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What’s NOT covered Routine dental care — cleanings, fillings, dentures, extractions Routine vision exams and eyeglasses Hearing aids (though diagnostic hearing tests ordered by a doctor may be covered) Long-term custodial nursing home care — help with daily living activities, as opposed to short-term skilled or medical care Routine prescription drugs you pick up at a retail pharmacy — that’s Part D’s job, not Part B’s Cosmetic surgery , unless medically necessary (such as reconstruction after an accident or mastectomy) Most care received outside the United States , with very limited exceptions Routine foot care , such as nail trimming, in the absence of a qualifying medical condition Acupuncture , except for a narrow, specific chronic low back pain benefit Concierge medicine fees and membership-style charges some practices add on top of standard care Long-term care insurance-style services , including most home-based personal care that isn’t tied to a skilled medical need Paul’s Honest Take: The dental and vision exclusions are the ones that surprise people most, especially since they’re such routine parts of healthcare for most adults
