Does Medicare cover hip replacement surgery?

Question

Juan Carlos Quevedo Lussón · Accepted Answer

Yes, Medicare generally covers hip replacement surgery when it is medically necessary and performed by Medicare-approved providers. Part A may cover an inpatient procedure, while Part B may cover outpatient surgery, doctor services, and medically necessary physical therapy.

Your costs depend on whether the surgery is inpatient or outpatient, your specific coverage, and whether you have Original Medicare, Medicare Advantage, or supplemental insurance. It’s important to confirm coverage and expected costs with your doctor, hospital, and health plan before surgery.

Jon Cavanaugh · Answer

Yes, Medicare generally covers hip replacement surgery when your doctor determines it is medically necessary.
Part A may cover it as an inpatient procedure, while Part B may cover it if performed outpatient. Medicare Advantage plans also cover medically necessary hip replacements, but your copays, hospital network, and prior authorization requirements can vary by plan. Always check the plan’s rules and expected costs before scheduling surgery.

Steven Litzsinger · Answer

Yes, a hip replacement is covered if medically necessary and after failed medical treatment/less invasive measures have been deemed unsuccessful, under Original Medicare. There will be cost shares associated with it and your out of pocket costs will be defined by your coverage (Only Medicare, Medicare Advantage, vs Medicare Supplement ). 

If you only have Original Medicare; it's a 80/20 split of costs for covered services/treatments. If you are considering a hip replacement it is extremely important to verify they participate/accept your insurance and what the anticipated out of pocket costs will be from the procedure.

Daniel Sarappo · Answer

Yes, Medicare covers hip replacement surgery when it's medically necessary. If you have a Medicare Supplement (Medigap) plan, once your deductible is met, the plan will typically cover most or all of the remaining Medicare-approved costs. If you have a Medicare Advantage plan, coverage is included, but your out-of-pocket cost will depend on your specific plan's copay or coinsurance for that procedure.

Answered by Daniel Sarappo on August 3, 2026

Broker Licensed in PA & NJ

Answered by Daniel Sarappo Medicare Insurance Agent

Clare Goyette · Answer

Yes, as long as it is medically necessary. With Original Medicare your out of pocket costs will be determined by which plan you have and whether the Part B deductible has been met. With Medicare Advantage you will have facility copay’s, specialist copays and a copay for each PT visit.

Answered by Clare Goyette on August 3, 2026

Agent Licensed in FL, GA, MO & 5 other states

Answered by Clare Goyette Medicare Insurance Agent

Lakita Bradley · Answer

Yes. Medicare Part A and Part B generally cover medically necessary hip replacement surgery. The patient must use a Medicare-approved provider, and deductibles, copays, and coinsurance may apply.

Mary Brown · Answer

Yes. Medicare covers medically necessary hip replacement surgery. Original Medicare covers hospital and doctor services, Medicare Advantage plans provide the same basic coverage with plan-specific costs, and Medigap plans can help cover some out-of-pocket costs left by Original Medicare.

Answered by Mary Brown on August 3, 2026

Broker Licensed in NJ, DE, FL & NC, OH, PA & TX

Answered by Mary Brown Medicare Insurance Agent

Laura Shipman · Answer

Yes generally Medicare will cover hip replacement surgery whether that be you have a Medicare Supplement or a Medicare Advantage plan. In most cases regardless of whether you have Original Medicare, Medicare Supplement or a Medicare Advantage plan you will be asked to try physical therapy first prior to hip replacement. Most of my customers who have needed hip replacement have been able have the surgery completed without any issues.

Answered by Laura Shipman on August 4, 2026

Agent Licensed in KS

Answered by Laura Shipman Medicare Insurance Agent

Ashley Watson · Answer

Yes, Medicare does pay for hip replacement surgery. This is if your doctor proves it medically necessary.

Does Medicare cover hip replacement surgery?

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Does Medicare cover hip replacement surgery?

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