Medicare Part A and Part B make up what is known as “Original Medicare.”
Original Medicare coverage typically requires the care to be “medically necessary” in order for it to be covered by Part A or Part B. Certain other restrictions may apply, depending on the procedure you need.
Depending on the type of service you get and how Medicare covers it, you may face certain deductible, coinsurance and/or copayment costs.
The services and items below are not necessarily a complete list of procedures that are covered by Original Medicare.
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Click on each item in the list to learn more about how it’s covered by Medicare and how much they may cost.
Some procedures that aren't typically covered by Original Medicare may sometimes be covered by certain Medicare Advantage (Medicare Part C) plans.
These procedures may include but are not limited to the following:
All Medicare Advantage plans are required by law to provide all of the same benefits found under Original Medicare.
Many Medicare Advantage plans also offer prescription drug coverage, and some plans offer benefits like dental, vision, hearing, gym and wellness program memberships and more, all of which aren't typically covered by Original Medicare.
Check with your Medicare Advantage plan carrier or a licensed insurance agent for help determining which procedures, services and items may be covered by your Medicare Advantage plan or a plan in your area.
Speak with a licensed insurance agent
Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.
Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.
Christian has written hundreds of articles for MedicareAvantage.com that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.
Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.
A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism.
If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at Mike@tzhealthmedia.com.