Fair Square Medicare Wordmark

Does Medicare Cover PTNS?

Diagnosis overactive bladder stock image

By Daniel Petkevich

Dec 9, 2022

Treat your overactive bladder

Finding the proper treatment for your overactive bladder can be challenging. If you are looking for a minimally invasive procedure, PTNS might be right for you. And the good news is Medicare will cover you for PTNS if it's deemed medically necessary. Let's talk more about what PTNS entails.

Speak with a Medicare Advocate

Talk to one of our Licensed Medicare Agents today to find the right plans for you.

What is PTNS?

Percutaneous Tibial Nerve Stimulation (PTNS) is a minimally invasive treatment to help relieve overactive bladder symptoms, including urinary urgency and frequency. PTNS works by stimulating the nerves in your lower legs that control the bladder muscles. A small needle is inserted under the skin of your ankle and connected to a device that sends electrical pulses. These pulses help relax the bladder muscles and can reduce symptoms of an overactive bladder, like urgency and frequency of urination.

To be eligible for coverage under Medicare, you must meet certain criteria. To be covered, your doctor must determine that you have symptoms of overactive bladder, and they must certify that other treatments (such as medications) have not been effective. Additionally, the service must be provided by a Medicare-approved provider in order for it to be covered.

How does Medicare cover PTNS?

Medicare will cover PTNS if it's deemed medically necessary. This means that your doctor must agree that this treatment is the best option for relieving your symptoms and that there are no other treatments available. In addition, you must meet certain criteria, including having failed trials of conservative therapies such as lifestyle changes or medications. In some cases, Medicare may also cover PTNS if it's considered medically necessary to improve quality of life.

If you are approved for Medicare coverage, you will typically receive 80% of the cost after you have met your deductible. You'll be responsible for up to 20% of the remaining cost out-of-pocket, depending on your plan. For example, if you have

Medicare Supplement Plan G

, you will only be responsible for the Part B deductible.

What are the benefits of PTNS?

PTNS is a safe and effective treatment for an overactive bladder that can help reduce urinary urgency and frequency. It has been found to have few side effects, is non-invasive, and does not require any medications or surgery. Additionally, patients report improved quality of life after undergoing the treatment.

Are there any risks associated with PTNS?

Although PTNS is generally a safe treatment, there are some minor risks associated with it. The most common side effects include temporary pain or discomfort in the lower legs where the stimulation takes place and mild tingling sensations in the bladder area. In rare cases, patients may experience an increase in symptoms or even urinary

How to get started with PTNS therapy?

If you think that PTNS might be a good treatment option for your overactive bladder, the first step is to speak with your doctor. Your doctor can evaluate you and determine if PTNS is the right choice for you. After they approve the treatment, they will refer you to a qualified provider who can then start the process of providing PTNS therapy.

Once you have started the treatment, your provider will be able to help you determine how often and for how long you should receive PTNS sessions in order to get the most benefit from them. With the right care and dedication, PTNS can help reduce or even eliminate symptoms of an overactive bladder so that you can live a better life.

Takeaway

If you have questions about PTNS, please contact your doctor or insurer for more information. They can help provide answers and assistance so that you can make the best decision for your health needs. This content is for informational purposes only. If you have questions about your Medicare coverage, give us a call at Fair Square Medicare. We'll connect you with an expert today.

Speak with a Medicare Advocate

Talk to one of our Licensed Medicare Agents today to find the right plans for you.

Recommended Articles

treehouse

Medigap vs. Medicare Advantage

May 25, 2020

stair lift stock photo

Does Medicare Cover Stair Lifts?

Nov 18, 2022

Male doctor with his arms crossed stock image

Can Doctors Choose Not to Accept Medicare?

Dec 8, 2022

Cover image

What To Do If Your Medicare Advantage Plan Is Discontinued

Feb 26, 2024

scleral lenses

Does Medicare Cover Scleral Lenses?

Dec 5, 2022

Cover image

What Is a Medicare Supplement SELECT Plan?

Apr 25, 2023

Birthday stock image

What Is the Medicare Birthday Rule in Nevada?

Mar 28, 2023

Cover image

Fair Square Bulletin: We're Revolutionizing Medicare

Apr 27, 2023

woman in a hospital wearing a bandana being shown information by her doctor stock photo

Medicare Advantage Plans for Disabled People Under 65

Mar 24, 2023

An elderly couple discusses their healthcare and insurance needs with another woman stock image

Moving? Here’s What Happens to Your Medicare Coverage

Jul 15, 2025

COVID-19 at home test stock image

Does Medicare Cover COVID Tests?

