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What Does Original Medicare Cover?

Original Medicare covers various healthcare services, including hospital care and certain types of outpatient care. Here’s what you need to know about Original Medicare coverage.

Hospital Care

Original Medicare helps cover inpatient care in acute settings like hospitals or skilled nursing facilities. It covers many services, including semi-private rooms, meals, nursing care, drugs administered during a hospital stay, and other services. 

Outpatient Care

Original Medicare helps cover certain types of outpatient care as well. This includes services like laboratory tests, physical and occupational therapy, preventive screenings, and certain types of durable medical equipment. 

Physician Services

Original Medicare helps cover physician services like office visits, preventive screenings, diagnostic tests, and other services when medically necessary. 

Home Health Services

Original Medicare helps cover skilled home health services, including skilled nursing care, physical therapy, occupational therapy, speech-language pathology services, and medical social services. It does not, however, cover long-term care or custodial care services. These services can include assistance with eating, dressing, bathing, using the bathroom, and getting around.

Hospice Care

Original Medicare helps cover hospice care if a person is diagnosed with a terminal illness and has a life expectancy of six months or less. This includes medical equipment and supplies, prescription drugs, and other services to help manage pain and other symptoms. 

Mental Health Services

Original Medicare helps cover a variety of mental health services, such as individual and group therapy, counseling, and certain types of inpatient psychiatric care.

Individual therapy and counseling are two of the most common services covered. These sessions can be provided in person or via telehealth. Medicare also provides coverage for inpatient psychiatric care, such as care provided in a hospital or a residential treatment center.

What Medicare Doesn’t Cover

It is important to note that Original Medicare does not cover long-term care services such as in-home care or assisted living services, nor does it cover most prescription drugs. It is important to understand the limitations of Original Medicare to ensure you have the coverage you need.

Make The Most Of It With The Benefit Link

Overall, Original Medicare provides various benefits and services that can help cover the costs of necessary medical care. And, with the right guidance, you can make the most of it. To start your journey, schedule a consultation or call (972) 236-3348.

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