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What Does Medicare Not Cover?

The coverage gaps to plan for, and how to fill them. Call 1-800-MEDIGAP.

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Quick answer

Original Medicare does not cover routine dental, vision, or hearing care, eyeglasses, hearing aids, most long-term custodial care, cosmetic surgery, or most care outside the U.S. It also has no out-of-pocket maximum. MEDIGAP, Part D, and other plans help fill these gaps.

Knowing Medicare's gaps before you enroll prevents expensive surprises. Here is what Original Medicare leaves out.

What major services does Medicare exclude?

Original Medicare leaves out several big-ticket items. It does not cover routine dental care, dentures, routine eye exams, eyeglasses, hearing exams, or hearing aids. It excludes most long-term custodial care in nursing homes or at home. It does not pay for cosmetic surgery, most care received outside the United States, or routine foot care in most cases. And it never caps your annual out-of-pocket spending. These gaps can be significant, but they are fillable. Call 1-800-MEDIGAP to learn how to cover the services that matter most to you.

How do I cover Medicare's gaps?

Each gap has a solution. A Part D plan covers prescription drugs. A Medicare Supplement (MEDIGAP) plan covers most of the deductibles and 20% coinsurance Original Medicare leaves, effectively capping your medical exposure. Some Medicare Advantage plans bundle dental, vision, and hearing extras. Standalone dental and vision policies are also available. Long-term care requires separate planning, such as long-term care insurance. The right combination depends on your needs and budget. A licensed agent at 1-800-MEDIGAP can help you close the gaps that matter to you, at no charge.

More on Medicare Basics & Enrollment

Frequently asked questions

Does Medicare cover dental and vision?+

No. Original Medicare does not cover routine dental or vision care, dentures, eyeglasses, or eye exams for glasses. Some Medicare Advantage plans add these benefits, or you can buy standalone policies. Call 1-800-MEDIGAP to explore options for dental and vision coverage.

Does Medicare cover hearing aids?+

No. Original Medicare does not cover hearing exams for fitting hearing aids or the hearing aids themselves. Some Medicare Advantage plans include hearing benefits. To compare plans that may cover hearing aids, call 1-800-MEDIGAP for free guidance.

Does Medicare cover long-term care?+

No. Original Medicare does not cover long-term custodial care, the ongoing daily help many seniors eventually need. It only covers short-term skilled care. Planning for long-term care requires separate solutions like long-term care insurance. Call 1-800-MEDIGAP to discuss options.

Does Medicare cover care outside the United States?+

Generally no. Original Medicare rarely covers care received outside the U.S. Some Medicare Supplement (MEDIGAP) plans include limited foreign travel emergency coverage, which is valuable for travelers. Call 1-800-MEDIGAP to find a MEDIGAP plan with travel benefits.

Does Medicare cover everything once I pay the deductible?+

No. Even after deductibles, Part B leaves you 20% coinsurance with no annual cap, and many services are excluded entirely. A Medicare Supplement (MEDIGAP) plan covers most of that remaining 20%. Call 1-800-MEDIGAP to learn how to minimize what you pay.

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What Does Medicare Not Cover? 2026 | 1-800-MEDIGAP