Medicare typically does not cover vasectomy procedures. Some Medicare Advantage plans may cover vasectomies, depending your specific plan. Learn more and compare plans in your area.
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.
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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.
Or call 1-800-557-6059 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.
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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.
Original Medicare (Parts A and B) doesn’t cover routine dental or vision care. 2024 Medicare Advantage (Part C) plans can cover benefits Original Medicare doesn’t cover, but dental and/or hearing benefits may not be available where you live. Learn more and find out how to compare the plans and benefits available in your area.
Medicare Part B may cover emergency ambulance services, and some Medicare Advantage plans may offer non-emergency transportation to plan-approved locations. Learn more about Medicare transportation coverage.
Medicare Advantage plans can offer gym memberships and fitness benefits that Original Medicare doesn’t cover, such as SilverSneakers. Learn how to compare your local plan options and how to find a Medicare Advantage plan that covers fitness benefits.
While Original Medicare (Parts A and B) doesn’t cover hearing aids, Medicare Advantage (Part C) plans can cover hearing benefits Original Medicare doesn’t cover. Hearing benefits may be available where you live, so learn how to find out if Medicare Advantage plans that help pay for hearing aids are available in your area.
Medicare Part B covers annual wellness visits. Medicare Advantage plans also cover annual wellness visits, and many Medicare Advantage plans also offer other wellness benefits not found in Original Medicare.
Medicare Part A does not cover outpatient surgery, but Part B covers medically necessary outpatient surgery. Medicare Advantage plans may also cover outpatient surgery and include an annual out-of-pocket spending limit, which Original Medicare doesn’t offer.
Original Medicare and Medicare Advantage plans can cover chiropractic care, but some plans may cover services more than others. Learn about what’s covered, what’s excluded and how much your Medicare costs could be.
Medicare covers many telehealth services, and those benefits expanded during the coronavirus pandemic. Beneficiaries can use telehealth to access their doctor while also staying safe during COVID-19.
Original Medicare (Medicare Parts A and B) doesn’t cover bathroom grab bars or other bathroom safety devices. Medicare Advantage plans can cover bathroom safety devices, but only in limited situations and only for beneficiaries who qualify.
Original Medicare covers some limited home health services. Medicare Advantage plans cover the same home health care services and may include some additional benefits.
Join our email series to receive your Medicare guide and the latest information about Medicare.
By clicking "Sign me up!” you are agreeing to receive emails from MedicareAdvantage.com.
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Your Medicare guide will arrive in your email inbox shortly. You can also look forward to informative email updates about Medicare and Medicare Advantage.
If you'd like to speak with an agent right away, we're standing by for that as well. Give us a call!