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