Medicare Will Not Cover These 6 Medical Costs
Turning 65 brings access to senior discounts galore, but there is no benefit of senior citizenship quite like Medicare.
The federal program extends subsidized health insurance primarily to folks age 65 and older. But, while Medicare coverage comes with numerous freebies, it is hardly free.
Medicare beneficiaries pay into the system via taxes withheld from their pay during their working years. Additionally, Medicare coverage is not all-inclusive: Beneficiaries must cover all or part of certain medical expenses.
If you are already on Medicare, you already know that — perhaps painfully well. But the costs associated with coverage can come as a surprise to folks who have yet to sign up for Medicare.
So, here’s a look at some of the most expensive, most common and most surprising health care costs that Medicare does not cover.
First, though, note that your out-of-pocket costs under Medicare will vary depending on your coverage type. When enrolling in Medicare, you’ll choose between two main types of Medicare:
- Original Medicare (aka traditional Medicare), which is offered directly by the federal government’s Medicare program
- Medicare Advantage plans (aka Medicare Part C plans), which are offered by private insurers that are approved by the Medicare program
Medicare Advantage plans must cover all the same services that Original Medicare covers. Some Medicare Advantage plans cover other expenses, too. So, as you read on, remember that some of the following costs may not apply with certain Medicare Advantage plans.
1. Care you receive outside the U.S.
For many, retirement is a perfect time to see the world. Just be sure you first understand what your insurance will and won’t cover when you travel.
With a few limited exceptions, Original Medicare does not pay for health care that you receive while traveling outside of the United States or its territories. Medicare prescription drug plans — which are supplemental plans that people with Original Medicare can opt to buy — don’t cover prescriptions you buy outside of the U.S., either.
How to lower your costs: If you have Original Medicare, you have the option to buy a supplemental Medicare health insurance plan, also known as a Medigap plan, from a private insurer. Depending on the specific plan, it might cover any care you receive while traveling.
Another option is to buy travel insurance that includes coverage for health care.
2. Premiums
You might be surprised to learn that even federally subsidized health insurance can have premiums, but that is the case with Medicare.
For 2021, the monthly premium for Part B — the component of Medicare plans that primarily covers services you receive outside of a hospital — is $148.50 or more, depending on your income. Usually, this premium is deducted from your Social Security benefits check.
Seniors with Medicare Advantage usually pay a premium for their plan in addition to the Part B premium.
One bit of good news: A vast majority of seniors do not pay a premium for Medicare Part A, which covers inpatient hospital services.
How to lower your costs: The Part B premiums are fixed. There’s nothing you can do about them.
Again, if you have Original Medicare, you could buy a supplemental Medigap policy, which would pay for some expenses that Original Medicare does not cover.
The Part B premium generally isn’t among the costs that Medigap plans cover, though. So, if you bought a Medigap plan, you will still have to pay the Part B premium — plus the Medigap plan premium.
Still, a Medigap plan is worth the extra cost in some cases — especially if you were to face big medical bills. To learn more, see “How to Pick the Best Medicare Supplement Plan in 4 Steps.”
3. Long-term care
Long-term care refers to medical and nonmedical services for people who are unable to perform basic daily tasks like dressing or bathing on their own. You may receive long-term care in your home, in the community or at an assisted living facility or nursing home.
Like most health insurance plans, Medicare generally does not cover long-term care costs, which are notoriously high.
The national median cost of long-term care ranges from $1,603 per month for adult day health care to $8,821 per month for a private room at a nursing home, as we report in “11 Huge Retirement Costs That Are Often Overlooked.”
How to lower your costs: Start by considering long-term care insurance. For help determining whether it would be a smart buy for you, check out Money Talks News founder Stacy Johnson’s advice in “Should I Buy Long-Term Care Insurance?”
4. Dental care
Some Medicare Advantage plans cover some dental services. It depends on the specifics of the plan.
Original Medicare does not cover most dental care, procedures or supplies — including:
- Cleanings
- Fillings
- Tooth extractions
- Dentures
- Dental plates
- Other dental devices
There are some exceptions. For example, Original Medicare covers certain dental services that you get while in a hospital. But aside from exceptions, seniors on Original Medicare plans are stuck paying for 100% of their dental expenses.
5. Hearing aids
Some Medicare Advantage plans pay for hearing aids, but Original Medicare doesn’t cover them. So, if you have Original Medicare, you are responsible for 100% of the cost of hearing aids themselves and exams to fit hearing aids.
Original Medicare generally does cover 80% of the Medicare-approved cost of diagnostic hearing exams — meaning those that a health care provider orders to determine whether you need medical treatment. The patient or the patient’s Medigap plan pays the other 20%, though a deductible applies.
6. Routine vision care
Some Medicare Advantage plans cover some vision-related expenses, but Original Medicare typically does not cover eyeglasses or contact lenses or exams for eyeglasses or contacts. So, 100% of those costs is on you.
Original Medicare does cover eye exams for patients with diabetes. It also covers tests for glaucoma and macular degeneration. It even covers artificial eyes that your doctor orders. So, a senior on Original Medicare is responsible for only 20% of such expenses, after a deductible.
