First, it's important to understand that most dental and vision care is excluded from Medicare coverage. Medicare doesn't cover dental services that you primarily need for the health of your teeth, such as routine checkups, cleanings, fillings, most tooth extractions and dentures. However, Medicare offers very limited coverage for some dental care needed to protect particular aspects of your general health, or for dental care needed for another Medicare-covered health service to be successful. For example, Medicare may cover an oral exam in the hospital before a kidney transplant, surgery to treat fractures of the jaw or face, or the splints and dental wires that are needed after jaw surgery.
If you are looking for Home Care near Palm City FL, it's important to understand that Medicare does not cover dental and vision care. For example, the patient wants the service more often than Medicare allows or to receive a diagnosis that Medicare doesn't cover. When Medicare or another payer designates a service as “combined”, it does not pay separately for parts of the combined service and does not allow the patient to bill it, since the payer believes that the payment is already included in the payment for another service that it does cover. Medicare Part B (health insurance) helps cover the cost of medically necessary durable medical equipment if your doctor prescribes it for use in your home. For example, Medicare doesn't cover breast augmentation for cosmetic reasons, but reconstructive surgery after a mastectomy.
Medicare Part A (also known as hospital insurance) can generally cover inpatient hospital care, nursing facility care, nursing home care, palliative care, and home health care. While not required, the ABN provides an opportunity to let the patient know that Medicare does not cover the service and that the patient will be responsible for paying for it.
