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Last Updated:    

6/30/2010

 

 

Services Not Covered by Medicare

 

SOME COMMON SERVICES NOT COVERED BY MEDICARE

bulletLong Term custodial care (nursing home)
bulletPrivate hospital room (unless determined to be medically necessary), telephone and television
bulletPrivate duty nursing
bulletFirst 3 pints of blood, if you cannot replace them in some manner
bulletRoutine physical care, other than the "Welcome to Medicare" one time physical exam
bulletDental care and dentures
bulletRoutine hearing exams and hearing aids
bulletRoutine eye exams and eyeglasses, except cataract lenses (routine eye exams for individuals with medical conditions which affect sight may be covered)
bulletAll over-the-counter drugs
bulletRoutine podiatry care (care for persons with certain medical conditions, such as diabetes or vascular heart disease, may be covered)
bulletInpatient psychiatric care, after 190 days (lifetime limit)
bulletAcupuncture, and most chiropractic services
bulletCosmetic surgery, unless after injury or to improve the function of a malformed body part
bulletFull-time home care, homemaker services, home-delivered meals
bulletChristian Science practitioners and Naturopath's services
bulletOrthopedic shoes, unless part of a leg brace and included in orthopedist's charges or vascular or nerve defects due to diabetes.
bulletAmbulance services unless medically necessary
bulletServices provided outside the United States (except for certain hospital and physician services in Canada or Mexico, under certain conditions)

 

Medicare

HMOs Medigap LTC Medicaid