What Does Medicare Not Cover?

What does Medicare not cover?

You may be surprised that Medicare does not cover everything. It is important to know what Medicare does and does not cover so you are not caught off guard by a medical bill. Medicare Part A (hospital insurance) covers inpatient care, skilled nursing care, hospice, home health care, and blood. Part B (medical insurance) covers 80% of outpatient services once the annual deductible has been met. These outpatient services include physician services, outpatient surgery, home health care, labs, and x-rays. You may be surprised that Medicare Part A and B do not cover prescription drugs. You can buy drug coverage through Medicare Part D, but it’s not provided by Part A or Part B.

Let’s look at what services Medicare Part A and B do not cover:

· Medicare Part A or B does not cover dental work such as routine dental exams, checkups, and more expensive services like root canals and dentures.

· Medicare Part A or B does not cover eye exams, glasses, and contact lenses.

· Hearing aids and routine hearing tests are not covered in Medicare Part A or B. Although, it does cover ear-related medical conditions.

· Podiatry, like routine medical care for feet such as callus removal, is not covered.

· Chiropractic Care, the majority of the time, is not covered by Medicare part A or B. This includes X-rays ordered by a chiropractor. Although Medicare Part B does cover manual manipulation of the spine by a qualified chiropractor.

· Overseas Care and traveling outside the U.S. is not covered by Medicare Part A or B.

· Cosmetic Surgery that is elective such as a facelift is not covered under Medicare Part A or B. Medicare will cover plastic surgery in the event of an accidental injury or necessary treatment.


Avery Hall Benefit Solutions offers vision, dental, travel insurance and so much more! If a service you need is not covered by Medicare Part A or B, call and speak with an Avery Hall Benefits Solutions team member today to discuss how we can find a solution for your needs at 410-742-5111 (Salisbury) or 410-822-7300 (Easton).

Please note that 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 visit Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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