MEDICARE EXCLUSIONS 2024: A GUIDE FOR NJ & PA SENIORS
What are Medicare Exclusions?
Medicare exclusions refer to the specific services, treatments, and items that are not covered by Medicare. These exclusions vary depending on the state and the specific Medicare plan you have. It's crucial to familiarize yourself with these exclusions to avoid unexpected out-of-pocket expenses and ensure you have appropriate coverage for your healthcare needs.
1. Long-term care: Medicare does not typically cover long-term care, such as nursing home stays or assisted living facilities. However, it may cover limited stays in skilled nursing facilities under specific conditions.
2. Routine dental care and dentures: Medicare does not cover most routine dental care, including check-ups, cleanings, fillings, or dentures. However, it may provide coverage for dental services required as part of an inpatient hospital stay.
3. Vision and hearing aids: Routine vision care, eyeglasses, and hearing aids are generally not covered under Original Medicare. However, certain diagnostic tests and treatment for eye diseases, such as cataracts or glaucoma, may be covered.
4. Prescription drugs: Original Medicare does not cover most prescription drugs. To obtain prescription drug coverage, beneficiaries must enroll in a separate Part D prescription drug plan or a Medicare Advantage plan that includes prescription drug coverage.
5. Acupuncture and alternative therapies: Medicare typically does not cover alternative therapies like acupuncture, chiropractic care, or other non-traditional treatments.
As a senior in New Jersey or Pennsylvania, being aware of the Medicare exclusions is huge for financially planning for your care. Understanding what services and treatments are not covered by Medicare can help you coordinate services for your healthcare needs more effectively. By partnering with Care Connect, you can gain invaluable support and expertise to ensure you make informed decisions and secure the most appropriate care near home.
