Medicare covers a variety of services, including lab tests, surgeries, and doctor visits and supplies such as wheelchairs and walkers if this is can be considered a medical necessary and required to treat a disease or medical condition.
If you are in a Medicare Advantage Plan or other Medicare plan, different rules may apply, but your plan must give you at least the same coverage as Original Medicare. Some services may only be covered in certain settings or for patients with certain conditions.
Medicare Part A covers
- Hospital care
- Skilled nursing facility care
- Nursing home care
- Hospice
- Home health services
What does Medicare B cover?
Medicare Part B covers
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- Medically necessary services: Services or supplies that are needed to diagnose or treat your medical condition and that meet accepted standards of medical practice.
- Preventive services: Health care to prevent illness (like the flu) or detect it at an early stage, when treatment is most likely to work best.
- Medicare Part B services include:
- Clinical research
- Ambulance services
- Durable medical equipment (DME)
- Mental health
- Inpatient
- Outpatient
- Partial hospitalization
- Getting a second opinion before surgery
- Limited outpatient prescription drugs
Does Medicare A & B cover all medical needs?
No, Medicare doesn’t cover everything. If you need certain services Medicare doesn’t cover, you’ll have to pay for them yourself unless you have other insurance or you’re in a Medicare health plan that covers them.
Even if Medicare covers a service or item, you generally have to pay your deductible, coinsurance, and co-payments.
Some of the items and services that Medicare doesn’t cover include:
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- Long-term care (also called custodial care)
- Most dental care
- Eye examinations related to prescribing glasses
- Dentures
- Cosmetic surgery
- Acupuncture
- Hearing aids and exams for fitting them
- Routine foot care
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Next Steps…
For more information contact us today and ask for your free no-obligation quote.We will help you explore a variety of insurance options and discounts. Call us at +1 800 645 0297 or email us. Alternatively, have an insurance-licensed Sunvalley Insurance representative contact you.