How to Cover What Medicare Doesn’t?

How to Cover What Medicare Doesn’t?
Medicare Medicare Supplement

Medicare pays numerous hospital and medical expenses for persons over the age of 65. However, Medicare Parts A and B do not cover everything, and it isn't always apparent what constitutes an out-of-pocket expense. Traditional Medicare does not cover some of the most vital health services for people over 65, so it's crucial to know what your options are. Fortunately, knowledgeable experts can help you understand the Medicare system. They will go over all of your alternatives and find you the medical coverage you require at a reasonable price.

Medicare Part A includes inpatient hospitalization, some nursing home stays, surgery, hospice, lab tests, and some home health care. Regular doctor's visits, outpatient procedures, and some medical equipment and preventative services are all covered by Medicare Part B. Medical treatments and pharmaceuticals that do not fit into these categories are unfortunately left to you to pay for yourself.


The following is a list of items that Original Medicare doesn't cover


Co-Pays and Deductibles


Both Parts A and B of Medicare cover your doctor's visits and services, but not your deductibles or co-payments. These expenses can quickly pile up, especially if you visit the doctor on a weekly or monthly basis. Thankfully, a Medigap policy or Medicare Advantage plan can help cover these costs. However, determining which plan is best for you can be difficult, so we recommend speaking with an expert Medicare advisor about your options.


Dental Treatment


Your dental health is critical to your entire well-being. Regular dental check-ups and procedures are not covered by Medicare, therefore extra coverage would be required to pay the costs. A Medicare Advantage Plan (some plans provide routine dental) or a dental insurance policy are also viable options for support and coverage.


Also Read: Everything You Need To Know About Dental Plans for Seniors


Prescription Medications


When it comes to some medical diseases and illnesses, prescription drugs are a must, but Original Medicare doesn't cover the expenses of outpatient prescriptions, which can be prohibitively expensive at times. However, by enrolling in a Medicare Part D or Medicare Advantage Plan, you can lower the cost of your drugs and, in some situations, have them completely covered.


Long-Term Care


While Medicare pays for skilled nursing services such as weekly injections or physical therapy, it does not cover most home health care or assisted-living services that aid with everyday chores such as showering, dressing, or eating. Medicare Services advisors can assist you in determining the best long-term care insurance for you or a loved one. In most circumstances, buying a long-term insurance policy around age 50 will save you money compared to waiting until you're closer to retirement.


Also Read: How To Choose for the Right Retirement Community?


How to Cover what Medicare Doesn’t


Optical Care


For people with diabetes and those who have had specific types of cataract surgery, Medicare covers annual eye exams, but not routine eye exams, glasses, or other services. Some Medicare Advantage Plans can help with coverage, and a vision insurance supplement is also an option.


Hearing Problems


Hearing tests and hearing aids are not covered by Medicare, and they can be quite expensive. Hearing health is covered by some Medicare Advantage plans, and other supplemental and discount programs can help cover some of the costs.


Medical Care Abroad


Anything can happen when traveling internationally, including a medical emergency. Medicare normally does not cover care received outside of the United States, although some Medigap insurance may pay a significant portion of the costs. If you travel internationally, we recommend consulting with a trusted advisor about all of the Medigap plans that provide foreign travel emergency health care coverage. There's also the option of obtaining supplemental travel insurance to help with medical costs. Learn more: Will Medicare Cover Me if I Travel Overseas?

You can no longer contribute pre-tax cash to your Health Savings Account (HSA) if you enroll in Medicare Part A and/or Part B. If you already have an HSA, you can use it tax-free for many of the qualified services listed as long as your account balance is still positive.



Most medical and hospital services are covered by Medicare, but it's vital to know how to fill in the gaps so you don't have a lot of unexpected out-of-pocket costs. Medicare Service works hard to provide you with the information and resources you need to make an informed decision about your Medicare coverage.


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