Though Medicare Part B covers a wide range of medical services, there can be gaps in the coverage. That’s why it is crucial for Medicare beneficiaries to be completely aware of their coverage options so they can understand what will be covered and what will not be covered. When determining what will not be covered, this can provide insight into if the beneficiary should find another plan to fill in the gaps in coverage, such as a Part C, Part D, or Medicare Supplement Plan. 

Medical Treatments

Medicare Part B does not pay for treatment that is not medically necessary. For example, certain types of cosmetic surgery, elective surgery, and alternative medical care such as homeopathy and acupuncture are deemed unnecessary. The only exceptions are cosmetic surgeries that are necessary to improve the health of the patient. 

Certain Shots and Prescriptions

Apart from unnecessary medical treatments, Part B does not offer coverage for most immunizations and vaccinations, for example, those to be taken before leaving the country. However, there are some exceptions, such as vaccinations needed to treat or prevent an infection or illness. 

Also, Part B makes exceptions for pneumonia and flu shots when prescribed by a doctor. Part B does not cover drugs that can be self-administered, for example, prescription drugs you take at home. It only covers drugs that a beneficiary receives as an outpatient at a clinic, or a healthcare provider recommends. Drugs administered in a skilled nursing facility or at a hospital are covered under Part A, while Part D covers all other prescription drugs. 

Also, Part B does not offer coverage for nonprescription drugs such as vitamins, supplements, and other over-the-counter medications.

Dental, Vision, and Hearing Services

Routine eye or hearing examinations are not covered by Medicare Part B. It does not provide coverage for contact lenses, hearing aids, or eyeglasses. An exception is if the beneficiary needs lenses after cataract surgery. Part B also covers an eye examination by an ophthalmologist when needed. 

There are other services you cannot get coverage for under Part B, such as general dental work. Part B does not cover procedures carried out by an oral surgeon or dentist, except it would be covered if done by a physician and deemed medically necessary. 

Long-Term Care

Medicare Part B does not cover long-term care, though it covers short-term home health care, especially after an illness or acute injury. To help cover the costs not covered by Original Medicare, you can opt for a Medicare Supplement Plan or a Medicare Advantage Plan.

For more information about Medicare Part B and what it covers, contact Game Changing Benefits today at 972-331-1060​.