What Medicare Covers – and Doesn’t Cover

This page provides a brief update about what types of care are covered by Medicare, which is extremely important to know. Some types of caregiver services may not be covered by Medicare (or with only partial Medicare coverage) so check this carefully. And, to be sure, contact the following national resources on Medicare and your Medicare Rights.

Medicare Rights Organization

Medicare Part A – represents your hospital insurance. It covers most medically necessary hospital, skilled nursing facility, home health and hospice care. If you qualify for Social Security by having worked for at least 40 calendar quarters, you will qualify for Medicare when you reach the qualifying age.

Medicare Part B – represents your medical insurance. It covers most medically indicated preventive care, doctor visits, mental health care, durable medical equipment, hospital outpatient services, lab, x-rays and some home health and ambulance services. Qualified Medicare recipients pay monthly premiums for Part B.

Medicare Part D – is the prescription drug coverage, providing prescription drugs based on their list of approved drugs (formulary). This is an optional coverage that requires a monthly premium.

Hope this is helpful. Watch for updates and new links.

Anne Hays Egan
New Ventures Consulting
EzineArticles Expert Author

Helpful Links:
Core Community Resources for Older Adults




8 Responses to What Medicare Covers – and Doesn’t Cover

  1. Agar says:

    Information you provided was very useful. Appreciate the help. Thanks

  2. CHARLES W COOK says:

    i am trying find out if medicare covers consultations with surgens

  3. Karthik says:

    Very informative post..I think the medicare program provide more options for senior health care but there are many medical related expenses that medicare does not cover. In fact, there are specific areas that are not covered and it’s important to know what these are before any costs are billed with the expectation that medicare will cover the bills.Many senior citizens are unaware of what is – and what is not – covered under medicare. It’s wise to know, however, to avoid acquiring medical bills that may be difficult to pay on a fixed income. !

    • Anne Hays Egan says:

      Great points, Karthik. Many local Senior Centers and other agencies serving older adults provide resources to help people understand what is and isn’t covered by Medicare. With Health Care Reform, we are all scrambling to figure things out.

  4. Tony Lee says:

    “If you qualify for Social Security by having worked for at least 40 calendar quarters,” after reading this statement it got me into thinking that it works out pretty well for those it all covers. However, Social Security by itself isn’t enough most of the time – – it might be hard to live on a fixed income.

  5. Anne Hays Egan says:

    Thanks for the post. It is hard to live on a fixed income, and, for most people, Social Security only covers a part of what’s needed during retirement years.


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