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The Basics

We often get questions as to which basic services are covered. Below, we've listed a few of those services with explanation.

Eye exams

How often is it covered?

Medicare doesn't cover routine eye exams (sometimes called "eye refractions") for eyeglasses or contact lenses. Medicare Part B (Medical Insurance) covers some preventive and diagnostic eye exams:

Dental services

How often is it covered?

Medicare doesn't cover most dental care, dental procedures, or supplies, like cleanings, fillings, tooth extractions, dentures, dental plates, or other dental devices. Medicare Part A (Hospital Insurance) will pay for certain dental services that you get when you're in a hospital. Part A can pay for if you need to have emergency or complicated dental procedures, even though the dental care isn't covered.

Hearing & Balance Exams & Hearing Aids

How often is it covered?

Medicare Part B (Medical Insurance) covers diagnostic hearing and balance exams if your doctor or other health care provider orders these tests to see if you need medical treatment.

Medicare doesn't cover hearing exams, hearing aids, or exams for fitting hearing aids.

Who's eligible?

All people with Part B are covered.

Your costs in Original Medicare

  • You pay 100% for exams and hearing aids.

  • You pay 20% of the Medicare-approved amount for the doctor's services for covered exams, and the Part B deductible applies.

  • In a hospital outpatient setting, you also pay the hospital a co payment.


To find out how much your specific test, item, or service will cost, talk to your doctor or other health care provider. The specific amount you’ll owe may depend on several things, like:

  • Other insurance you may have

  • How much your doctor charges

  • Whether your doctor accepts assignment

  • The type of facility & location of facility where services are rendered


Your doctor or other health care provider may recommend you get services more often than Medicare covers. Please keep in mind that doctors may also recommend services that Medicare doesn’t cover. If this happens, you may have to pay some, or all, of the costs. It’s important to ask questions so you understand why your doctor is recommending certain services, and whether Medicare will pay for them.

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