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Dental CareOriginal Medicare does not cover routine dental services such as cleanings, fillings, root canals, dentures, or tooth extractions. Though Medicare started covering dental exams for specific medical conditions and dialysis patients in recent years, common dental care remains excluded. Many Medicare Advantage plans offer limited dental benefits, but out-of-pocket expenses can be substantial without supplemental dental insurance. Vision CareRoutine eye exams, prescription glasses, and contact lenses are not covered under Original Medicare. Coverage is limited to eye exams related to certain medical conditions like diabetes and cataract surgery. Medicare Advantage plans may offer additional vision benefits. Hearing Aids and ExamsMedicare excludes coverage for hearing aids and fitting exams, which can be significant expenses. Some Medicare Advantage plans provide partial coverage, but Original Medicare beneficiaries generally pay full cost. Long-Term Care (Custodial Care)Services like assistance with daily activities (bathing, dressing), nursing home care, and home-delivered meals are not covered by Medicare. While Medicare may cover some short-term skilled nursing or rehabilitation post-hospitalization, extended custodial care requires alternative insurance or Medicaid support. Cosmetic SurgeryElective cosmetic procedures aimed at improving appearance are not covered by Medicare unless necessary for reconstructive purposes, such as after serious injury or burns. Routine Physical ExamsGeneral wellness exams not associated with a specific illness or medical concern are not covered by Original Medicare, although some preventive screenings are included. Massage TherapyMedicare does not cover massage therapy, even when prescribed by a doctor for pain or rehabilitation. Chiropractic ServicesCoverage is limited to manual manipulation of the spine necessary to correct subluxation, but most other chiropractic services and treatments are excluded. Overseas Medical CareMedicare offers minimal coverage for medical services outside the U.S., except in rare emergency cases or specific travel situations. Concierge and Boutique MedicineMedicare does not cover concierge or retainer-based medical care models, which entail patients paying an annual fee for enhanced access and personalized services.
