What services are not covered by Medicare Part B?

Medicare Part B is the portion of Medicare that mostly covers outpatient services. This includes preventive services, outpatient visits, tests, and equipment. Sometimes, however, even this very thorough part of Medicare has its limitations. Read on to learn more about the limitations of Part B.

Specific Services of Part B

Part B covers a lot of services. In order to understand what Part B does not cover, you should first know what it does cover. These services are listed below. 

Preventive Services 

  • Counseling & Education
    • Alcohol misuse counseling
    • Cardiovascular disease behavioral therapy
    • Diabetes
    • Medical nutrition in patients with renal disease
    • Obesity
    • Smoking cessation
  • Screenings for:
    • Abdominal aortic aneurysm for at-risk patients
    • Alcohol misuse screening
    • Breast Cancer Screening
    • Cardiovascular disease Screening
    • Cervical and Vaginal cancer
    • Colorectal cancer
    • Depression
    • Diabetes
    • Glaucoma
    • Hepatitis B
    • Hepatitis C
    • HIV
    • Lung Cancer
    • Obesity
    • Osteoporosis via Bone Density tests
    • Prostate Cancer
  • Vaccines

Outpatient Services

  • Advance Care Planning
  • Ambulance services
  • Ambulatory surgical centers
  • Behavioral health integration services
  • Cardiac rehabilitation programs
  • Chemotherapy
  • Chiropractic services (if medically necessary)
  • Chronic care management services
  • Clinical research studies
  • Doctor and healthcare provider services
  • Emergency Department Services
  • Federally qualified health center services
  • Foot exams
  • Home Health Services
  • Kidney disease education
  • Mental Health Outpatient services
  • Occupational and Physical therapy
  • Opioid use disorder treatment services
  • Outpatient hospital services
  • (Limited) Prescription drug coverage
  • Pulmonary Rehabilitation
  • Rural Health Clinic Services
  • Sexually Transmitted Infection screening and counseling
  • Speech-language pathology services
  • Telehealth
  • Transitional care management
  • Transplants and immunosuppressive drugs
  • Travel health needs
  • Urgently needed care

Tests

  • EKG screening
  • Hearing and balance tests
  • Laboratory Services
  • Tests not included in laboratory services

Equipment

  • Continuous Positive Airway Pressure therapy
  • Defibrillator
  • Diabetes equipment, including supplies and shoes
  • Durable medical equipment
  • Eyeglasses after cataract surgery
  • Kidney Dialysis and supplies
  • Prosthetics and Orthotics
  • Surgical dressings

What Part B Does Not Cover

Part B covers most necessary outpatient medical services, but there are some services that patients might want that it does not cover. Specifically, Part B does not cover prescription drugs, cosmetic procedures, dental needs like dentures, hearing aids, routine foot exams, vision needs, and long-term care needs. These services are also not covered by Part A.

Coverage Options

If these needs are not covered by Part A or Part B, you may be wondering what your options are. Fortunately, there are other parts of Medicare that may address these needs. For example, Part D covers prescription drug coverage while some Medicare Advantage Plans cover dental and vision services. Contact Temmen Insurance to understand your benefit options today.

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