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HEARING - U.S. Senate Special Committee on Aging

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EXPENSES NOT COVERED<br />

BY MEDICARE<br />

Medicare does not cover certain kinds of care. Most<br />

private insurance does not cover them either. Am<strong>on</strong>g<br />

them are:<br />

* Private duty nursing.<br />

* Skilled nursing home care costs (bey<strong>on</strong>d what is<br />

covered by Medicam)<br />

* Custodial nursing home care costs.<br />

* Intermediate nursing home care costs.<br />

* Physician charges (above Medicare's approved<br />

amount).<br />

* Drugs (other than prescripti<strong>on</strong> drugs furnished<br />

during a hospital or skilled nursing facility stay or<br />

outpatient drugs for symptom management or pain<br />

relief provided by a hospice).<br />

* Care received outside the U.S.A., except under<br />

certain c<strong>on</strong>diti<strong>on</strong>s in Canada and Mexico.<br />

* Dental care or dentures, checkups, routine<br />

immunizati<strong>on</strong>s, cosmetic surgery, routine foot care,<br />

examinati<strong>on</strong>s for and the cost of eyeglasses or<br />

hearing aids.<br />

198<br />

Page 7<br />

FOR ADDITIONAL HELP...<br />

if you need additi<strong>on</strong>al help or advice <strong>on</strong> Medicaro<br />

benefits or elibigity. c<strong>on</strong>tact your nearest Social<br />

Security Office or the Health Care Financing<br />

Adrmnirstrati<strong>on</strong>. For informati<strong>on</strong> <strong>on</strong> private insurance to<br />

supplement Medicare, check with your State Insurance<br />

Department or State C<strong>on</strong>sumer Protecti<strong>on</strong> Agency.<br />

If you bought or are c<strong>on</strong>sidering byingg a health<br />

insurance policy, the company or its agent should<br />

answer your questi<strong>on</strong>s. Ift you do not get the service<br />

you feel you deserve, discuss the matter with your<br />

State tnsurance Department.<br />

THE MEDICARE INFORMATION IN THIS PAMPHLET<br />

IS FOR 1987. IT WILL CHANGE FROM YEAR TO<br />

YEAR. FOR A MORE DETAILED AND CURRENT<br />

EXPLANATION OF MEDICARE AND ITS BENEFITS,<br />

OBTAIN A FREE COPY OF A BRIEF EXPLANATION<br />

OF MEDICARE FROM YOUR LOCAL SOCIAL<br />

SECURITY OFFICE.

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