Aside from relevant deductibles, coinsurance, and copayments, there are certain services that are not covered by Medicare at all. The following is a list of some common services that are not covered by Medicare:
- Long-term care – often referred to as custodial or personal care. This refers to care that is not being provided to address a medical need, but rather to assist with activities of daily living (ADLs) such as ambulating, dressing, bathing, eating, and toileting. Examples of this type of care include long-term nursing home care, assisted living facilities, and long-term home care. It should be noted that Medicare will provide some coverage for “medical care” provided in a skilled nursing facility, as well as for home care provided to address a “medical need”. During this period where the patient requires “medical care”, Medicare will often provide coverage for some custodial care in a supporting role.
- Most dental care (dentures are also not covered)
- Eye examinations for the purpose of prescribing glasses
- Hearing aids
The Medicare.gov website has a tool to help you determine if your test, item, or service is covered.