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

Cover image

Medicare Advantage MSA Plans

May 17, 2023

various people wearing masks due to the COVID-19 pandemic stock photo

How Does the End of the COVID-19 Public Health Emergency Affect Your Medicare?

Mar 3, 2023

Heart on Heart Rhythm Background Concept stock photo

Does Medicare Cover the WATCHMAN Procedure?

Dec 1, 2022

Medsupp Thumbnail

Plan G vs. Plan N

Jan 28, 2022

Doctor physician consulting with male patients in hospital exam room stock photo

Is PAE Covered by Medicare?

Nov 23, 2022

Senior couple going over their finances in front of a computer stock image

How Much Does Medicare Part B Cost in 2025?

Dec 27, 2022

Person receiving a vaccine stock photo

Is the Shingles Vaccine Covered by Medicare?

Nov 17, 2022

Medigap and Medicare Advantage arrows stock image

Can I switch From Medicare Advantage to Medigap?

Sep 14, 2022

Cover image

Estimating Prescription Drug Costs

May 25, 2020

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

Vitamin in a syringe stock photo

Does Your Medicare Plan Cover B12 Shots?

Aug 15, 2022

Close up of a senior clutching their right wrist in pain stock photo

Does Medicare Cover Cala Trio?

Nov 23, 2022

Illustrated representation of medical marijuana, using a prescription bottle with a marijuana leaf on the front.

Does Medicare Cover Medical Marijuana?

Jan 6, 2023

Cover image

Will Medicare Cover it?

Oct 3, 2023

Nashville city skyline stock image

14 Best Ways for Seniors to Stay Active in Nashville

Mar 10, 2023

Happy senior man and dentist assistant talking during appointment at dental clinic. stock photo

Finding the Best Dental Plans for Seniors

Jan 4, 2023

senior man reaching to his ear with jumbled letters going into the ear stock image

Does Medicare Cover Hearing Aids?

Nov 9, 2022

A person with a shopping cart already containing medicaid and medicare sees Medigap options on a table. In a thought bubble, they ask "Should I get Medigap too?"

Do You Need Medigap if You're Eligible for Both Medicare and Medicaid?

Jan 7, 2023

More of our articles

10 Top Medicare Supplement (Medigap) Companies for 2025

13 Best Ways for Seniors to Stay Active in Columbus

13 Best Ways for Seniors to Stay Active in Indianapolis

13 Best Ways for Seniors to Stay Active in Jacksonville

14 Best Ways for Seniors to Stay Active in Seattle

2024 Fair Square Client Retention and Satisfaction Report

Are Medicare Advantage Plans Bad?

Building the Future of Senior Healthcare

Can I Have Two Primary Care Physicians?

Can I Laminate My Medicare Card?

Can I Use Medicare Part D at Any Pharmacy?

Can Medicare Advantage Plans be Used Out of State?

Do I Need to Renew My Medicare?

Does Medicare Cover a Spinal Cord Stimulator?

Does Medicare Cover Abortion Services?

Does Medicare Cover Bladder Sling Surgery?

Does Medicare Cover Cardiac Ablation?

Does Medicare Cover Cataract Surgery?

Does Medicare Cover Compounded Medications?

Does Medicare Cover Cosmetic Surgery?

Does Medicare Cover COVID Tests?

Does Medicare Cover Driving Evaluations?

Does Medicare Cover Fosamax?

Does Medicare Cover Hepatitis C Treatment?

Does Medicare Cover Home Heart Monitors?

Does Medicare Cover Hypnotherapy?

Does Medicare Cover Inqovi?

Does Medicare Cover Iovera Treatment?

Does Medicare Cover Krystexxa?

Does Medicare Cover Kyphoplasty?

Does Medicare Cover LVAD Surgery?

Does Medicare Cover Nexavar?

Does Medicare Cover Nuedexta?

Does Medicare Cover Ofev?

Does Medicare Cover Physicals & Blood Work?

Does Medicare Cover Piqray?

Does Medicare Cover PTNS?

Does Medicare Cover Qutenza?

Does Medicare Cover RSV Vaccines?

Does Medicare Cover Scleral Lenses?

Does Medicare Cover Tymlos?

Does Medicare Cover Urodynamic Testing?

Does Medicare Pay for Bunion Surgery?

Does Medicare Pay for Funeral Expenses?

Does Medicare Pay for Varicose Vein Treatment?

Does Medicare Require a Referral for Audiology Exams?

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

How Can I Get a Replacement Medicare Card?

How Does Medicare Cover Colonoscopies?

How Does Medicare Pay for Emergency Room Visits?

How is Medicare Changing in 2025?

How Much Does a Medicare Coach Cost?

How Much Does a Pacemaker Cost with Medicare?

How Much Does Trelegy Cost with Medicare?

How Much Does Xeljanz Cost with Medicare?

How to Become a Medicare Agent

How to Choose a Medigap Plan

Is Emsella Covered by Medicare?

Is Fair Square Medicare Legitimate?

Is Gainswave Covered by Medicare?

Is HIFU Covered by Medicare?

Last Day to Change Your Medicare Part D Plan

Medicare Savings Programs in Kansas

Moving? Here’s What Happens to Your Medicare Coverage

Saving Money with Alternative Pharmacies & Discount Programs

Seeing the Value in Fair Square

The Easiest Call You'll Ever Make

Top 10 Physical Therapy Clinics in San Diego

What Are Medicare Part B Excess Charges?

What Is Medical Underwriting for Medigap?

What To Do If Your Medicare Advantage Plan Is Discontinued

Why Is Medicare So Confusing?

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

Fair Square Medicare

FSM symbol - 50