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.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

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.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

Recommended Articles

a chart explaining different enrollment periods on medicare
How Do I Sign up for Medicare? A Simple How-To Guide For You
Apr 8, 2022
Dripping medication stock photo
Does Medicare Cover Ketamine Infusion for Depression?
Nov 23, 2022
Caucasian nurse holding spine model against the patients backs. Clinic interior. stock photo
Does Medicare Cover Kyphoplasty?
Dec 9, 2022
Diagnosis incontinence stock image
Does Medicare Cover Incontinence Supplies?
Dec 22, 2022
senior couple working in a greenhouse stock image
Medicare Supplement Plans for Low-Income Seniors
Mar 23, 2023
Heart on Heart Rhythm Background Concept stock photo
Does Medicare Cover Cardiac Ablation?
Dec 9, 2022
Fecal microbiota transplant from healthy in unhealthy intestine, FMT. Improvement intestinal microflora and normalization stool by introducing beneficial bacteria in bowel colon tract. Vector stock illustration
Does Medicare Cover an FMT?
Dec 2, 2022
Closeup of a male Doctor or physiotherapist doing stretching for a patient in the clinic for examining treating injured of back stock photo
Does Medicare Cover Chiropractic Visits?
Dec 22, 2022
Upset senior woman crying stock photo
Does Medicare Cover Nuedexta?
Nov 30, 2022
Unrecognizable person undergoing surgery in the clinic stock photo
Does Medicare Cover Robotic Surgery?
Nov 28, 2022
Doctor physician consulting with male patients in hospital exam room stock photo
Is PAE Covered by Medicare?
Nov 23, 2022
Medicare Set Aside funds stock image
What Happens to Unused Medicare Set-Aside Funds?
Jan 20, 2023
Charlotte skyline stock image
14 Best Ways to Stay Active in Charlotte
Mar 9, 2023
Senior person holding tissue roll near a toilet bowl, using walker to walk to the bathroom stock photo
Does Medicare Cover Urodynamic Testing?
Dec 2, 2022
Electrocardiograph with pacemaker stock photo
How Much Does a Pacemaker Cost with Medicare?
Nov 21, 2022
Doctor demonstrating upper cervical spine anatomy stock photo
Does Medicare Cover Cervical Disc Replacement?
Jan 20, 2023
Cover image
Can Medicare Advantage Plans be Used Out of State?
Jun 12, 2023
Close up of a woman sitting on a bed experiencing back pain
Does Medicare Cover TENS Units?
Nov 23, 2022

More of our articles

13 Best Ways for Seniors to Stay Active in Indianapolis

13 Best Ways for Seniors to Stay Active in Phoenix

14 Best Ways for Seniors to Stay Active in Nashville

14 Best Ways for Seniors to Stay Active in Seattle

15 Best Ways for Seniors to Stay Active in Denver

20 Questions to Ask Your Medicare Agent

2024 Fair Square Client Retention and Satisfaction Report

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

Can I Laminate My Medicare Card?

Can I switch From Medicare Advantage to Medigap?

Can Medicare Advantage Plans Deny Coverage for Pre-Existing Conditions?

Can Medicare Help with the Cost of Tyrvaya?

Do I Need Medicare If My Spouse Has Insurance?

Do Medicare Supplement Plans Cover Dental and Vision?

Does Medicare Cover Boniva?

Does Medicare Cover Cold Laser Therapy (CLT)?

Does Medicare Cover Compounded Medications?

Does Medicare Cover Cosmetic Surgery?

Does Medicare Cover COVID Tests?

Does Medicare Cover Exercise Physiology?

Does Medicare Cover Hepatitis C Treatment?

Does Medicare Cover Ilumya?

Does Medicare Cover Inspire for Sleep Apnea?

Does Medicare Cover Kidney Stone Removal?

Does Medicare Cover Light Therapy for Psoriasis?

Does Medicare Cover Lipoma Removal?

Does Medicare Cover Macular Degeneration?

Does Medicare Cover Medical Marijuana?

Does Medicare Cover Nexavar?

Does Medicare Cover Piqray?

Does Medicare Cover PTNS?

Does Medicare Cover Scleral Lenses?

Does Medicare Cover Service Animals?

Does Medicare Cover Shock Wave Therapy for Plantar Fasciitis?

Does Medicare Cover SI Joint Fusion?

Does Medicare Cover the Urolift Procedure?

Does Medicare Cover Vitamins?

Does Medicare Cover Wart Removal?

Does Medicare Have Limitations on Hospital Stays?

Does Medicare Pay for Allergy Shots?

Does Medicare Pay for Varicose Vein Treatment?

Does Medicare Require a Referral for Audiology Exams?

Does Your Medicare Plan Cover B12 Shots?

Explaining IRMAA on Medicare

Fair Square Client Newsletter: AEP Edition

How Are Medicare Star Ratings Determined?

How Can I Get a Replacement Medicare Card?

How is Medicare Changing in 2025?

How Medicare Costs Can Pile Up

How Much Does a Medicare Coach Cost?

How Much Does Xeljanz Cost with Medicare?

How to Apply for Medicare?

Is Balloon Sinuplasty Covered by Medicare?

Is Botox Covered by Medicare?

Is Displacement Affecting Your Medicare Coverage?

Is Fair Square Medicare Legitimate?

Medicare & Ozempic

Medicare Advantage MSA Plans

Medicare Advantage Plans for Disabled People Under 65

Medicare Consulting Services

Medicare Deductibles Resetting in 2025

Medicare Explained

Seeing the Value in Fair Square

The Easiest Call You'll Ever Make

Top 10 Physical Therapy Clinics in San Diego

What If I Don't Like My Plan?

What is a Medicare Beneficiary Ombudsman?

What Is a Medicare Supplement SELECT Plan?

Which Medigap Policies Provide Coverage for Long-Term Care?

Why You Should Keep Your Medigap Plan

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 2025

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. © 2025 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