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Home / By Medicare Approved / Medicare Approved Back Braces

Medicare Approved Back Braces

For those living with lower back pain, many doctors recommend a back brace. Wearing a back brace can provide extra support to your lower back when participating in daily activities, and is the best way to prevent re-injuring your back after an injury occurs. We carry a variety of Medicare-approved back braces, including from top brands such as DDS, Donjoy, and Aspen. Browse our selection below.

About Medicare Approved Back Braces

Back braces offer compression, which helps stabilize your back as you move around and can help with inflammation. Some individuals also wear back braces to help with posture and slouching. If you are covered by Medicare, you may be able to have the cost of your back brace covered once they deem it a medical necessity. Medicare considers back braces “prefabricated orthotics,” and they can be incredibly helpful for someone living with chronic lower or upper back pain..

Medicare Approved Back Braces FAQs

Does Medicare cover back braces?

The formal terminology for a back brace is lumbosacral orthosis. When a medical condition requires it, all back braces are under Medicare coverage. Coverage for back braces and supports include lumbosacral orthosis when it’s medically necessary.

How do I qualify for a Medicare Approved Back Brace?

While Medicare and other insurance plans have coverage for braces, not all qualify. There are various prequalification conditions one must meet for medical insurance to pay for the cost of braces. Standard requirements include:

  • The brace has to be prescribed as necessary by a licensed doctor
  • The brace must provide therapeutic value to users
  • The brace must be prescribed for regular use
  • The healthcare provider and brace supplier must accept Medicare assignment

Other medical insurance plans may have extra requirements, so it is essential to understand how your coverage works.

What are the benefits of wearing a Medicare approved back brace?

Back braces can be very beneficial to seniors with injuries or chronic conditions that cause pain. Professionally fit back braces recommended by your doctor can provide a safe and non-invasive solution to your condition. With guidance from your physician regarding time worn and specific exercises, wearing a back brace can have many positive benefits, including:

  • Assist in the healing process after an acute injury
  • Decrease the chance of further injury
  • Help control pain and discomfort
  • Support weakened muscles
  • Promote good posture

How much can I expect to pay for a Medicare-approved back brace?

If you have Original Medicare, you will pay 20% of the Medicare-approved cost and the Part B deductible applies as long as your physician and supplier accept assignment and are currently participating in Medicare.

Many people with Original Medicare decide to purchase supplemental insurance to help cover their out-of-pocket costs. If you have purchased a Medigap policy, it may help cover some of the coinsurance or deductible costs