Medicare Coverage Exclusions – What Is Not Covered by Medicare Part A and Part B?

Medicare coverage exclusions

Medicare doesn’t cover everything. If you need certain services Medicare doesn’t cover, you will have to pay it yourself, or you have to purchase a Medicare health plan or have other insurance to cover those costs.

The following list gives examples of some items and services that are not covered by Medicare Part A or Part B.

  • Acupuncture
  • Chiropractic services (with a few limited exceptions)
  • Cosmetic surgery
  • Custodial care (help with bathing, dressing, using the bathroom, and eating) at home or in a nursing home
  • Deductibles, coinsurance, or copayments when you get certain health care services. People with limited income or resources may get help paying these costs.
  • Dental care and dentures (with only a few exceptions)
  • Diabetic supplies (some, like syringes or insulin, unless the insulin is used with an insulin pump or unless you get Medicare coverage for prescription drugs [Part-D])
  • Eye care (routine exam), eye refractions and most eyeglasses
  • Foot care (routine) such as cutting of corns or calluses (with only a few exceptions)
  • Hearing aids and hearing exams for the purpose of fitting a hearing aid
  • Hearing tests that haven’t been ordered by your doctor
  • Laboratory tests (screening) with some limited exceptions
  • Long-term care, such as custodial care in a nursing home
  • Orthopedic shoes (with only a few exceptions)
  • Physical exams (routine or yearly) (Medicare will cover a one-time physical exam within the first six months you have Part-B
  • Prescription drugs – except for hospice care and inpatient hospitalization, most prescription drugs aren’t covered by original Medicare Part-A or Part-B.
  • Shots (preventive vaccinations) except those listed in covered items
  • Tests (screening) except as listed in covered items
  • Travel (Health care you get while traveling outside of the United States, except as listed in covered items