket costs, speak with a licensed agent at 1-800-995-4219.

How Much Does Knee Replacement Cost With Medicare?

Knee replacements are considered a common surgery in the United States, with more than 660,000 procedures done annually as of 2016 according to The New York Times. Because it's difficult to know exactly what services you'll need to have a successful surgery until it's happening, there is no way of knowing exactly how much it will cost beforehand.

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Does Medicare Cover Knee Replacement Surgery and Rehab?

Does Medicare pay for knee replacement? Medicare Part A covers many inpatient hospital and rehabilitation services you may need after having knee replacement surgery, including a semi-private room, meals and necessary medicine. It can also help with skilled nursing care after the surgery.

There is no Medicare knee replacement age limit. However, in order for Medicare to pay for knee replacement surgery, you must be enrolled in Medicare and meet the Medicare Part A deductible. 

In 2024, the Medicare Part A deductible is $1,632 per benefit period. If your doctor suggests services not covered by Medicare during your recovery, you may be responsible for paying some or all of the additional costs. This cost of the procedure itself may incur additional out-of-pocket costs.

Medicare Part B will help pay for outpatient care, like doctor visits. It comes with a $240 annual deductible in 2024. After meeting the deductible, you typically pay 20 percent of the Medicare-approved amount for services. 

Is There a Medicare Knee Replacement Age Limit?

No, there is no age limit for Medicare to pay for your knee replacement. Make sure you are signed up for Medicare and a Medicare Supplement plan to get help with coverage. 

Medicare Supplement Insurance can help cover your out-of-pocket knee replacement surgery costs.

Does Medicaid Pay for Knee Replacements?

Yes, some Medicaid plans cover knee replacement surgery. 

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