Hospital Services that Medicare Doesn’t Cover

Traditional Medicare that consists of Part A & Part B Medicare, does not cover the expenses of a private nursing facility, personal stuff (such as toothpaste), or private rooms (unless they’re considered to be medically essential).




Part A Medicare normally covers drugs prescribed to the patient during their in-patient stay in the hospital. Part B Medicare provides limited coverage to prescription drugs.


For outpatient stay, Medicare won’t typically cover the prescription medications which a person can take on their own or self-administer. You might get such medications covered via Part D Medicare Prescription Coverage or Medicare Advantage Plan that covers prescription medications.


Hospital Services: Benefits & Costs


It is possible that the various costs for hospital care for instance copayments, deductibles, & coinsurance might change on a yearly basis. Medicare Supplement plans are ideal if you want to cover these additional charges to minimize your out of pocket costs on health care.


Under Part A of the Original Medicare Plan, your costs for in-patient stay in the hospital comprising:


1-time hospital deductible, excluding coinsurance, for the initial 60 days of each benefit term.

Coinsurance charges for every lifetime reserve day.

Daily coinsurance charges from the 61st day to the 90th day during each benefit term.

All the expenses for each day once you have utilized all the life-time reserve days.

Part A Medicare plan can cover up-to 190 days if you need in-patient psychiatric stay in the hospital.


For Part B Medicare:


Typically, you can expect to pay twenty percent of the amount approved by your Medicare for the majority of the doctor services you get during your stay in the hospital as an outpatient or inpatient.

Outpatient hospital services require you to make a copayment for every outpatient hospital facility.

Copayment might vary for every service, however, they’ll never exceed the hospital deductible for Medicare Part A.

In a few cases, the final copayment for all outpatient hospital services that are covered may surpass the inpatient deductible.

Find a 2019 supplement plan atĀ to avoid the high cost of medical bills

As mentioned previously, Medicare Supplemental Plans can greatly help you reduce the costs you would be required to pay during your hospital stay as an inpatient or outpatient. For more info, be sure to consult with an experienced agent who can guide you the right way.