How to Find Medicare-Approved Back Braces

Christian Worstell
In this article...
  • Medicare covers back braces if your doctor says you need one for medical reasons. Learn more about how much Medicare will pay for durable medical equipment such as back braces.
Front view of woman buckling a back brace

If you need a back brace because of an injury, surgery or condition, it may be covered by your Medicare insurance. Below is a look at how and when Medicare provides coverage for back braces. 

How Back Braces Are Covered by Medicare

Back braces are categorized as durable medical equipment, or DME. Durable medical equipment consists of products and items used for medical purposes, such as crutches, wheelchairs, braces and more. 

Items classified as DME are covered by Medicare Part B.

Because Medicare Advantage (Medicare Part C) plans are required by law to include all of the same basic benefits as Medicare Part A and Part B, back braces are also covered by Medicare Advantage plans.

When Will Medicare Cover Back Braces?

There are certain criteria that must be met in order for back braces to be covered by Medicare as durable medical equipment:

  1. The back brace must be prescribed for use by a Medicare-approved physician.

  2. The back brace must be durable – meaning it can withstand repeated use – and have an expected lifetime of at least three years. 

  3. The back brace must be used for a medical reason.

  4. The back brace must not be considered equally useful to someone who is not sick or injured.

  5. The back brace must be used in the home. It can of course be used outside of your home as well, it just needs to meet the requirement of not being only used in a hospital or other professional health care provider setting.

  6. The back brace must be supplied by a provider who accepts Medicare. 

How Much Does Medicare Pay for a Back Brace?

Medicare Part B requires an annual deductible of $240 per year in 2024. Once you meet your deductible, you’re then typically responsible for a coinsurance payment of 20% of the remaining costs of covered care and items such as your back brace. 

If you have a Medicare Advantage plan, your plan may feature deductibles and coinsurance or copayment requirements that are different from Original Medicare (Part A and Part B). Check with your plan carrier to see exactly how much your back brace will cost. If you're considering enrolling in a plan, you can compare plans in your area to find the best Medicare Advantage plan for your needs.

If you receive your back brace from a supplier who is enrolled in Medicare but does not accept Medicare assignment, they may be allowed to charge you up to 15% more for the back brace than the Medicare-approved amount. This added cost is called an “excess charge.” 

If you have a Medicare Supplement Insurance (also called Medigap) plan, you may have full or partial coverage of the Medicare Part B coinsurance requirement, depending on which type of Medicare Supplement plan you have. This means you’ll likely pay nothing for your back brace after you meet your annual Part B deductible. Depending on which Medigap plan you have, you may also receive full coverage of any  Part B excess charges.

You can compare Medicare Supplement plans online for free, with no obligation to enroll.

Where to Find Medicare Braces

Medicare strives to make it easy to find a back brace supplier who accepts Medicare insurance. 

Enter your zip code in the supplier lookup tool on Then check the box for “Orthoses: Prefabricated” and click the search button. 

If you have questions about Medicare’s coverage of back braces or need further assistance in locating a supplier, call 1-800-MEDICARE (1-800-633-4227) or speak to your doctor. 

Christian Worstell
About the Author

Christian Worstell is a senior Medicare and health insurance writer with 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.

While at HelpAdvisor, Christian has written hundreds of articles 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. You can find Christian’s most recent articles in our blog.

If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at

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