Does Medicare cover circumcision?

Medicare won't cover circumcision for infants or adults. However, Medicaid will provide coverage for infants. Adults who need circumcision will need to get approval from a private health insurance policy. Out-of-pocket circumcision costs $200 for an infant and $1,875 for males 12 and older. If you need help with circumcision costs, compare companies and shop around to find cheap health insurance rates.

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D. Gilson is a writer and author of essays, poetry, and scholarship that explore the relationship between popular culture, literature, sexuality, and memoir. His latest book is Jesus Freak, with Will Stockton, part of Bloomsbury’s 33 1/3 Series. His other books include I Will Say This Exactly One Time and Crush. His first chapbook, Catch & Release, won the 2012 Robin Becker Prize from Seve...

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Leslie Kasperowicz holds a BA in Social Sciences from the University of Winnipeg. She spent several years as a Farmers Insurance CSR, gaining a solid understanding of insurance products including home, life, auto, and commercial and working directly with insurance customers to understand their needs. She has since used that knowledge in her more than ten years as a writer, largely in the insuranc...

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Reviewed by Leslie Kasperowicz
Farmers CSR for 4 Years

UPDATED: Feb 3, 2021

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The Highlights

  • Medicare may not cover circumcision.
  • It’s debatable whether circumcision will be covered for adults.
  • Children without disabilities or kidney failure are not eligible for Medicare.
  • Medicaid can provide help with circumcision costs for infants.

Medicare covers various treatments for its recipients, but does Medicare cover circumcision? Circumcision is a common surgery for infants and some teens, but it’s an uncommon surgery for adults.

Health insurance companies are known to cover circumcision, but there’s some uncertainty regarding Medicare insurance. Read through this short guide to learn about circumcision surgery and whether Medicare will cover it.

You probably can’t buy Medicare that covers circumcision, even an Advantage plan. But you can enter your ZIP code in our free online quote tool to find health insurance companies in your area that will cover circumcision.

Does Medicare cover circumcision?

The short answer is no. Medicare doesn’t have a way to determine circumcision cost. You may see this listed as National Coverage Determine (NCD) or Local Coverage Determination (LCD).

This means that Medicare can’t determine the price through a national cost or state-level cost.

Does Medicaid cover circumcision?

Medicare can’t determine cost because circumcisions are usually taken care of by Medicaid. Low-income families can apply for Medicaid and get circumcision surgery for their infant son.

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How much does circumcision cost?

If you’re curious about the cost of circumcision, examine the data below.

Circumcision Costs for Infants, Boys, and Adult Men
AgeCircumcision Costs
Male Child (Infant)$200 - $400
Male 12 years old and Older$1,875 ($1,475 plus $400 to book an appointment)
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Compared to infants, circumcision for young boys and adult men could cost nearly $2,000. Although Medicare and Medicaid won’t cover circumcision for young boys and adult men, a health insurance company may.

Does Medicare cover surgery?

Medicare Part A and Part B cover surgeries only if the procedure is medically necessary to the patient’s health. Therefore, cosmetic and dental surgeries are not covered.

You’ll need to alert your Medicare about any surgeries. During this time, it may be a good idea to check your deductibles to see if you’re eligible to receive 100 percent help from Medicare.

Why may circumcision be beneficial?

According to the American Academy of Pediatrics, circumcision can prevent penile cancer, urinary tract infection and reduces the chance of transmitting a sexually transmitted infection (STI).

Circumcision Medicare Coverage: The Bottom Line

The best insurance companies will cover circumcision and other vital surgeries without much hassle. However, circumcision under Medicare is complicated.

Medicare doesn’t have a way to determine circumcision surgery, so it’s uncommon for the federally-funded program to cover the procedure. If the procedure is for an infant, your best bet is Medicaid.

Since affordable Medicare to cover circumcision isn’t an option, shop around. You can use our free comparison tool below to find an insurance company that will cover the surgery.

Are you looking for free insurance quotes?

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