Understanding what Medicare covers is essential for anyone approaching age 65 or helping a loved one navigate retirement healthcare. While Medicare provides valuable health coverage, it does not pay for everything. Knowing the basics can help you avoid unexpected costs and choose additional coverage if needed.

What Medicare Covers

Original Medicare is made up of two parts: Medicare Part A and Medicare Part B.

Medicare Part A (Hospital Insurance) generally covers:

• Inpatient hospital stays

• Skilled nursing facility care following a hospital stay

• Hospice care for those with terminal illnesses

• Some limited home health care services

Most people do not pay a monthly premium for Part A if they or their spouse paid Medicare taxes while working.

Medicare Part B (Medical Insurance) covers many outpatient and medical services, including:

• Doctor visits

• Preventive services such as screenings and wellness visits

• Outpatient medical procedures

• Lab tests and X-rays

• Durable medical equipment like walkers or wheelchairs

Part B typically requires a monthly premium.

Additional Medicare Coverage Options

Some beneficiaries choose additional plans to expand their coverage.

Medicare Part D helps pay for prescription medications. Drug coverage is not included in Original Medicare, so enrolling in a Part D plan can help manage medication costs.

Another option is Medicare Advantage (Part C), which is offered by private insurance companies approved by Medicare. These plans often bundle hospital, medical, and prescription drug coverage together and may include additional benefits like dental or vision.

Some people also purchase Medicare Supplement Insurance (Medigap), which helps pay certain out-of-pocket costs such as deductibles and copayments that Original Medicare does not cover.

What Medicare Does Not Cover

Even with Medicare, there are several services that typically are not covered, including:

• Routine dental care and dentures

• Routine vision exams and most eyeglasses

• Hearing aids and related exams

• Long-term custodial care (such as ongoing nursing home care)

• Cosmetic procedures

• Most care received outside the United States

Because these services can be costly, many people explore supplemental coverage or standalone policies to help fill these gaps.

The Importance of Reviewing Your Coverage

Choosing the right Medicare coverage depends on your health needs, medications, and budget. Reviewing your options each year ensures your plan still meets your needs and helps prevent unexpected medical expenses.

If you are approaching Medicare eligibility or reviewing your current plan, working with a knowledgeable Medicare insurance professional can help you better understand your options and select coverage that fits your lifestyle and healthcare needs.

Harbor Ridge Financial  provides health insurance, Medicare Plans and life insurance in Clearwater and the surrounding Tampa Bay area.

For more information, visit our website, https://www.harborridgefinancial.com/

or call (727) 953-8200.