What does Medicare NOT cover?

It is important to understand what Original Medicare Part A and Part B do not cover. Some of the items and services Medicare doesn’t cover include:

  • Long-term care (also called custodial care )
  • Most dental care
  • Eye exams related to prescribing glasses
  • Dentures
  • Cosmetic surgery
  • Acupuncture
  • Hearing aids and exams for fitting them
  • Routine foot care
  • Part A and B copayments, coinsurance, deductibles
  • Prescription Drugs

To determine if Medicare covers a specific test, item, or service, you can visit www.medicare.gov/coverage.

Medicare Supplement plans can help pay some of the health care costs Medicare does not, including:

  • Copayments
  • Coinsurance
  • Deductibles

Medicare Advantage plans must, at a minimum, offer the same benefits as Original Medicare Part A and Part B but, in most cases, offer significantly more benefits. These additional benefits are sometimes called supplemental benefits and include things such as lower cost-sharing, dental, vision, hearing, meal plans, fitness memberships, transportation, and much more. Most Medicare Advantage plans also include Medicare prescription drug coverage and is commonly known as MAPD plans.