Dec 21, 2022

doctor consulting their patient stock image

Does Medicare Cover the Urolift Procedure?

Dec 6, 2022

Cover image

Can I Use Medicare Part D at Any Pharmacy?

Aug 28, 2023

woman sitting up in bed experiencing back pain stock photo

Does Medicare Cover a Spinal Cord Stimulator?

Nov 19, 2022

An illustrated image of a cartoon man using giant scissors to cut the "T" in the word "Tax"

How to Deduct Medicare Expenses from Your Taxes

Dec 28, 2022

Senior couple working at a computer stock image

Do I Need Medicare If My Spouse Has Insurance?

Dec 19, 2022

a doctor tells her patient she doesn't accept medicare. the patient wonders what to do stock image

What to Do When Your Doctor Doesn't Take Medicare

Feb 24, 2023

Mental health stock photo

Does Medicare Cover Mental Health?

Oct 12, 2022

More of our articles

20 Questions to Ask Your Medicare Agent

2024 Fair Square NPS Report

2025 Medicare Price Changes

Are Medicare Advantage Plans Bad?

Building the Future of Senior Healthcare

Can I Change My Primary Care Provider with an Advantage Plan?

Do All Hospitals Accept Medicare Advantage Plans?

Do You Need Books on Medicare?

Does Medicare Cover Bladder Sling Surgery?

Does Medicare Cover Cala Trio?

Does Medicare Cover Cardiac Ablation?

Does Medicare Cover Cervical Disc Replacement?

Does Medicare Cover Chiropractic Visits?

Does Medicare Cover Cold Laser Therapy (CLT)?

Does Medicare Cover Compounded Medications?

Does Medicare Cover Cosmetic Surgery?

Does Medicare cover Deviated Septum Surgery?

Does Medicare Cover Diabetic Eye Exams?

Does Medicare Cover Disposable Underwear?

Does Medicare Cover Hearing Aids?

Does Medicare Cover Hoarding Cleanup?

Does Medicare Cover Ketamine Infusion for Depression?

Does Medicare Cover Kidney Stone Removal?

Does Medicare Cover Krystexxa?

Does Medicare Cover Kyphoplasty?

Does Medicare Cover Macular Degeneration?

Does Medicare Cover Medical Marijuana?

Does Medicare Cover Mouth Guards for Sleep Apnea?

Does Medicare Cover Nuedexta?

Does Medicare Cover Ofev?

Does Medicare Cover Orthodontic Care?

Does Medicare Cover Physicals & Blood Work?

Does Medicare Cover PTNS?

Does Medicare Cover Robotic Surgery?

Does Medicare Cover Service Animals?

Does Medicare Cover SIBO Testing?

Does Medicare Cover Tymlos?

Does Medicare Cover Zilretta?

Does Medicare Have Limitations on Hospital Stays?

Does Medicare Pay for Antivenom?

Does Medicare Pay for Bunion Surgery?

Does Medicare pay for Opdivo?

Estimating Prescription Drug Costs

Everything About Your Medicare Card + Medicare Number

Explaining IRMAA on Medicare

Explaining the Different Enrollment Periods for Medicare

Finding the Best Dental Plans for Seniors

Finding the Best Vision Plans for Seniors

Gap Health Insurance: The Secret Sidekick to Your High-Deductible Plan

How Do Medicare Agents Get Paid?

How Does Medicare Cover Colonoscopies?

How Much Does a Medicare Coach Cost?

How Much Does a Pacemaker Cost with Medicare?

How to Enroll in Social Security

How Your Employer Insurance and Medicare Work Together

Medicare 101

Medicare Advantage MSA Plans

Medicare Deductibles Resetting in 2025

Saving Money with Alternative Pharmacies & Discount Programs

Should You Work With A Remote Medicare Agent?

Turning 65 and Thinking of Keeping COBRA? Here’s Why It Usually Backfires

Welcome to Fair Square's First Newsletter

What Does Medicare Cover for Stroke Patients?

What Happens to Unused Medicare Set-Aside Funds?

What If I Don't Like My Plan?

What Is a Medicare Advantage POS Plan?

What is a Medicare Beneficiary Ombudsman?

What to Do When Your Doctor Leaves Your Network

When to Choose Medicare Advantage over Medicare Supplement

Which Medigap Policies Provide Coverage for Long-Term Care?

Will Medicare Cover Dental Implants?

Will Medicare Cover it?

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.

Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2026

Terms of Use
Notice of Privacy Practices

Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2026 Help Button Inc

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

MULTIPLAN_FairSquareMedicare_01062022_M

Fair Square Medicare

FSM symbol - 50