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.
Compare plans today.
Speak with a licensed insurance agent
Call to speak with a licensed agent at 1-800-557-6059 TTY Users: 711 24/7.
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.