Will Medicare Cover Knee Braces? Everything You Need to Know

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  1. Medicare Part B Coverage: Under Medicare, knee braces are typically covered under Part B, which includes coverage for durable medical equipment (DME). However, it’s important to note that not all knee braces qualify for coverage, and certain criteria must be met.
  2. Medical Necessity: To be eligible for coverage, a knee brace must be deemed medically necessary by a healthcare professional. This means that the brace must be prescribed to address a specific medical condition or injury related to the knee joint.
  3. Documentation and Prescription Requirements: Medicare requires proper documentation and a prescription from a healthcare provider specifying the medical need for the knee brace. The prescription should include details about the diagnosis, the specific type of brace required, and the anticipated duration of use.
  4. Supplier Enrollment: In order for Medicare to cover the knee brace, the supplier must be enrolled in Medicare and meet specific quality standards. It’s essential to obtain the knee brace from a Medicare-approved supplier to ensure coverage.
  5. Coverage Limitations: While Medicare does cover a wide range of knee braces, there may be certain limitations and restrictions. For instance, Medicare may only cover a partial cost or require you to pay a deductible or co-insurance. Understanding these limitations is crucial to avoid any unexpected expenses.

How to Determine Coverage for Your Knee Brace

  1. Contact Your Healthcare Provider: To determine if your knee brace will be covered by Medicare, consult with your healthcare provider. They can evaluate your condition, provide a proper diagnosis, and advise on the best course of action.
  2. Verify Supplier Eligibility: Before obtaining a knee brace, ensure that the supplier is enrolled in Medicare and meets the necessary criteria. You can verify this information by contacting Medicare or checking their online directory of approved suppliers.
  3. Prior Authorization: In some cases, Medicare may require prior authorization for certain types of knee braces. Your healthcare provider can assist you in obtaining the necessary authorization by submitting the required documentation and justification.


Navigating the complexities of Medicare coverage for knee braces can be daunting, but with the right information, you can make informed decisions. Always consult your healthcare provider and ensure that you meet the necessary requirements for coverage. By following the guidelines outlined in this article, you can better understand the process and increase your chances of receiving Medicare coverage for your knee brace.


  • Medicare Part B typically covers knee braces, subject to certain criteria.
  • Medical necessity, proper documentation, and a prescription are essential for coverage.
  • Ensure the supplier is Medicare-approved and meets quality standards.
  • There may be limitations and out-of-pocket costs associated with coverage.
  • Consult your healthcare provider and verify eligibility before obtaining a knee brace.

Helpful Resources:

  1. Medicare.gov – Durable Medical Equipment (DME) Coverage
  2. National Institutes of Health – Knee Problems and Injuries
  3. American Academy of Orthopaedic Surgeons – Knee Bracing: What Works?
  4. Centers for Medicare & Medicaid Services – Medicare Supplier Directory

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