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Beneficiary Home > Medicare Facts
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Medicare Facts


What is Medicare?
Medicare is a federal health insurance program. It is run by the Centers for Medicare & Medicaid Services (CMS).

When & Where do I enroll? Three months before you turn 65 you should visit your local Social Security Administration (SSA) office to enroll.

Is it true there are two parts to Medicare? Yes. The two parts are Hospital Insurance (Part A) and Medical Insurance (Part B).

What is the Difference between Medicare Part A and Medicare Part B?

Part A covers

Part B covers

Inpatient Hospital Care

Doctor’s Services

Skilled Nursing Care

Outpatient Services

Home Health Care

Durable Medical Equipment
Hospice Care Home Health Care

While Medicare does cover a wide range of medical services; some items or services are excluded from Medicare coverage by law. You will be responsible for payment of a non-covered service.

Services never covered by Medicare.

  • Acupuncture
  • Routine Dental services
  • Cosmetic Surgery
  • Routine Hearing Examinations
  • Hearing Aids
  • Most Prescription Drugs
  • Eye Refraction’s
  • Over- the- Counter Drugs
  • Routine Physical Exams
  • Routine Eye Examinations
  • Private Duty Nurses
  • Custodial Care
  • Dentures
  • Experimental Procedures
  • Convenience Items
  • Medically Unnecessary Services or Items
  • Services Rendered by Relatives

Services covered under certain conditions.

  • Eye glasses (only after cataract surgery)
  • Chiropractic services (only manipulation of spine)
  • Ambulance services (must be bed confined or a emergency)
  • Routine Foot Care (with certain Medical conditions)
  • Services Rendered outside the United states ( with certain exceptions)
  • Routine screenings (have various time limits)
  • Screening Mammograms
  • Colorectal Cancer Screening
  • Diabetes Training & Supplies
  • Bone Mass Measurements
  • Flu Vaccinations
  • Pneumococcal Vaccinations
  • Hepatitis B Vaccination
  • Glaucoma Screenings
  • Medical Nutrition Therapy

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