- 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)
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MedicareHelp.org is a privately-owned Non-governmental agency. The government website can be found at HealthCare.gov.
Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.
Every year, Medicare evaluates plans based on a 5-star rating system.